Table 3.

Summary of representative studies that describe use of imatinib in the treatment of CMML or atypical CMPD*


Study

Clinical diagnosis

No. patients

Cytogenetic findings

Molecular findings

Response

Imatinib dose, mg/d
Magnusson et al80 *  CMML   1   t(5;17)(q33;p13)  Rab5/PDGFRB  CR   400  
Pitini et al82   CMML   1   t(5;12)(q33;p13)  ETV6/PDGFRB  CR   400  
Cortes et al97   CMML   3   2 normal 1 trisomy 21   NA   3 NR   400  
Wilkinson et al18 *  aCMPD   1   t(1;5)(q23;q33)  PDE4DIP/PDGFRB  CR   NA  
Trempat et al37 *  aCMPD   1   t(4;22)(q12;q11)  BCR/PDGFRA  CHR   400  
Garcia et al67 *  aCMPD   1   t(5;10)(q33;q22)  H4(D10S170)/PDGFRB  CR   400  
Demetri et al68 *  aCMPD   1   Complex abnormalities  ETV6/ABL  CHR   600  
Cortes97 
 
aCMPD
 
7
 
NA
 
NA
 
1 MHR
 
400
 

Study

Clinical diagnosis

No. patients

Cytogenetic findings

Molecular findings

Response

Imatinib dose, mg/d
Magnusson et al80 *  CMML   1   t(5;17)(q33;p13)  Rab5/PDGFRB  CR   400  
Pitini et al82   CMML   1   t(5;12)(q33;p13)  ETV6/PDGFRB  CR   400  
Cortes et al97   CMML   3   2 normal 1 trisomy 21   NA   3 NR   400  
Wilkinson et al18 *  aCMPD   1   t(1;5)(q23;q33)  PDE4DIP/PDGFRB  CR   NA  
Trempat et al37 *  aCMPD   1   t(4;22)(q12;q11)  BCR/PDGFRA  CHR   400  
Garcia et al67 *  aCMPD   1   t(5;10)(q33;q22)  H4(D10S170)/PDGFRB  CR   400  
Demetri et al68 *  aCMPD   1   Complex abnormalities  ETV6/ABL  CHR   600  
Cortes97 
 
aCMPD
 
7
 
NA
 
NA
 
1 MHR
 
400
 

CHR indicates complete hematologic response (normalization of blood counts); MHR, major hematologic response (increase in hemoglobin concentration from 95 to 137 g/L [9.5 to 13.7/dL]); D10S170, DNA segment on chromosome 10 (unique) 170. Remaining abbreviations are explained in Tables 1 and 2.

*

Data supported the presence of imatinib-responsive molecular target before the start of therapy.

Some patients were described as having atypical CML based on a CML phenotype without Philadelphia chromosome or bcr/abl fusion and association with dysplasia. Does not include patients with prominent peripheral eosinophilia.

Patient was treated in chronic phase of atypical CML after receiving induction therapy for blast crisis.

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