Abstract:
:Treatment of CMML remains a clinical challenge, with no drug demonstrating clear clinical benefit. Even if azacitidine is approved in the treatment of CMML, its role remains disputed. We report a cohort of 76 CMML patients (according to WHO classification) treated with azacitidine in 3 programs (French AZA compassionate program, Cleveland Clinic Foundation and H. Lee Moffitt Cancer Center). 45% had CMML2, and 55% had splenomegaly and/or WBC counts >13 G/L, which are known to be poor prognostic factors in CMML. All patients received AZA for at least one cycle, and the median number of cycles administered was 6. Thirty-three patients (43%) achieved a response according to IWG 2006 criteria, including 13 complete remissions (17%). Median survival was 29 months. Increased bone marrow blast percentage and proliferative features of the disease, including splenomegaly and high WBC counts, were significantly associated with shorter survival. By multivariate analysis, only marrow blasts >10% and palpable splenomegaly had prognostic impact on survival. Although promising, the efficacy of azacitidine in advanced CMML needs to be confirmed in a randomized prospective study.
journal_name
Leuk Resjournal_title
Leukemia researchauthors
Adès L,Sekeres MA,Wolfromm A,Teichman ML,Tiu RV,Itzykson R,Maciejewski JP,Dreyfus F,List AF,Fenaux P,Komrokji RSdoi
10.1016/j.leukres.2013.01.004subject
Has Abstractpub_date
2013-06-01 00:00:00pages
609-13issue
6eissn
0145-2126issn
1873-5835pii
S0145-2126(13)00018-0journal_volume
37pub_type
临床试验,杂志文章abstract::We investigated the role of Src family kinases (SFKs) in the regulation of STAT activation in myeloid leukemia cells. Two of 6 AML cell lines displayed constitutive STAT5 activation, whereas four cell lines had constitutive SFK activity. Treatment with the SFK inhibitors suppressed STAT5 activation and decreased viabi...
journal_title:Leukemia research
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abstract::With Percoll density gradients, blasts from peripheral blood and bone marrow could be separated with a significant enrichment, and very often with a high degree of purity. This allowed a study of selected cases, where the separated sample exhibited chromosome abnormalities and/or an abnormal DNA content distribution (...
journal_title:Leukemia research
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doi:10.1016/0145-2126(84)90110-3
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journal_title:Leukemia research
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journal_title:Leukemia research
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journal_title:Leukemia research
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更新日期:1988-01-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
doi:10.1016/0145-2126(89)90122-7
更新日期:1989-01-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
doi:10.1016/j.leukres.2003.10.016
更新日期:2004-06-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
doi:10.1016/s0145-2126(99)00198-8
更新日期:2000-05-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
doi:10.1016/j.leukres.2010.09.019
更新日期:2011-05-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章,评审
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更新日期:1985-01-01 00:00:00
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更新日期:2021-01-19 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章,评审
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journal_title:Leukemia research
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journal_title:Leukemia research
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journal_title:Leukemia research
pub_type: 杂志文章,评审
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更新日期:1990-01-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
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更新日期:1988-01-01 00:00:00
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journal_title:Leukemia research
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journal_title:Leukemia research
pub_type: 杂志文章,多中心研究
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更新日期:2016-01-01 00:00:00
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journal_title:Leukemia research
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更新日期:2015-07-01 00:00:00
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journal_title:Leukemia research
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更新日期:1991-01-01 00:00:00
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journal_title:Leukemia research
pub_type: 临床试验,杂志文章,多中心研究
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journal_title:Leukemia research
pub_type: 杂志文章,多中心研究
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更新日期:2005-05-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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journal_title:Leukemia research
pub_type: 杂志文章
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更新日期:2019-11-01 00:00:00