The clinical relevance of imatinib plasma trough concentrations in chronic myeloid leukemia. A Belgian study.

Abstract:

:This retrospective multicenter study in patients with chronic myeloid leukemia in chronic phase was undertaken to confirm the clinical relevance of imatinib plasma concentrations monitoring in daily practice. Forty-one patients, with 47 imatinib plasma measurements, were analyzed during treatment with imatinib given at a fixed 400mg daily dose. A significant inverse relationship of imatinib concentration with the patients' weight was observed (Pearson's test: p=0.02, R2=0.1). More interestingly, patients with poor response (switched to another tyrosine kinase inhibitor because of imatinib failure, or because of disease progression after an initial response) displayed a significantly lower mean imatinib concentration as compared to patients maintained on imatinib (822ng/mL vs 1099ng/mL; Student's t-test, p=0.04). Failure or disease progression occurred more often in patients in the lowest quartile of imatinib concentrations compared to patients in the highest quartile (p=0.02, logrank test). No correlation could be established with other biological or clinical parameter, including complete cytogenic response and major molecular response. IN CONCLUSION:in patients treated with imatinib at a fixed daily dose of 400mg, imatinib plasma concentrations decreased with increasing body weight and were lower in patients switched to another tyrosine kinase inhibitor due to imatinib failure. Systematic determination of imatinib plasma trough levels should be encouraged in such patients.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Van Obbergh F,Knoops L,Devos T,Beguin Y,Graux C,Benghiat F,Kargar-Samani K,Bauwens D,Efira A,Dubois C,Springael C,Montfort L,Connerotte T,Capron A,Delannoy A,Wallemacq P

doi

10.1016/j.clinbiochem.2016.12.006

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

452-454

issue

7-8

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(16)30219-3

journal_volume

50

pub_type

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