20 CML patients with hematological (5 pts) or only cytogenetic (15 pts) relapse occurring after allogeneic BMT have been treated with alpha-2b-interferon (IFN) at a starting dose of 5 x 10(6) IU/m2, subcutaneously, three times a week. All 5 patients with hematological relapse achieved hematological remission without reduction of bone marrow Ph1-positive cells. With a median follow-up of 43 months (range 6-48) from the hematological relapse, 3 patients are alive and 2 patients died from non-lymphoid blast crisis. 7 out of 15 patients with only cytogenetic relapse remain in hematological remission at a median of 37 months (range 3-45) from cytogenetic relapse, with 2 patients achieving complete cytogenetic remission confirmed at the molecular level by disappearance of the bcr rearranged band. With a median follow-up of 21 months (range 6-46), 8 patients progressed from cytogenetic to hematological relapse: 4 patients died from blast crisis and the other 4 patients are currently alive in chronic phase. For the 15 patients, the actuarial survival from BMT is 71% at 5 years.
Alpha-2b interferon as single therapy for patients with chronic myeloid leukemia relapsing after T-cell depleted allogeneic bone marrow transplantation / Arcese, W; Mauro, Francesca Romana; Screnci, M; Alimena, Giuliana; Iori, Ap; De Cuia, Mr; Lo Coco, F; Montefusco, E; Fazi, P; Mandelli, Franco. - In: EUROPEAN JOURNAL OF HAEMATOLOGY. SUPPLEMENTUM. - ISSN 0902-4506. - 52(1990), pp. 36-39.
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Titolo: | Alpha-2b interferon as single therapy for patients with chronic myeloid leukemia relapsing after T-cell depleted allogeneic bone marrow transplantation. | |
Autori: | ||
Data di pubblicazione: | 1990 | |
Rivista: | ||
Citazione: | Alpha-2b interferon as single therapy for patients with chronic myeloid leukemia relapsing after T-cell depleted allogeneic bone marrow transplantation / Arcese, W; Mauro, Francesca Romana; Screnci, M; Alimena, Giuliana; Iori, Ap; De Cuia, Mr; Lo Coco, F; Montefusco, E; Fazi, P; Mandelli, Franco. - In: EUROPEAN JOURNAL OF HAEMATOLOGY. SUPPLEMENTUM. - ISSN 0902-4506. - 52(1990), pp. 36-39. | |
Handle: | http://hdl.handle.net/11573/409206 | |
Appartiene alla tipologia: | 01a Articolo in rivista |