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Nilotinib 300mg BID as frontline treatment of CML: Prospective analysis of the Xpert BCR-ABL Monitor system and significance of 3-month molecular response

  • Michael E. O'Dwyer
  • , Ronan Swords
  • , Arnon Nagler
  • , Mary Frances McMullin
  • , Philipp D. le Coutre
  • , Stephen E. Langabeer
  • , Alberto Alvarez-Iglesias
  • , Hongxin Fan
  • , Richard C. Woodman
  • , Francis J. Giles
  • , Eibhlin Conneally
  • Sylvester Comprehensive Cancer Center
  • Sheba Medical Center
  • Queen's University of Belfast
  • Charité – Universitätsmedizin Berlin
  • St James's Hospital
  • University of Texas Health Science Center at San Antonio
  • Novartis Institutes for Biomedical Research
  • Northwestern Medicine

Research output: Contribution to a Journal (Peer & Non Peer)Articlepeer-review

10 Citations (Scopus)

Abstract

Sixty patients with early chronic phase CML (ECPCML) received Nilotinib on a phase II study which included a comparison of the Xpert BCR-ABL Monitor™ PCR system with standardized (IS) BCR-ABL1 real-time quantitative PCR (RQ-PCR). 88% patients achieved MMR with 45% achieving MR4.5. At 3 months BCR-ABL1/ABL1 IS >1% and <10% was associated with a lower likelihood of subsequent MR4.5 compared to patients with lower levels (p= 0.018). No significant difference was observed between methodologies in identifying MMR. Nilotinib induces high molecular response rates in ECPCML and the Xpert BCR-ABL Monitor™ system merits further investigation in this setting.

Original languageEnglish
Pages (from-to)310-315
Number of pages6
JournalLeukemia Research
Volume38
Issue number3
DOIs
Publication statusPublished - Mar 2014

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • CML BCR-ABL
  • Minimal residual disease
  • Molecular diagnostics
  • Nilotinib

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