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首页> 外文期刊>British Journal of Haematology >Treatment of young patients with Philadelphia chromosome-positive acute lymphoblastic leukaemia using increased dose of imatinib and deintensified chemotherapy before allogeneic stem cell transplantation
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Treatment of young patients with Philadelphia chromosome-positive acute lymphoblastic leukaemia using increased dose of imatinib and deintensified chemotherapy before allogeneic stem cell transplantation

机译:同种异体干细胞移植前通过增加剂量的伊马替尼和去强化化疗治疗年轻的费城染色体阳性急性淋巴细胞白血病患者

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摘要

The main outcomes of the Programa Espa?ol para Tratamiento de Hemopatías (PETHEMA)-acute lymphoblastic leukaemia (ALL)-Ph-08 trial were described and compared with those of the historical PETHEMA-CSTIBES02 trial. The trials differed in imatinib dose (600 vs. 400 mg/d) and amount of chemotherapy (one vs. two consolidation cycles) before stem cell transplantation (SCT). All patients (n = 29) enrolled in the ALL-Ph-08 trial achieved complete remission (CR) (vs. 90% in CSTIBES02), and SCT was performed in CR in 90% (vs. 78%). The reduction in early death, relapse before SCT and transplant-related mortality observed in the ALL-Ph-08 trial resulted in an improved 2-year event-free survival (63% vs. 37%, P = 0·009).
机译:描述了西班牙血统计划(PETHEMA)-急性淋巴细胞白血病(ALL)-Ph-08试验的主要结果,并将其与历史性PETHEMA-CSTIBES02试验的结果进行了比较。该试验在干细胞移植(SCT)之前的伊马替尼剂量(600 vs. 400 mg / d)和化疗量(一,两个巩固周期)不同。参加ALL-Ph-08试验的所有患者(n = 29)均达到完全缓解(CR)(相对于CSTIBES02为90​​%),而SCT的CR为90%(相对于78%)。 ALL-Ph-08试验中观察到的早期死亡,SCT复发前复发和与移植相关的死亡率的降低导致2年无事件生存期的改善(63%比37%,P = 0·009)。

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