Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation

The current treatment of chronic phase chronic myeloid leukemia (CML) consists of oral tyrosine kinase inhibitors (TKIs). However, high-risk CML may present with an aggressive course which may result in blastic crisis or a “difficult-to-manage” state with available treatments. The aim of this paper...

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Main Authors: B. Uz, O. Bektas, E. Eliacik, H. Goker, Y. Erbilgin, M. Sayitoglu, N. Sayinalp, S. Aksu, Y. Buyukasik, O. Ozcebe, I. C. Haznedaroglu
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2011/263725
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author B. Uz
O. Bektas
E. Eliacik
H. Goker
Y. Erbilgin
M. Sayitoglu
N. Sayinalp
S. Aksu
Y. Buyukasik
O. Ozcebe
I. C. Haznedaroglu
author_facet B. Uz
O. Bektas
E. Eliacik
H. Goker
Y. Erbilgin
M. Sayitoglu
N. Sayinalp
S. Aksu
Y. Buyukasik
O. Ozcebe
I. C. Haznedaroglu
author_sort B. Uz
collection DOAJ
description The current treatment of chronic phase chronic myeloid leukemia (CML) consists of oral tyrosine kinase inhibitors (TKIs). However, high-risk CML may present with an aggressive course which may result in blastic crisis or a “difficult-to-manage” state with available treatments. The aim of this paper is to report a patient with complicated CML resistant to treatment and progressed despite the administration of bosutinib, imatinib mesylate, nilotinib, dasatinib, interferon alpha 2a, cytotoxic chemotherapy, and allogeneic hematopoietic stem cell transplantation. The striking point of this case story is that no Abl kinase domain mutation against TKIs has been detected during this very complicated disease course of CML. Meanwhile, challenging cases will always be present despite the hope and progress in CML in the TKI era.
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institution Kabale University
issn 2090-6560
2090-6579
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-cb788c174b374173920a040694e2bb512025-02-03T05:58:48ZengWileyCase Reports in Hematology2090-65602090-65792011-01-01201110.1155/2011/263725263725Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase MutationB. Uz0O. Bektas1E. Eliacik2H. Goker3Y. Erbilgin4M. Sayitoglu5N. Sayinalp6S. Aksu7Y. Buyukasik8O. Ozcebe9I. C. Haznedaroglu10Department of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Genetics, Institute of Experimental Medicine, Istanbul University, Istanbul, TurkeyDepartment of Genetics, Institute of Experimental Medicine, Istanbul University, Istanbul, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyDepartment of Hematology, Hacettepe University Medical School, 06100 Ankara, TurkeyThe current treatment of chronic phase chronic myeloid leukemia (CML) consists of oral tyrosine kinase inhibitors (TKIs). However, high-risk CML may present with an aggressive course which may result in blastic crisis or a “difficult-to-manage” state with available treatments. The aim of this paper is to report a patient with complicated CML resistant to treatment and progressed despite the administration of bosutinib, imatinib mesylate, nilotinib, dasatinib, interferon alpha 2a, cytotoxic chemotherapy, and allogeneic hematopoietic stem cell transplantation. The striking point of this case story is that no Abl kinase domain mutation against TKIs has been detected during this very complicated disease course of CML. Meanwhile, challenging cases will always be present despite the hope and progress in CML in the TKI era.http://dx.doi.org/10.1155/2011/263725
spellingShingle B. Uz
O. Bektas
E. Eliacik
H. Goker
Y. Erbilgin
M. Sayitoglu
N. Sayinalp
S. Aksu
Y. Buyukasik
O. Ozcebe
I. C. Haznedaroglu
Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
Case Reports in Hematology
title Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
title_full Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
title_fullStr Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
title_full_unstemmed Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
title_short Allografting for Bosutinib, Imatinib, Nilotinib, Dasatinib, and Interferon Resistant Chronic Myeloid Leukemia without ABL Kinase Mutation
title_sort allografting for bosutinib imatinib nilotinib dasatinib and interferon resistant chronic myeloid leukemia without abl kinase mutation
url http://dx.doi.org/10.1155/2011/263725
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