Clinical summary of 12 patients with kinase domain mutations
Patient no. . | Age, y . | Sex . | Imatinib . | Dasatinib . | Best response on DB . | Duration of treatment, mo . | Current status . | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Duration of IM treatment, mo . | Best responseon IM . | KD mutation before DB . | Clinical phase at the start of DB . | Cytogenetic analysis prior to DB, Ph+ % . | KD mutation after DB . | . | |||||
1 | 51 | M | 43 | PCyR | H396R | CP | 100 | MMR | 13+ | None | MMR |
2 | 28 | M | 35 | CHR | E453V | CP | 91 | MMR | 23+ | None | MMR |
3 | 58 | F | 24 | CCyR | F359V | CP | N/A | CCyR | 7+ | None | CCyR |
4 | 43 | F | 24 | CHR | H396R | BC | 100 | MMR | 14+ | None | MMR |
5 | 53 | M | 39 | CHR | L248V | AP | 89 | PCyR | 25 | L248V | CHR |
6 | 37 | M | 35 | PCyR | G250R | AP | 100 | CCyR | 24+ | G250R | CCyR |
7 | 55 | M | 48 | PCyR | M244V | CP | 100 | CCyR | 22+ | M244V | PCyR |
8 | 50 | F | 48 | CCyR | M244V | CP | 100 | PCyR | 23 | F317L | CHR |
9 | 40 | M | 58 | CHR | M351T | AP | 100 | CHR | 24+ | F317L | CHR |
10 | 56 | F | 36 | CCyR | H396R (M351T)* | CP | 43 | CCyR | 7+ | F317L | PCyR |
11 | 52 | F | 48 | PCyR | F311I | BC | 100 | CCyR | 8 | F311I | Deceased (BC) |
T315I | |||||||||||
12 | 24 | F | 7 | PCyR | Y253H | BC | 100 | CCyR | 6 | Y253H | Deceased (BC) |
T315I |
Patient no. . | Age, y . | Sex . | Imatinib . | Dasatinib . | Best response on DB . | Duration of treatment, mo . | Current status . | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
Duration of IM treatment, mo . | Best responseon IM . | KD mutation before DB . | Clinical phase at the start of DB . | Cytogenetic analysis prior to DB, Ph+ % . | KD mutation after DB . | . | |||||
1 | 51 | M | 43 | PCyR | H396R | CP | 100 | MMR | 13+ | None | MMR |
2 | 28 | M | 35 | CHR | E453V | CP | 91 | MMR | 23+ | None | MMR |
3 | 58 | F | 24 | CCyR | F359V | CP | N/A | CCyR | 7+ | None | CCyR |
4 | 43 | F | 24 | CHR | H396R | BC | 100 | MMR | 14+ | None | MMR |
5 | 53 | M | 39 | CHR | L248V | AP | 89 | PCyR | 25 | L248V | CHR |
6 | 37 | M | 35 | PCyR | G250R | AP | 100 | CCyR | 24+ | G250R | CCyR |
7 | 55 | M | 48 | PCyR | M244V | CP | 100 | CCyR | 22+ | M244V | PCyR |
8 | 50 | F | 48 | CCyR | M244V | CP | 100 | PCyR | 23 | F317L | CHR |
9 | 40 | M | 58 | CHR | M351T | AP | 100 | CHR | 24+ | F317L | CHR |
10 | 56 | F | 36 | CCyR | H396R (M351T)* | CP | 43 | CCyR | 7+ | F317L | PCyR |
11 | 52 | F | 48 | PCyR | F311I | BC | 100 | CCyR | 8 | F311I | Deceased (BC) |
T315I | |||||||||||
12 | 24 | F | 7 | PCyR | Y253H | BC | 100 | CCyR | 6 | Y253H | Deceased (BC) |
T315I |
CCyR indicates complete cytogenetic response; PCyR, partial cytogenetic response; MMR, major molecular response; Ph+, Philadelphia chromosome positive; IM, imatinib mesylate; DB, dasatinib; NA, not available; CP, chronic phase; AP, accelerated phase; and BC, blast crisis.
The M351T mutation became undetectable during IM therapy, and undetectable prior to DB therapy.