Patient characteristics and PK data
Patient no. . | Sex . | Age at diagnosis, y . | Height, cm . | Weight, kg . | Body mass index . | Phase at starting imatinib . | Concomitant medications* . | Side effects . | Indication for PK . | Imatinib dose, mg . | Observed trough concentration(s) . | Trough concentration, ng/mL, observed in the phase 1 study . | Clinical consequences . | Best response . | Last follow-up . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 12 | 161 | 50 | 19.2 | CP1, newly diagnosed | Odansetron, esomeprazole, ziprasidone | Nausea, fatigue, arthralgia, myalgia | Unusually severe side effects | 300 BID 200 BID | 1937 1315 | 972 ± 317 NA | Dose reduction | 2.2-log reduction in BCR-ABL transcripts | Switched to dasatinib |
2 | F | 50 | 158 | 63 | 25.2 | CP1, newly diagnosed | Levetiracetam, desferroxamine, desloratidine fluticasone | Myalgia, transfusion dependent anemia irresponsive to erythropoietin | Unusually severe side effects | 300 BID 200 BID 300/200 QD alternating | 3048 1997, 1990, 1890, 2250 | 972 ± 317 NA NA | Dose reduction | CMR | CMR; continues on alternating 300/200 mg QD |
3 | F | 49 | 163 | 74 | 27.8 | CP1, IFN failure | Prednisone, pantoprazole, diltiazem, L-thyroxine, azathioprine, zolpidem | Pulmonary infiltrates when increased to 400 BID | Unusually severe side effects | 400 QD | 2344 | 1216 ± 750* | Discontinuation | CMR | Off therapy |
4 | F | 9 | 133 | 30 | 16.9 | CP1, newly diagnosed | Lansoprazole | Dyspepsia | qPCR plateau | 400 QD | 2341 | 1216 ± 750* | Reassurance and continuation of current dose | 2.2-log reduction in BCR-ABL transcripts | CCyR; continues on 400 mg QD |
5 | F | 47 | 173 | 132 | 44.1 | CP1, IFN failure | Quinapril, valproic acid, gabapentin, metformin, glipizide, hydrocodone, spirin, fentanyl, furosemide, allopurinol | Myalgia | Cytogenetic refractoriness | 600 QD | 1342 | 1214 ± 817 | Switch to dasatinib considered | CHR | CHR, switch to dasatinib planned |
Patient no. . | Sex . | Age at diagnosis, y . | Height, cm . | Weight, kg . | Body mass index . | Phase at starting imatinib . | Concomitant medications* . | Side effects . | Indication for PK . | Imatinib dose, mg . | Observed trough concentration(s) . | Trough concentration, ng/mL, observed in the phase 1 study . | Clinical consequences . | Best response . | Last follow-up . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 12 | 161 | 50 | 19.2 | CP1, newly diagnosed | Odansetron, esomeprazole, ziprasidone | Nausea, fatigue, arthralgia, myalgia | Unusually severe side effects | 300 BID 200 BID | 1937 1315 | 972 ± 317 NA | Dose reduction | 2.2-log reduction in BCR-ABL transcripts | Switched to dasatinib |
2 | F | 50 | 158 | 63 | 25.2 | CP1, newly diagnosed | Levetiracetam, desferroxamine, desloratidine fluticasone | Myalgia, transfusion dependent anemia irresponsive to erythropoietin | Unusually severe side effects | 300 BID 200 BID 300/200 QD alternating | 3048 1997, 1990, 1890, 2250 | 972 ± 317 NA NA | Dose reduction | CMR | CMR; continues on alternating 300/200 mg QD |
3 | F | 49 | 163 | 74 | 27.8 | CP1, IFN failure | Prednisone, pantoprazole, diltiazem, L-thyroxine, azathioprine, zolpidem | Pulmonary infiltrates when increased to 400 BID | Unusually severe side effects | 400 QD | 2344 | 1216 ± 750* | Discontinuation | CMR | Off therapy |
4 | F | 9 | 133 | 30 | 16.9 | CP1, newly diagnosed | Lansoprazole | Dyspepsia | qPCR plateau | 400 QD | 2341 | 1216 ± 750* | Reassurance and continuation of current dose | 2.2-log reduction in BCR-ABL transcripts | CCyR; continues on 400 mg QD |
5 | F | 47 | 173 | 132 | 44.1 | CP1, IFN failure | Quinapril, valproic acid, gabapentin, metformin, glipizide, hydrocodone, spirin, fentanyl, furosemide, allopurinol | Myalgia | Cytogenetic refractoriness | 600 QD | 1342 | 1214 ± 817 | Switch to dasatinib considered | CHR | CHR, switch to dasatinib planned |
BID indicates twice daily; CcyR, complete cytogenetic response; CHR, complete hematologic response; CMR, complete molecular respone; CP1, first chronic phase; IFN, interferon-alpha; NA, not applicable; PK, pharmacokinetic; QD, daily;
979 plus or minus 530 were reported in the IRIS trial.