Table 1

Patient characteristics and PK data

Patient no.SexAge at diagnosis, yHeight, cmWeight, kgBody mass indexPhase at starting imatinibConcomitant medications*Side effectsIndication for PKImatinib dose, mgObserved trough concentration(s)Trough concentration, ng/mL, observed in the phase 1 studyClinical consequencesBest responseLast follow-up
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 
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 
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 
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 
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.SexAge at diagnosis, yHeight, cmWeight, kgBody mass indexPhase at starting imatinibConcomitant medications*Side effectsIndication for PKImatinib dose, mgObserved trough concentration(s)Trough concentration, ng/mL, observed in the phase 1 studyClinical consequencesBest responseLast follow-up
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 
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 
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 
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 
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.

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