Molecular evaluation of residual disease in CML patients treated with BCR-ABL inhibitors
Patient no. . | HR . | CgR . | MR . | BCR-ABL/ABL ratio × 100 . | |||
---|---|---|---|---|---|---|---|
BM . | PBL . | Lin−CD34+ cells . | Lin−CD34− cells . | ||||
1 | C | P | N | 0.23 | 0.15 | 0.28 | 0.3 |
2 | C | C | M | 0.01 | 0.01 | UD | 0.01 |
3 | C | C | M | 0.01 | 0.06 | UD | 0.039 |
4 | C | C | M | 0.02 | 0.08 | UD | 0.023 |
5 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
6 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
7 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
Patient no. . | HR . | CgR . | MR . | BCR-ABL/ABL ratio × 100 . | |||
---|---|---|---|---|---|---|---|
BM . | PBL . | Lin−CD34+ cells . | Lin−CD34− cells . | ||||
1 | C | P | N | 0.23 | 0.15 | 0.28 | 0.3 |
2 | C | C | M | 0.01 | 0.01 | UD | 0.01 |
3 | C | C | M | 0.01 | 0.06 | UD | 0.039 |
4 | C | C | M | 0.02 | 0.08 | UD | 0.023 |
5 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
6 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
7 | C | C | C | UD (nested neg) | UD (nested neg) | UD | UD |
HR indicates hematologic response; CgR, cytogenetic response; MR, molecular response; BM, bone marrow; PBL, peripheral blood; C, complete; P, partial; M, major; N, no response; and UD, undetectable BCR-ABL transcript level.
Complete hematologic response: WBC count of less than 10 × 109/L, platelet count of less than 450 × 109/L, no immature cells (blasts, promyelocytes, or myelocytes) in the PB, and no signs/symptoms related to leukemia (including palpable splenomegaly). Complete cytogenetic response: 0% Ph-positive metaphases, based on results of conventional cytogenetic analysis. Partial cytogenetic response: 1% to 35% Ph-positive metaphases, based on results of conventional cytogenetic analysis. Major molecular response: BCR-ABL/ABL ratio less than 0.1% (international scale). Undetectable BCR-ABL transcript level: BCR-ABL/ABL less than 0.001% (international scale), corresponding to the lowest level of detectability of the method (10−4). Complete Molecular response: samples negative by RQ-PCR were analyzed by nested PCR and a complete molecular response was defined as nested PCR negativity.48 Samples showing less than 1000 copies of ABL transcript were not considered evaluable and are not included in the analysis (range of ABL copies for CD34+ cells was 2998-30 792; range for CD34− cells was 3425-18 693). The number of cells analyzed was (range) 118 000-860 000 and 130 000-1 100 000 for CD34+ and CD34−, respectively.