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    Leukemia. 2015 Feb 5. pii: leu201529. doi: 10.1038/leu.2015.29. pmc: PMC4430701
    Laboratory recommendations for scoring deep molecular responses following treatment for chronic myeloid leukemia.
    Cross NC1,  White HE2,  Colomer D3,  Ehrencrona H4,  Foroni L5,  Gottardi E6,  Lange T7,  Lion T8,  Machova Polakova K9,  Dulucq S10,  Martinelli G11,  Oppliger Leibundgut E12,  Pallisgaard N13,  Barbany G14,  Sacha T15,  Talmaci R16,  Izzo B17,  Saglio G18,  Pane F19,  Müller MC20,  Hochhaus A21
    Author information
    11] Faculty of Medicine, University of Southampton, Southampton, UK [2] National Genetics Reference Laboratory (Wessex), Salisbury District Hospital, Salisbury, UK.
    21] Faculty of Medicine, University of Southampton, Southampton, UK [2] National Genetics Reference Laboratory (Wessex), Salisbury District Hospital, Salisbury, UK.
    3Hematopathology Unit, Hospital Clinic, IDIBAPS, Barcelona, Spain.
    4Department of Clinical Genetics, Laboratory Medicine, Lund University, Lund, Sweden.
    5Imperial Molecular Pathology Laboratory, Centre for Haematology, Imperial College London, London, UK.
    6Department of Clinical and Biological Science, University of Turin, Turin, Italy.
    7Abteilung für Hämatologie und internistische Onkologie, Universität Leipzig, Leipzig, Germany.
    8Children's Cancer Research Institute/LabDia Labordiagnostik and Medical University, Vienna, Austria.
    9Institute of Hematology and Blood Transfusion, Prague, Czech Republic.
    10Laboratoire Hematologie, CHU Bordeaux, Hematopoiese Leucemique et Cibles Therapeutiques, INSERM U1035, Université Bordeaux, Bordeaux, France.
    11Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
    12Molecular Diagnostics Laboratory, Department of Hematology, University Hospital Bern, Bern, Switzerland.
    13Klinisk Biokemi, Vejle Sygehus, Vejle, Denmark.
    14Department of Molecular Medicine and Surgery, Clinical Genetics, Karolinska Institutet, Stockholm, Sweden.
    15Hematology Department, Jagiellonian University, Krakow, Poland.
    16Hematology Department - Fundeni Clinical Institute, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.
    17Department of Clinical Medicine and Surgery, University 'Federico II' of Naples, Naples, Italy.
    18Department of Clinical and Biological Science, University of Turin, Turin, Italy.
    191] Department of Clinical Medicine and Surgery, University 'Federico II' of Naples, Naples, Italy [2] CEINGE - Biotecnologie Avanzate, Naples, Italy.
    20III. Medizinische Klinik, Universitätsmedizin Mannheim, Mannheim, Germany.
    21Abteilung Hämatologie/Onkologie, Klinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Germany.
    Abstract

    Treatment of chronic myeloid leukemia (CML) with tyrosine kinase inhibitors has advanced to a stage where many patients achieve very low or undetectable levels of disease. Remarkably, some of these patients remain in sustained remission when treatment is withdrawn, suggesting that they may be at least operationally cured of their disease. Accurate definition of deep molecular responses (MRs) is therefore increasingly important for optimal patient management and comparison of independent data sets. We previously published proposals for broad standardized definitions of MR at different levels of sensitivity. Here we present detailed laboratory recommendations, developed as part of the European Treatment and Outcome Study for CML (EUTOS), to enable testing laboratories to score MR in a reproducible manner for CML patients expressing the most common BCR-ABL1 variants.


    Publikations ID: 25652737
    Quelle: öffnen
     
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