Keywords :
Algorithms; Antimetabolites, Antineoplastic/therapeutic use; Antineoplastic Agents/therapeutic use; Clinical Trials, Phase I as Topic; Clinical Trials, Phase II as Topic; Cytarabine/therapeutic use; Enzyme Inhibitors/therapeutic use; Fusion Proteins, bcr-abl/antagonists & inhibitors; Hematopoietic Stem Cell Transplantation; Humans; Interferon-alpha/therapeutic use; Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy; Piperazines/therapeutic use; Protein-Tyrosine Kinases/antagonists & inhibitors; Pyrimidines/therapeutic use
Abstract :
[en] This review article describes the identification of the tyrosine kinase BCR/ABL as the hallmark of chronic myeloid leukemias (CML) as well as the development of a specific inhibitor of this tyrosine kinase, the STI571 (Glivec, imatinib mesylate). The authors discuss the results of a phase I and three phase II trials reporting the efficacy of STI571 as treatment for CML patients and propose two simplified algorithms that may help to guide decision-making for the individual patient.
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