Impact of prior imatinib mesylate on the outcome of hematopoietic cell transplantation for chronic myeloid leukemia

Stephanie J. Lee, Manisha Kukreja, Tao Wang, Sergio A. Giralt, Jeffrey Szer, Mukta Arora, Ann E. Woolfrey, Francisco Cervantes, Richard E. Champlin, Robert Peter Gale, Joerg Halter, Armand Keating, David I. Marks, Philip L. McCarthy, Eduardo Olavarria, Edward A. Stadtmauer, Manuel Abecasis, Vikas Gupta, H. Jean Khoury, Biju GeorgeGregory A. Hale, Jane L. Liesveld, David A. Rizzieri, Joseph H. Antin, Brian J. Bolwell, Matthew H. Carabasi, Edward Copelan, Osman Ilhan, Mark R. Litzow, Harold C. Schouten, Axel R. Zander, Mary M. Horowitz, Richard T. Maziarz

Research output: Contribution to journalArticle

101 Scopus citations

Abstract

Imatinib mesylate (IM, Gleevec) has largely supplanted allogeneic hematopoietic cell transplantation (HCT) as first line therapy for chronic myeloid leukemia (CML). Nevertheless, many people with CML eventually undergo HCT, raising the question of whether prior IM therapy impacts HCT success. Data from the Center for International Blood and Marrow Transplant Research on 409 subjects treated with IM before HCT (IM +) and 900 subjects who did not receive IM before HCT (IM -) were analyzed. Among patients in first chronic phase, IM therapy before HCT was associated with better survival but no statistically significant differences in treatment-related mortality, relapse, and leukemia-free survival. Better HLA-matched donors, use of bone marrow, and transplantation within one year of diagnosis were also associated with better survival. A matched-pairs analysis was performed and confirmed a higher survival rate among first chronic phase patients receiving IM. Among patients transplanted with advanced CML, use of IM before HCT was not associated with treatmentrelated mortality, relapse, leukemia-free survival, or survival. Acute graft-versushost disease rates were similar between IM + and IM - groups regardless of leukemia phase. These results should be reassuring to patients receiving IM before HCT.

Original languageEnglish (US)
Pages (from-to)3500-3507
Number of pages8
JournalBlood
Volume112
Issue number8
DOIs
StatePublished - Oct 15 2008

ASJC Scopus subject areas

  • Biochemistry
  • Immunology
  • Hematology
  • Cell Biology

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    Lee, S. J., Kukreja, M., Wang, T., Giralt, S. A., Szer, J., Arora, M., Woolfrey, A. E., Cervantes, F., Champlin, R. E., Gale, R. P., Halter, J., Keating, A., Marks, D. I., McCarthy, P. L., Olavarria, E., Stadtmauer, E. A., Abecasis, M., Gupta, V., Khoury, H. J., ... Maziarz, R. T. (2008). Impact of prior imatinib mesylate on the outcome of hematopoietic cell transplantation for chronic myeloid leukemia. Blood, 112(8), 3500-3507. https://doi.org/10.1182/blood-2008-02-141689