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Cancer Therapy: Clinical

Contribution of ABL Kinase Domain Mutations to Imatinib Resistance in Different Subsets of Philadelphia-Positive Patients: By the GIMEMA Working Party on Chronic Myeloid Leukemia

Simona Soverini, Sabrina Colarossi, Alessandra Gnani, Gianantonio Rosti, Fausto Castagnetti, Angela Poerio, Ilaria Iacobucci, Marilina Amabile, Elisabetta Abruzzese, Ester Orlandi, Franca Radaelli, Fabrizio Ciccone, Mario Tiribelli, Roberto di Lorenzo, Clementina Caracciolo, Barbara Izzo, Fabrizio Pane, Giuseppe Saglio, Michele Baccarani and Giovanni Martinelli
Simona Soverini
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Sabrina Colarossi
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Alessandra Gnani
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Gianantonio Rosti
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Fausto Castagnetti
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Angela Poerio
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Ilaria Iacobucci
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Marilina Amabile
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Elisabetta Abruzzese
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Franca Radaelli
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Fabrizio Ciccone
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Mario Tiribelli
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Roberto di Lorenzo
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Clementina Caracciolo
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Barbara Izzo
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Fabrizio Pane
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Giuseppe Saglio
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Michele Baccarani
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Giovanni Martinelli
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DOI: 10.1158/1078-0432.CCR-06-1516 Published December 2006
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    Fig. 1.

    Distribution and relative frequency of ABL kinase domain mutations found in our study.

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    Fig. 2.

    Position and relative frequency of mutations according to disease phase. CP, chronic phase; AP, accelerated phase; myBC, myeloid blast crisis; lyBC, lymphoid blast crisis.

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    Fig. 3.

    Position and relative frequency of mutations according to type of resistance.

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  • Table 1.

    Classification of the patient population under study

    AllPrimary resistance (%)Acquired resistance (%)
    Total no.297152 (51)145 (49)
    Chronic phase198116 (59)82 (41)
        Imatinib frontline4428 (64)16 (36)
        Imatinib after α-IFN failure154107 (69)47 (31)
    Accelerated phase215 (24)16 (76)
    myeloid blast crisis325 (16)27 (84)
    lymphoid blast crisis/Ph+ ALL467 (15)39 (85)
  • Table 2.

    Frequency of mutations according to disease phase

    AllMutated (%)
    Total no.297127 (43)
    Chronic phase19854 (27)
        Imatinib frontline446 (14)
        Imatinib after α-IFN failure15448 (31)
    Accelerated phase2111 (52)
    Myeloid blast crisis3224 (75)
    Lymphoid blast crisis/Ph+ ALL4638 (83)
  • Table 3.

    Frequency of mutations according to type of resistance

    AllMutated (%)
    Total no.297127 (43)
    Primary resistance15245 (30)
        Hematologic188 (44)
        Cytogenetic13437 (28)
    Acquired resistance14582 (57)
        Loss of CCR5212 (23)
        Loss of HR3318 (55)
        Progression to AP/BC6052 (87)
    • Abbreviations: HR, hematologic response; CCR, complete cytogenetic response.

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Clinical Cancer Research: 12 (24)
December 2006
Volume 12, Issue 24
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Contribution of ABL Kinase Domain Mutations to Imatinib Resistance in Different Subsets of Philadelphia-Positive Patients: By the GIMEMA Working Party on Chronic Myeloid Leukemia
Simona Soverini, Sabrina Colarossi, Alessandra Gnani, Gianantonio Rosti, Fausto Castagnetti, Angela Poerio, Ilaria Iacobucci, Marilina Amabile, Elisabetta Abruzzese, Ester Orlandi, Franca Radaelli, Fabrizio Ciccone, Mario Tiribelli, Roberto di Lorenzo, Clementina Caracciolo, Barbara Izzo, Fabrizio Pane, Giuseppe Saglio, Michele Baccarani, Giovanni Martinelli and
Clin Cancer Res December 15 2006 (12) (24) 7374-7379; DOI: 10.1158/1078-0432.CCR-06-1516

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Contribution of ABL Kinase Domain Mutations to Imatinib Resistance in Different Subsets of Philadelphia-Positive Patients: By the GIMEMA Working Party on Chronic Myeloid Leukemia
Simona Soverini, Sabrina Colarossi, Alessandra Gnani, Gianantonio Rosti, Fausto Castagnetti, Angela Poerio, Ilaria Iacobucci, Marilina Amabile, Elisabetta Abruzzese, Ester Orlandi, Franca Radaelli, Fabrizio Ciccone, Mario Tiribelli, Roberto di Lorenzo, Clementina Caracciolo, Barbara Izzo, Fabrizio Pane, Giuseppe Saglio, Michele Baccarani, Giovanni Martinelli and
Clin Cancer Res December 15 2006 (12) (24) 7374-7379; DOI: 10.1158/1078-0432.CCR-06-1516
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