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Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India

Received: 6 March 2020     Accepted: 1 April 2020     Published: 4 January 2021
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Abstract

Imatinib is a type of protein tyrosine kinase inhibitor which inhibits the constitutive abnormal tyrosine kinase created by the Philadelphia chromosome i.e. the BCR-ABL tyrosine kinase, abnormality in CML patient. The aim of the study is to assess the response of imatinib in CML patients and to observe resistance to imatinib. Study was performed at Ahmedabad, Gujarat, India. Dose of 400, 600, 800 mg of Imatinib was found to be prescribed to all patients during the study. Comparison of laboratory parameters and PCR data were done after measurement by RT-PCR method. Total 256 patients with CML were enrolled in the study. 196 patients had completed study as per protocol. 38 patients were newly diagnosed whereas 158 patients were already diagnosed with CML. 89.29% (n = 175) of patients achieved complete haematological response, Complete MolR were achieved in n = 41 at 6th months, n = 1 at 12th month & 18th month and no patient was found with none CyR out of 196 patients; no patient were found with minimal CyR at 6th month, 2 patient were at 12th month and 3 patients were at 18th month. Mean PCR value (BCR-ABL/ABL ratio) in patient was found 0.245±1.16 at Day 0, 0.824±1.51 at 6th month, 4.086±9.58 at 12th month and 6.713±11.32 at 18th month visit. In conclusion, it was observed that resistance to imatinib might be developed within an average time of 12 months in the patients due to which survival rate was drastically reduced.

Published in Science Journal of Analytical Chemistry (Volume 9, Issue 1)
DOI 10.11648/j.sjac.20210901.11
Page(s) 1-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cancer, CML, Imatinib, BCR-ABL, Mutation, Resistance

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    Ankit Darji, Praful Bharadia. (2021). Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India. Science Journal of Analytical Chemistry, 9(1), 1-17. https://doi.org/10.11648/j.sjac.20210901.11

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    ACS Style

    Ankit Darji; Praful Bharadia. Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India. Sci. J. Anal. Chem. 2021, 9(1), 1-17. doi: 10.11648/j.sjac.20210901.11

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    AMA Style

    Ankit Darji, Praful Bharadia. Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India. Sci J Anal Chem. 2021;9(1):1-17. doi: 10.11648/j.sjac.20210901.11

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  • @article{10.11648/j.sjac.20210901.11,
      author = {Ankit Darji and Praful Bharadia},
      title = {Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India},
      journal = {Science Journal of Analytical Chemistry},
      volume = {9},
      number = {1},
      pages = {1-17},
      doi = {10.11648/j.sjac.20210901.11},
      url = {https://doi.org/10.11648/j.sjac.20210901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjac.20210901.11},
      abstract = {Imatinib is a type of protein tyrosine kinase inhibitor which inhibits the constitutive abnormal tyrosine kinase created by the Philadelphia chromosome i.e. the BCR-ABL tyrosine kinase, abnormality in CML patient. The aim of the study is to assess the response of imatinib in CML patients and to observe resistance to imatinib. Study was performed at Ahmedabad, Gujarat, India. Dose of 400, 600, 800 mg of Imatinib was found to be prescribed to all patients during the study. Comparison of laboratory parameters and PCR data were done after measurement by RT-PCR method. Total 256 patients with CML were enrolled in the study. 196 patients had completed study as per protocol. 38 patients were newly diagnosed whereas 158 patients were already diagnosed with CML. 89.29% (n = 175) of patients achieved complete haematological response, Complete MolR were achieved in n = 41 at 6th months, n = 1 at 12th month & 18th month and no patient was found with none CyR out of 196 patients; no patient were found with minimal CyR at 6th month, 2 patient were at 12th month and 3 patients were at 18th month. Mean PCR value (BCR-ABL/ABL ratio) in patient was found 0.245±1.16 at Day 0, 0.824±1.51 at 6th month, 4.086±9.58 at 12th month and 6.713±11.32 at 18th month visit. In conclusion, it was observed that resistance to imatinib might be developed within an average time of 12 months in the patients due to which survival rate was drastically reduced.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Study on Mutation Resistance to Imatinib in Chronic Myeloid Leukemia Patients from West India
    AU  - Ankit Darji
    AU  - Praful Bharadia
    Y1  - 2021/01/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.sjac.20210901.11
    DO  - 10.11648/j.sjac.20210901.11
    T2  - Science Journal of Analytical Chemistry
    JF  - Science Journal of Analytical Chemistry
    JO  - Science Journal of Analytical Chemistry
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    EP  - 17
    PB  - Science Publishing Group
    SN  - 2376-8053
    UR  - https://doi.org/10.11648/j.sjac.20210901.11
    AB  - Imatinib is a type of protein tyrosine kinase inhibitor which inhibits the constitutive abnormal tyrosine kinase created by the Philadelphia chromosome i.e. the BCR-ABL tyrosine kinase, abnormality in CML patient. The aim of the study is to assess the response of imatinib in CML patients and to observe resistance to imatinib. Study was performed at Ahmedabad, Gujarat, India. Dose of 400, 600, 800 mg of Imatinib was found to be prescribed to all patients during the study. Comparison of laboratory parameters and PCR data were done after measurement by RT-PCR method. Total 256 patients with CML were enrolled in the study. 196 patients had completed study as per protocol. 38 patients were newly diagnosed whereas 158 patients were already diagnosed with CML. 89.29% (n = 175) of patients achieved complete haematological response, Complete MolR were achieved in n = 41 at 6th months, n = 1 at 12th month & 18th month and no patient was found with none CyR out of 196 patients; no patient were found with minimal CyR at 6th month, 2 patient were at 12th month and 3 patients were at 18th month. Mean PCR value (BCR-ABL/ABL ratio) in patient was found 0.245±1.16 at Day 0, 0.824±1.51 at 6th month, 4.086±9.58 at 12th month and 6.713±11.32 at 18th month visit. In conclusion, it was observed that resistance to imatinib might be developed within an average time of 12 months in the patients due to which survival rate was drastically reduced.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Pharmacy, Hemchandracharya North Gujarat University, Patan, Gujarat, India

  • L. M. College of Pharmacy, Navrangpura, Ahmedabad, Gujarat, India

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