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ASCO: Dasatinib (Sprycel) Works as First-Line Therapy for Chronic Myelogenous Leukemia

Peggy Peck
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco | June 2, 2007
  • Explain that this study investigated an off-label use of dasatinib, which is not currently approved as first-line treatment.

  • Explain to interested patients that long-term efficacy with dasatinib is still lacking.

  • These results were reported at a medical meeting and in published abstracts and should be considered preliminary until they are published in a peer-reviewed journal.

CHICAGO, June 2 -- Almost all patients treated off-label with dasatinib(Drug information on dasatinib) (Sprycel) for chronic myelogenous leukemia (CML) had a complete cytogenetic response within a year of beginning therapy, researchers reported here.

"Patients taking dasatinib achieve complete cytogenetic response - absence of the mutated protein that drives this disease - more rapidly than we've observed historically using the current front-line therapy. Side effects are very manageable," said Ehab L. Atallah, M.D., a fellow in oncology at the University of Texas M. D. Anderson Cancer Center, in Houston.

He noted that dasatinib, which is approved for treatment of patients who are unresponsive or resistant to treatment with imatinib(Drug information on imatinib) (Gleevec), was able to achieve a response in 40% of those difficult to treat patients.

"Our hypothesis was that treating with dasatinib first would produce an earlier response, which might translate to a better overall survival," Dr. Atallah said at the American Society of Clinical Oncology meeting. "We haven't proved that here, but these early results are encouraging."

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