2017
DOI: 10.1634/theoncologist.2016-0354
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Response to Tyrosine Kinase Inhibitors in Myeloproliferative Neoplasia with 8p11 Translocation and CEP110-FGFR1 Rearrangement

Abstract: This brief communication reports on a patient with an exceedingly rare "8p11 (eight-p-eleven) myeloproliferative syndrome" (EMS) with rearrangement who responded to treatment with the multi-tyrosine kinase inhibitor (TKI) dasatinib. Dasatinib improved quality of life substantially by increasing blood counts and reducing the need for transfusions. This report demonstrates that the second-generation TKI may provide a therapeutic option for elderly and frail EMS patients who cannot be offered aggressive therapy, … Show more

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Cited by 9 publications
(6 citation statements)
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“…Our data show a consistent relationship between the capacity of each TKI to specifically target FGFR1 and their effectiveness in killing CNTRL‐FGFR1‐expressing Ba/F3 cells. However, this is at odds with reports of apparent clinical responses to combination treatment regimens that included imatinib or dasatinib with vincristine, including in Patient 1 . Ba/F3 cells expressing flCNTRL‐FGFR1 were treated with ponatinib or imatinib, together with vincristine and dexamethasone, and imatinib induced no additional decrease in cell viability (Figure S6).…”
Section: Methods and Resultsmentioning
confidence: 89%
See 1 more Smart Citation
“…Our data show a consistent relationship between the capacity of each TKI to specifically target FGFR1 and their effectiveness in killing CNTRL‐FGFR1‐expressing Ba/F3 cells. However, this is at odds with reports of apparent clinical responses to combination treatment regimens that included imatinib or dasatinib with vincristine, including in Patient 1 . Ba/F3 cells expressing flCNTRL‐FGFR1 were treated with ponatinib or imatinib, together with vincristine and dexamethasone, and imatinib induced no additional decrease in cell viability (Figure S6).…”
Section: Methods and Resultsmentioning
confidence: 89%
“…Previous case reports (including Patient 1 here) described treatment of FGFR1 fusion‐driven leukaemias with a range of tyrosine kinase inhibitors (TKIs), including imatinib . We measured the viability of Ba/F3 cells expressing tCNTRL‐FGFR1 (Figure S5) or flCNTRL‐FGFR1 (Figure ) after TKI treatment, and measured FGFR1 phosphorylation and fusion expression (using a CNTRL antibody) by Western blot.…”
Section: Methods and Resultsmentioning
confidence: 99%
“…Dasatinib is an oral small molecule inhibitor that inhibits nonmutated BCR-ABL and most known BCR-ABL mutants; its targeting includes PDGFR, cKIT, SFK (SRC family kinase), FGFR1, and EGFR ( 114 ). Several clinical examples suggest that dasatinib is more suitable for EMS patients with cardiovascular disease than ponatinib, and the patients benefited for more than 9 months and significantly improved the patient’s quality of life ( 118 , 119 ). Perhaps dasatinib might be more suitable for the treatment of elderly and frail EMS patients with cardiovascular disease, and it improves the PB, prolongs the survival time of patients, and provides another treatment option in addition to hematopoietic stem cell transplantation.…”
Section: Targeted Therapy With Tyrosine Kinase Inhibitorsmentioning
confidence: 99%
“…The drugs here we found are imatinib, dasatinib and nilotinib. [54] The most common toxic manifestations in this group are diarrhea, nausea, pleural effusion and hepatotoxicity.…”
Section: Inhibitors Of Tyrosine Kinase Proteinmentioning
confidence: 99%