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July 2009

Myelodysplastic syndromes developing after imatinib therapy for GIST

Abstract 10532, P. Spadaro, MD, Casa di Cura Villa Salus, Messina, Italy

Written by Jim Hughes

In a prospective study of 49 GIST patients, the authors conclude that during imatinib therapy some patients with GIST develop chromosomal abnormalities and that, although rare, these findings highlight the need for monitoring GIST patients treated with imatinib.

A series of 49 patients were given bone marrow biopsies and blood tests before and after starting imatinib therapy in 2007 and 2008. 15 patients developed grade 3 or 4 low red cell or white cell counts while on imatinib. On microscopic analysis of bone marrow cells, eight patients (16%) showed some form of chromosomal abnormality. Of these, four were intermittent and not clinically significant; three were associated with a chronic low blood-count condition and one developed into Acute Myeloid Leukemia (AML). Although this study was not designed to answer the question, the authors speculate that imatinib may be the cause of the chromosomal abnormalities.

Abstract #: 10532


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