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    • 90. 发明公开
    • METHODS OF DETERMINING ACUTE MYELOID LEUKEMIA RESPONSE TO TREATMENT WITH FARNESYLTRANSFERASE INHIBITORS
    • PROCEDURE用于确定响应于治疗急性髓性白血病法尼基转移
    • EP2598874A2
    • 2013-06-05
    • EP11813168.9
    • 2011-07-28
    • Veridex, LLC
    • VENER, Tatiana, I.DERECHO, Carlo, C.PALMA, John, F.RAPONI, Mitch
    • G01N33/48
    • C12Q1/6886C12Q1/6809C12Q2600/106C12Q2600/156C12Q2600/158C12Q2600/16
    • The disclosed method rapidly identifies with desired accuracy AML patients, including elderly AML patients, likely to respond to treatment with a combination of a farnesyltransferase inhibitor and one or more of etoposide, teniposide, tamoxifen, sorafenib, paclitaxel, temozolomide, topotecan, trastuzumab and cisplatinum. In an embodiment, the improvements include the use of whole blood rather than the customary bone marrow sample, thus making the assay more accurate, rapid, less intrusive, less expensive as well as less painful. The method includes evaluation of a two-gene expression ratio (RASGRP1 :APTX), which with a corresponding threshold, provides sufficient accuracy for predicting the response to the combination treatment. In the preferred embodiment the combination treatment combines tipifarnib (Rl 15777, ZARNESTRA®) with etoposide. Further, the elderly AML patients identified as being likely responsive to the combination treatment with tipinifarb and etoposide have a complete recovery rate comparable to the best therapy available for younger patients.
    • 盘游离缺失方法具有所需精度的AML患者,包括老年AML患者,可能对治疗用法尼基转移酶抑制剂和一种或多种依托泊苷,替尼泊苷他莫昔芬,索拉非尼,紫杉醇,替莫唑胺,拓扑替康,曲妥珠单抗和顺铂的组合响应迅速标识 , ,实施例中的改进包括使用全血而不是常规的骨髓样品,从而使测定更准确,快速,较少干扰,更便宜,以及更小的痛苦。 该方法包括将两基因表达比率的评价(RASGRP1:APTX),这与相应的阈值时,提供了足够的精度预测该组合治疗的反应。 依托泊苷在优选实施例的组合治疗结合替比法尼器(R1 15777,ZARNESTRA®)。 此外,老年人AML患者经鉴定为可能响应依托泊苷tipinifarb的联合治疗,并有一个完整的恢复速度堪比可供年轻患者最好的治疗。