PubMed Health⌕ Search

Biomedical subjects

A Neylon

Publications and source records attributed to A Neylon.

5 recordsLinked to original sources

Prognostic factors for patients with chronic myeloid leukaemia in chronic phase treated with imatinib mesylate after failure of interferon alfa.

We assessed clinical results in 145 patients with chronic myeloid leukaemia in chronic phase who satisfied criteria for interferon-alpha failure and were thus eligible for treatment with imatinib at the Hammersmith Hospital. We used univariate and multivariate analyses to develop a risk score based on features defined after treatment for 3 months. We identified a low neutrophil count and poor cytogenetic response (<35% Ph-negative marrow metaphases) at 3 months as principal independent predictive factors and incorporated them into a three-tier prognostic scoring system for individual patients. For patients in the low-, intermediate- and high-risk groups, the probabilities of survival at 24 months were 100, 82 and 40% (P<0.0001) and progression-free survival 100, 66 and 15% (P<0.0001), respectively. This Hammersmith prognostic scoring system was validated with an independent cohort of patients treated at another UK centre.

Adolescent↗

Improving the management of chronic myeloid leukaemia.

Until recently the therapeutic options available to patients diagnosed with chronic myeloid leukaemia hinged on their suitability for allogeneic bone marrow transplantation. With the advent of new agents targeting the specific molecular pathways involved in the disease, drug therapies may have an increasingly important role in improving outcome.

Antineoplastic Agents↗

Severe haemophilia following use of donor eggs: implications for screening of prospective donors.

Oocyte donation has become a common treatment modality for a range of infertility conditions. The Shared Egg Donation (SED) scheme is one of various strategies that now exist to try and overcome shortages, that have invariably occurred from the very success of oocyte donation procedures. Despite a reassuring positive profile that has been demonstrated, some residual concerns still exist with regard to the SED programme. We report the first case of severe haemophilia following use of donor eggs in the SED scheme. The case has not only illustrated potential problems that can occur with egg donation schemes, but also suggested a plausible model on which to base future management of similar cases. The case furthermore illustrates that there is no substitute for 'good practice' in ensuring those risks and concerns of egg donation programmes are kept to acceptable limits.

Journal Article↗