title: Response to cladribine in previously treated patients with chronic lymphocytic leukaemia identified by ex vivo assessment of drug sensitivity by DiSC assay.
abstract: The ability to identify non-responders to cytotoxic chemotherapy has significant clinical and economic benefits. Differential staining cytotoxicity (DiSC) assays were performed in 34 previously treated patients with chronic lymphocytic leukaemia prior to treatment with cladribine. Of the 28 identified as ex vivo sensitive, 26 achieved a complete (CR) or partial response (PR) (median length of response 1. 5 years, median survival 3.37 years) and two had a >70% fall in lymphocytes: six identified as ex vivo resistant failed to respond. The DiSC assay can accurately identify a subgroup of patients resistant to cladribine.
authors.affiliation: Royal United Hospital, Bath, UK. a.g.bosanquet@bath.ac.uk
authors.forename: A G
authors.initials: AG
authors.lastname: Bosanquet
authors.forename: J A
authors.initials: JA
authors.lastname: Copplestone
authors.forename: S A
authors.initials: SA
authors.lastname: Johnson
authors.forename: A G
authors.initials: AG
authors.lastname: Smith
authors.forename: S J
authors.initials: SJ
authors.lastname: Povey
authors.forename: J A
authors.initials: JA
authors.lastname: Orchard
authors.forename: D G
authors.initials: DG
authors.lastname: Oscier
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D017338:Cladribine / Q000627:therapeutic use*; D004354:Drug Screening Assays, Antitumor; D005260:Female; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D016019:Survival Analysis; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents; D017338:Cladribine