Hi Mark,

Thanks for taking the time to share with us your notes on ASH.  You 
bring up an interesting point that I've also thought of often.  

Like you, I took Hydrea for a month before starting Gleevec and in 
that month, my WBC normalized.  I really wish someone would have 
thought to do a PCR on diagnosis so that I could have a more 
accurate target of what I've achived but I guess I can't cry over 
spilt milk.

In any case, what I find confounding is that while we would assume 
that plenty of phillies are being killed during Hydrea treatment, it 
is also known that good cells are also being eliminated with Hydrea 
so how could we know in what proportion are the good and the bad 
being targeted?  Therefore, without an official PCR number, I don't 
know if we can assume any type of log reduction with Hydrea alone.  

Here's another thought that occured to me: for someone who started 
out with a very heavy leukemic load and achived the famous 3 log 
reduction, we know this fairs well.  Now how about the person who 
started out with a very small leukemic load (because their disease 
was caught so early) and only achived a 1 or 2 log reduction from 
baseline.  The end leukemic load in the second person may infact be 
smaller than the first yet the reduction wasn't as impressive so how 
would that correspond with PFS stats? I'm just thinking out loud 
here.  There may be a simple answer that I haven't thought of or 
there may not be an answer at all.

In any case, thanks again for your time and please continue to share 
with us as much as you can.

Take care,
Tracey

--- In [EMAIL PROTECTED], "mpetersen123" <[EMAIL PROTECTED]> wrote:
> 
> 
> Hi Richard,
>> You also brought up an interesting point about the log reduction 
due 
> to simply gaining a hematalogic response.  We tend to think along 
the 
> lines of IM-only therapy when discussing log reductions but many 
> patients are initially treated with Hydrea.  In my case for 
example, 
> I had a full log reduction hematologically just due to hydrea 
alone. 
> This implies that newly diagnosed patients should have their PCR 
test 
> performed at initial diagnosis rather than at initial treatment 
for 
> Gleevec.  





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