Today, chemotherapy is rarely used to fight CML.  It is used prior to a
bone marrow transplant to prepare the body for the transplant, or
occasionally as a last resort during CML blast crisis if all else has
failed (just to relieve some of the suffering).

The following link is from a discussion with Dr Moshe Talpaz regarding
the history of CML research and treatment, and he discusses
chemotherapy use for CML prior to Gleevec:
http://www.healthtalk.com/otherconditions/programs/14_458/page01.cfm
"Between 1975 and 1981 was the period of intensive chemotherapy. At
that time, the doctors decided to treat CML like AML (acute myelogenous
leukemia), with aggressive chemotherapy, and it probably had some
positive impact but not a spectacular one.

With the introduction of interferon, the interesting point is that 40
percent of the patients were alive at 10 years. It is a major change
compared to the previous figures.

On a combination of interferon with chemotherapy - this is still the
pre-Gleevec [imatinib] era - and the 10-year survival was improved to
60 percent of the patients. So the envelope is really being pushed. The
patients are living better and better and longer and longer. This is
still with therapy that is, to a large extent, empirical, and the
mechanism of which was not always understood."

He then goes on to describe how Gleevec changed CML treatment in a
dramatic way.

If the previous posting on this site "Share yr leukemia story" was the
reason for your question, that person has acute myelogenous leukemia
(AML), and chemotherapy is still a primary treatment option for that
form of leukemia.

--Trey


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