When I have never had a long response of 0.000  response.  I was off 
Gleevec for 6 1/2 years, when had to go back on Gleevec.  I have actually  
reduced Gleevec to 300mg because CML likes to to work on my blood.  I run 
from 0.000 to 0.00.3 on my Bcd-abl every 3-6 months.  It is not being 
called resistance, but my controlled CML world seems to stay very 
controlled at this point.  So if they put you on Gleevec again it should be 
Okay.  When I went back on 400 mg of Gleevec it started decreasing my hemg. 
and I was headed for more transfusions.  When my ONC lowered it to 300mg we 
could get Procrit to build my hemg so that I don't have to have a 
transfusion.   I was diagnosed in 2002.

Keep a positive mind and know that will help to pass this bump in the 
road.  Gleevec has the most history for our ONC to work with and that is 
the reason I have remained on Gleevec,  Other health problems makes the 
newer drugs  make changing to them not the best choice.

Richard H.

On Wednesday, May 18, 2016 at 8:05:48 PM UTC-5, Raj wrote:
>
> Hello All,
> I am new to the group. Hope you can help answer my question. 
> History: I was diagnosed CML  in 2001. After 2-3 years On gleevec 400mg, I 
> was in major molecular response and then undetectable (0.000) for around > 
> 10 years or so..
> Now suddenly last month in my last Bcd-abl it showed that I am 
> 0.018 and repeating it after a month, it's 0.021 so little bit higher than 
> last one..
> Is it considered gleevec resistance? Where I need to switch?
>
> BTW:
> I missed 3 doses or so in the last month and that is 
> Where it (Bcd-abl by PCR) came 0.018 but not sure if 3 days can be that 
> critical. Also I don't take medicine at the same time sometimes with 
> breakfast sometimes with late lunch.  Can that suddenly change the 
> response? 
>
> Any thoughts or similar situation insight is much appreciated..
> Thanks
> Raj
>
>

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