How I determine if and when to recommend stopping tyrosine kinase inhibitor treatment for chronic myeloid leukaemia

2014 ◽  
Vol 166 (1) ◽  
pp. 3-11 ◽  
Author(s):  
David M. Ross ◽  
Timothy P. Hughes

2019 ◽  
Vol 14 (6) ◽  
pp. 507-514 ◽  
Author(s):  
Richard E. Clark

Abstract Purpose In chronic myeloid leukaemia, tyrosine kinase inhibitor treatment is traditionally given continuously for life. However, these drugs produce excellent responses for many patients, and this is accompanied by survival that is close to normal. This has prompted studies of whether it is possible to stop treatment, thus achieving a treatment-free remission (TFR). Recent Findings Most TFR studies have focussed on abrupt cessation in patients with long-standing deep remissions, but recent data suggest that more gradual treatment de-escalation may improve TFR success, and that it may be possible to extend TFR attempts to patients who are in stable major molecular response but not necessarily MR4. Summary Further data are badly needed on TFR for patients whose remission is less than stable MR4 and on the importance of prior interferon-alpha treatment. Funding TFR trials in a disease with such an excellent outlook is an increasing challenge.



2016 ◽  
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pp. E480-E481 ◽  
Author(s):  
Simone Claudiani ◽  
Jane F. Apperley ◽  
Simona Deplano ◽  
Jamshid Khorashad ◽  
Letizia Foroni ◽  
...  


2015 ◽  
Vol 169 (5) ◽  
pp. 683-688 ◽  
Author(s):  
Niklas Gunnarsson ◽  
Leif Stenke ◽  
Martin Höglund ◽  
Fredrik Sandin ◽  
Magnus Björkholm ◽  
...  


2013 ◽  
Vol 20 (Suppl 1) ◽  
pp. A4.3-A5
Author(s):  
V González Rosa ◽  
MM Viña Romero ◽  
F Gutiérrez Nicolás ◽  
R Gavira Moreno ◽  
MT Moreno Carvajal ◽  
...  




2016 ◽  
Vol 23 (Suppl 1) ◽  
pp. A94.2-A95
Author(s):  
A Andújar-Mateos ◽  
AM Sánchez García ◽  
A Martínez Valero ◽  
R Antón Torres ◽  
FJ Rodríguez-Lucena ◽  
...  


2016 ◽  
Vol 98 (1) ◽  
pp. 57-66 ◽  
Author(s):  
Stina Söderlund ◽  
Torsten Dahlén ◽  
Fredrik Sandin ◽  
Ulla Olsson-Strömberg ◽  
Maria Creignou ◽  
...  




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