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European LeukemiaNet 2020 recommendations for treating chronic myeloid leukemia
A. Hochhaus, M. Baccarani, RT. Silver, C. Schiffer, JF. Apperley, F. Cervantes, RE. Clark, JE. Cortes, MW. Deininger, F. Guilhot, H. Hjorth-Hansen, TP. Hughes, JJWM. Janssen, HM. Kantarjian, DW. Kim, RA. Larson, JH. Lipton, FX. Mahon, J. Mayer,...
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, přehledy
NLK
ProQuest Central
od 2000-01-01 do Před 1 rokem
Open Access Digital Library
od 1997-01-01
Nursing & Allied Health Database (ProQuest)
od 2000-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2000-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 2000-01-01 do Před 1 rokem
- MeSH
- analýza přežití MeSH
- aniliny terapeutické užití MeSH
- antitumorózní látky terapeutické užití MeSH
- bcr-abl fúzové proteiny antagonisté a inhibitory genetika metabolismus MeSH
- chinoliny terapeutické užití MeSH
- chronická myeloidní leukemie diagnóza farmakoterapie genetika mortalita MeSH
- dasatinib terapeutické užití MeSH
- exprese genu MeSH
- imatinib mesylát terapeutické užití MeSH
- inhibitory proteinkinas terapeutické užití MeSH
- klinické rozhodování MeSH
- konsensuální konference jako téma MeSH
- kvalita života MeSH
- lidé MeSH
- management nemoci MeSH
- monitorování fyziologických funkcí MeSH
- naděje dožití trendy MeSH
- nitrily terapeutické užití MeSH
- pyrimidiny terapeutické užití MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
The therapeutic landscape of chronic myeloid leukemia (CML) has profoundly changed over the past 7 years. Most patients with chronic phase (CP) now have a normal life expectancy. Another goal is achieving a stable deep molecular response (DMR) and discontinuing medication for treatment-free remission (TFR). The European LeukemiaNet convened an expert panel to critically evaluate and update the evidence to achieve these goals since its previous recommendations. First-line treatment is a tyrosine kinase inhibitor (TKI; imatinib brand or generic, dasatinib, nilotinib, and bosutinib are available first-line). Generic imatinib is the cost-effective initial treatment in CP. Various contraindications and side-effects of all TKIs should be considered. Patient risk status at diagnosis should be assessed with the new EUTOS long-term survival (ELTS)-score. Monitoring of response should be done by quantitative polymerase chain reaction whenever possible. A change of treatment is recommended when intolerance cannot be ameliorated or when molecular milestones are not reached. Greater than 10% BCR-ABL1 at 3 months indicates treatment failure when confirmed. Allogeneic transplantation continues to be a therapeutic option particularly for advanced phase CML. TKI treatment should be withheld during pregnancy. Treatment discontinuation may be considered in patients with durable DMR with the goal of achieving TFR.
3 Medizinische Klinik Medizinische Fakultät Mannheim Universität Heidelberg Mannheim Germany
Almazov National Research Centre St Petersburg Russian Federation
Amsterdam University Medical Center VUMC Amsterdam The Netherlands
Centre Hospitalier Universitaire de Poitiers Poitiers France
Centre Léon Bérard Lyon France
Department Clinical Medicine and Surgery University Federico Secondo Naples Italy
Department of Hematology Oncology Policlinico S Orsola Malpighi University of Bologna Bologna Italy
Department of Internal Medicine Masaryk University Hospital Brno Czech Republic
Department of Molecular and Clinical Cancer Medicine University of Liverpool Liverpool UK
Fred Hutchinson Cancer Center Seattle WA USA
Georgia Cancer Center Augusta University Augusta GA USA
Hammersmith Hospital Imperial College London UK
Hospital Clinic IDIBAPS Barcelona Spain
Hospital de la Princesa Madrid Spain
Huntsman Cancer Center Salt Lake City Salt Lake City UT USA
Institut Bergonie Université de Bordeaux Bordeaux France
Karmanos Cancer Center Detroit MI USA
Klinik für Innere Medizin 2 Universitätsklinikum Jena Germany
MD Anderson Cancer Center Houston TX USA
National Research Center for Hematology Moscow Russian Federation
Norwegian University of Science and Technology Trondheim Norway
South Australian Health and Medical Research Institute Adelaide SA Australia
St Mary´s Hematology Hospital The Catholic University Seoul Korea
Universitätsklinikum Leipzig Germany
University of Chicago Chicago IL USA
University of Lund Lund Sweden
University of Toronto Toronto Canada
Citace poskytuje Crossref.org
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