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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,...

. 2020 ; 34 (4) : 966-984. [pub] 20200303

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc20025114
E-zdroje Online Plný text

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

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

3 Medizinische Klinik Medizinische Fakultät Mannheim Universität Heidelberg Mannheim Germany ELN Foundation Weinheim Germany

Almazov National Research Centre St Petersburg Russian Federation

Amsterdam University Medical Center VUMC Amsterdam The Netherlands

Centre Hospitalier de Versailles University of Versailles Saint Quentin en Yvelines Versailles France

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

Hôpital St Louis Paris France

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

University of Turin Turin Italy

Weill Cornell Medical College New York NY USA

Citace poskytuje Crossref.org

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