Towards a Personalized Treatment of Patients with Chronic Myeloid Leukemia

被引:10
作者
Rabian, Florence [1 ]
Lengline, Etienne [2 ]
Rea, Delphine [2 ,3 ,4 ]
机构
[1] Hop St Louis, Serv Hematol Adolescents & Jeunes Adultes, Ave Claude Vellefaux, F-75010 Paris, France
[2] Hop St Louis, AP HP, Serv Hematol Adultes, Paris, France
[3] Hop St Louis, AP HP, INSERM UMR 1160, Paris, France
[4] Inst Bergonie, FI LMC, Bordeaux, France
关键词
Chronic myeloid leukemia; Tyrosine kinase inhibitors; Personalized medicine; TYROSINE-KINASE INHIBITOR; CHRONIC MYELOGENOUS LEUKEMIA; EARLY MOLECULAR RESPONSE; CHRONIC-PHASE; CROSS-INTOLERANCE; CLINICAL-PRACTICE; IMATINIB; NILOTINIB; DASATINIB; MANAGEMENT;
D O I
10.1007/s11899-019-00546-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of Review Treatment goals and ambitions have even been upwardly revised since demonstration was made that under certain conditions, treatment-free remission was possible. Herein, we will discuss on how to try tailoring treatment choices to the unique characteristics of each patient. Recent Findings Since the first-generation ATP-competitive TKI imatinib was made available in the clinic in 2001, second-generation drugs such as dasatinib, nilotinib and bosutinib and the third-generation TKI ponatinib have broadened the therapeutic armamentarium, providing effective salvage against intolerance and different types of resistance, or as frontline options. Management and outcomes of patients with chronic myeloid leukemia have been revolutionized by the discovery, development, and approval of BCR-ABL tyrosine kinase inhibitors (TKIs). Most patients can now expect a near-to normal life expectancy and acceptable quality of life on life-long treatment, providing awareness and avoidance of harmful adverse events, which depend on each TKI safety profile and patient personal background.
引用
收藏
页码:492 / 500
页数:9
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