Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies

Dasatinib, a second-generation tyrosine kinase inhibitor, is recommended as first-line treatment for patients newly diagnosed with chronic myeloid leukemia (CML) and second-line treatment for those who are resistant or intolerant to therapy with imatinib. Dasatinib is superior to imatinib in terms o...

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Main Authors: Fang Cheng, Qiling Xu, Qiang Li, Zheng Cui, Weiming Li, Fang Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1113462/full
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author Fang Cheng
Fang Cheng
Qiling Xu
Qiling Xu
Qiang Li
Qiang Li
Zheng Cui
Zheng Cui
Weiming Li
Fang Zeng
Fang Zeng
author_facet Fang Cheng
Fang Cheng
Qiling Xu
Qiling Xu
Qiang Li
Qiang Li
Zheng Cui
Zheng Cui
Weiming Li
Fang Zeng
Fang Zeng
author_sort Fang Cheng
collection DOAJ
description Dasatinib, a second-generation tyrosine kinase inhibitor, is recommended as first-line treatment for patients newly diagnosed with chronic myeloid leukemia (CML) and second-line treatment for those who are resistant or intolerant to therapy with imatinib. Dasatinib is superior to imatinib in terms of clinical response; however, the potential pulmonary toxicities associated with dasatinib, such as pulmonary arterial hypertension and pleural effusion, may limit its clinical use. Appropriate management of dasatinib-related severe events is important for improving the quality of life and prognosis of patients with CML. This review summarizes current knowledge regarding the characteristics, potential mechanisms, and clinical management of adverse reactions occurring after treatment of CML with dasatinib.
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spelling doaj.art-78f1e0bf830349fcb215d865df05424b2023-02-06T05:09:36ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-02-011310.3389/fonc.2023.11134621113462Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategiesFang Cheng0Fang Cheng1Qiling Xu2Qiling Xu3Qiang Li4Qiang Li5Zheng Cui6Zheng Cui7Weiming Li8Fang Zeng9Fang Zeng10Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan, ChinaDepartment of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan, ChinaDasatinib, a second-generation tyrosine kinase inhibitor, is recommended as first-line treatment for patients newly diagnosed with chronic myeloid leukemia (CML) and second-line treatment for those who are resistant or intolerant to therapy with imatinib. Dasatinib is superior to imatinib in terms of clinical response; however, the potential pulmonary toxicities associated with dasatinib, such as pulmonary arterial hypertension and pleural effusion, may limit its clinical use. Appropriate management of dasatinib-related severe events is important for improving the quality of life and prognosis of patients with CML. This review summarizes current knowledge regarding the characteristics, potential mechanisms, and clinical management of adverse reactions occurring after treatment of CML with dasatinib.https://www.frontiersin.org/articles/10.3389/fonc.2023.1113462/fulldasatinibchronic myeloid leukemiaadverse reactionspharmacotherapypleural effusion
spellingShingle Fang Cheng
Fang Cheng
Qiling Xu
Qiling Xu
Qiang Li
Qiang Li
Zheng Cui
Zheng Cui
Weiming Li
Fang Zeng
Fang Zeng
Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
Frontiers in Oncology
dasatinib
chronic myeloid leukemia
adverse reactions
pharmacotherapy
pleural effusion
title Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
title_full Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
title_fullStr Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
title_full_unstemmed Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
title_short Adverse reactions after treatment with dasatinib in chronic myeloid leukemia: Characteristics, potential mechanisms, and clinical management strategies
title_sort adverse reactions after treatment with dasatinib in chronic myeloid leukemia characteristics potential mechanisms and clinical management strategies
topic dasatinib
chronic myeloid leukemia
adverse reactions
pharmacotherapy
pleural effusion
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1113462/full
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