Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature

Introduction: Chronic myeloid leukaemia (CML) is a specific malignant disease as it can be managed by a long-term oral tyrosine-kinase inhibitors (TKIs) treatment. Routine practise in the management of CML includes continuation of TKIs therapy even after the patient achieves remision. Several trials...

Full description

Bibliographic Details
Main Authors: Nikolina Matić, Ivica Matić
Format: Article
Language:English
Published: University Hospital for Tumors 2021-01-01
Series:Libri Oncologici
Subjects:
Online Access:https://hrcak.srce.hr/file/389029
_version_ 1798026588726493184
author Nikolina Matić
Ivica Matić
author_facet Nikolina Matić
Ivica Matić
author_sort Nikolina Matić
collection DOAJ
description Introduction: Chronic myeloid leukaemia (CML) is a specific malignant disease as it can be managed by a long-term oral tyrosine-kinase inhibitors (TKIs) treatment. Routine practise in the management of CML includes continuation of TKIs therapy even after the patient achieves remision. Several trials have demonstrated that TKIs discontinuation is feasible in clinical practice. The aim of this paper is to assess relevant scientific evidence on CML remission stability after TKIs therapy cessation. Methods: For systematic search, we used the MEDLINE/PubMed (National Library of medicine) Cochrane Central Register of Controlled Trials and Embase database. The last search update was on 31st December 2020. The search included observational cohort studies and randomized condrolled trials that evaluated treatment-free remission after TKIs therapy cessation. Results: A literature review provides data that patients with CML mostly achieve clinically feasible treatment free remission (TFR). The eleven studies incuded 1249 patients. After an average follow-up of 37 months (16 to 103), overall estimated TFR was 51% (35% to 64%). Conclusion: Evidence from reviewed studies indicated that discontinuation of TKIs is feasible and safe in the clinical practice.
first_indexed 2024-04-11T18:38:48Z
format Article
id doaj.art-a3be34200ea14863ab4aa6cdbf72d947
institution Directory Open Access Journal
issn 0300-8142
2584-3826
language English
last_indexed 2024-04-11T18:38:48Z
publishDate 2021-01-01
publisher University Hospital for Tumors
record_format Article
series Libri Oncologici
spelling doaj.art-a3be34200ea14863ab4aa6cdbf72d9472022-12-22T04:09:06ZengUniversity Hospital for TumorsLibri Oncologici0300-81422584-38262021-01-01492-3108112Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literatureNikolina Matić0Ivica Matić1School of Nursing Vrapče, Zagreb, CroatiaSchool of Nursing Mlinarska, Zagreb, CroatiaIntroduction: Chronic myeloid leukaemia (CML) is a specific malignant disease as it can be managed by a long-term oral tyrosine-kinase inhibitors (TKIs) treatment. Routine practise in the management of CML includes continuation of TKIs therapy even after the patient achieves remision. Several trials have demonstrated that TKIs discontinuation is feasible in clinical practice. The aim of this paper is to assess relevant scientific evidence on CML remission stability after TKIs therapy cessation. Methods: For systematic search, we used the MEDLINE/PubMed (National Library of medicine) Cochrane Central Register of Controlled Trials and Embase database. The last search update was on 31st December 2020. The search included observational cohort studies and randomized condrolled trials that evaluated treatment-free remission after TKIs therapy cessation. Results: A literature review provides data that patients with CML mostly achieve clinically feasible treatment free remission (TFR). The eleven studies incuded 1249 patients. After an average follow-up of 37 months (16 to 103), overall estimated TFR was 51% (35% to 64%). Conclusion: Evidence from reviewed studies indicated that discontinuation of TKIs is feasible and safe in the clinical practice.https://hrcak.srce.hr/file/389029chronic myeloid leukaemiatyrosine-kinase inhibitorsdiscontinuation
spellingShingle Nikolina Matić
Ivica Matić
Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
Libri Oncologici
chronic myeloid leukaemia
tyrosine-kinase inhibitors
discontinuation
title Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
title_full Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
title_fullStr Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
title_full_unstemmed Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
title_short Chronic myeloid leukaemia remission stability after tyrosine - kinase inhibitors therapy cessation: a review of literature
title_sort chronic myeloid leukaemia remission stability after tyrosine kinase inhibitors therapy cessation a review of literature
topic chronic myeloid leukaemia
tyrosine-kinase inhibitors
discontinuation
url https://hrcak.srce.hr/file/389029
work_keys_str_mv AT nikolinamatic chronicmyeloidleukaemiaremissionstabilityaftertyrosinekinaseinhibitorstherapycessationareviewofliterature
AT ivicamatic chronicmyeloidleukaemiaremissionstabilityaftertyrosinekinaseinhibitorstherapycessationareviewofliterature