Chronic myeloid leukemia: In pursuit of perfection

The resounding success of imatinib (IM) as front line treatment in patients with chronic myeloid leukemia (CML) has certainly made a paradigm shift in the therapeutic algorithm of this disorder. The precise targeting of the BCR-ABL oncogene in CML has entitled it to be the poster child of translatio...

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Main Author: Vishal Jayakar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2012-07-01
Series:South Asian Journal of Cancer
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2278-330X.96498
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author Vishal Jayakar
author_facet Vishal Jayakar
author_sort Vishal Jayakar
collection DOAJ
description The resounding success of imatinib (IM) as front line treatment in patients with chronic myeloid leukemia (CML) has certainly made a paradigm shift in the therapeutic algorithm of this disorder. The precise targeting of the BCR-ABL oncogene in CML has entitled it to be the poster child of translational medicine with a well-deserved Oscar ovation from the oncology community. Clinicians are now empowered with first-, second- and third-generation tyrosine kinases, as well as advanced molecular tools to monitor disease and characterize resistance. We have come a long way in successfully managing these patients, but there are still a significant few unmet clinical needs which need addressing and targeting to optimize clinical outcomes. This review focuses on 4 such pertinent and relevant clinical issues, which still need ironing out to fulfill our ambition of achieving ‘perfection’ in this patient cohort.
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spelling doaj.art-f6588b2a4a3a4b67af5acac8db1fc4e02022-12-21T22:35:41ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2278-43062012-07-010101162410.4103/2278-330X.96498Chronic myeloid leukemia: In pursuit of perfectionVishal Jayakar0Consultant Haemato-Oncologist, Kingston and Royal Marsden Hospitals, London, UKThe resounding success of imatinib (IM) as front line treatment in patients with chronic myeloid leukemia (CML) has certainly made a paradigm shift in the therapeutic algorithm of this disorder. The precise targeting of the BCR-ABL oncogene in CML has entitled it to be the poster child of translational medicine with a well-deserved Oscar ovation from the oncology community. Clinicians are now empowered with first-, second- and third-generation tyrosine kinases, as well as advanced molecular tools to monitor disease and characterize resistance. We have come a long way in successfully managing these patients, but there are still a significant few unmet clinical needs which need addressing and targeting to optimize clinical outcomes. This review focuses on 4 such pertinent and relevant clinical issues, which still need ironing out to fulfill our ambition of achieving ‘perfection’ in this patient cohort.http://www.thieme-connect.de/DOI/DOI?10.4103/2278-330X.96498chronic phase chronic myeloid leukemiacuretyrosine kinase inhibitor
spellingShingle Vishal Jayakar
Chronic myeloid leukemia: In pursuit of perfection
South Asian Journal of Cancer
chronic phase chronic myeloid leukemia
cure
tyrosine kinase inhibitor
title Chronic myeloid leukemia: In pursuit of perfection
title_full Chronic myeloid leukemia: In pursuit of perfection
title_fullStr Chronic myeloid leukemia: In pursuit of perfection
title_full_unstemmed Chronic myeloid leukemia: In pursuit of perfection
title_short Chronic myeloid leukemia: In pursuit of perfection
title_sort chronic myeloid leukemia in pursuit of perfection
topic chronic phase chronic myeloid leukemia
cure
tyrosine kinase inhibitor
url http://www.thieme-connect.de/DOI/DOI?10.4103/2278-330X.96498
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