Carneiro Benedito A, Kaplan Jason B, Giles Francis J
Northwestern Medicine Developmental Therapeutics Institute, Division of Hematology and Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Expert Rev Hematol. 2015 Aug;8(4):457-79. doi: 10.1586/17474086.2015.1041910. Epub 2015 May 4.
Current treatment recommendations for chronic myeloid leukemia (CML) are guided by results from multiple clinical trials involving tyrosine kinase inhibitors that target BCR-ABL1. Consideration of the unique clinical benefits and potential risks associated with each tyrosine kinase inhibitor approved for the treatment of CML is crucial for physicians when recommending the most appropriate therapy for each patient. Monitoring for and prompt management of adverse events may increase adherence to therapy and optimize patient outcomes. Here we provide an overview of the efficacy and safety of tyrosine kinase inhibitors approved for the treatment of CML, as well as recommendations for the management of key adverse events reported with these agents in clinical trials involving patients with CML.
慢性髓性白血病(CML)的当前治疗建议以多项涉及靶向BCR-ABL1的酪氨酸激酶抑制剂的临床试验结果为指导。对于医生而言,在为每位患者推荐最合适的治疗方法时,考虑每种已批准用于治疗CML的酪氨酸激酶抑制剂所具有的独特临床益处和潜在风险至关重要。监测不良事件并及时进行处理可能会提高患者对治疗的依从性,并优化患者的治疗效果。在此,我们概述了已批准用于治疗CML的酪氨酸激酶抑制剂的疗效和安全性,以及在涉及CML患者的临床试验中使用这些药物所报告的关键不良事件的处理建议。