Medication CML Chronic Myeloid Leukemia
"Treatment of Chronic myeloid leukemia represents one of cancer’s success stories. Deregulated tyrosine kinase activity of the BCR-ABL fusion protein has been established as the causative molecular event in CML. The drug Imatinib has revolutionized the treatment of CML and has become the gold standard of care in CML for it is a highly targeted BCR-ABL tyrosine kinase inhibitor (TKI) that induces complete hematologic response and sustained complete cytogenetic response in more than 80% of patients. Despite of such impressive response rates achieved with imatinib, some patients in the advanced stage of CML frequently obtain less modest responses. It may be due to resistance to the wonder drug imatinib, which in turn results in failure of treatment, even after large dose escalation. This has led to the development of novel treatment strategies which are currently being investigated in newly diagnosed CML and include upfront treatment with the next-generation tyrosine kinase inhibitors, such as dasatinib, nilotinib, or bosutinib, which also target the BCR-ABL but with increased in vitro potency as compared to imatinib, and possibly with a reduced potential for resistance. Such newer agents and combination approaches can improve treatment responses as compared with standard imatinib treatment. In addition, many other protein kinases implicated in signaling transduction downstream BCR-ABL also play critical roles in the pathogenesis of CML, thereby representing potential therapeutic targets as revealed from several clinical studies. While in many other cases, the CML cells develop mutations, which is a change in the amino acid sequence of the BCR-ABL oncogene, the most dangerous amongst them is the T315I mutation, which makes them resistant to the current targeted therapies (imatinib, dasatinib, and nilotinib). Newer drugs that work against T315I mutant cells are now being tested. Ponatinib, is one such pan-BCR-ABL inhibitor, which has shown ongoing strong efficacy in its continuing Phase 1 trial in treatment of the T315I mutation CML, as well as all other known mutations. Still other novel drugs in the pipeline, the farnesyl transferase inhibitors, such as lonafarnib and tipifarnib, seem to have some activity against CML and patients may respond favourably when such drugs are combined with imatinib. With many such novel drugs under development and many more in the pipe line, some of such drugs which are in various phases of clinical trials are being discussed."
Extract of Novel Agents In CML Therapy: Tyrosine Kinase Inhibitors and Beyond
ARTICLES
What medications can treat chronic myeloid leukemia (CML)?
February 16, 2023, Medical News Today
Understanding Chronic Myeloid Leukemia (CML) - Treatment options
July 26, 2021, LLSC
New Approaches and Treatment Combinations for the Management of Chronic Myeloid Leukemia
August 6, 2019, Frontiers in Oncology
Chronic Myeloid Leukemia - CML: Types of Treatment
March 2018, Cancer.net
Which TKI? An embarrassment of riches for chronic myeloid leukemia patients
2013, ASH Education Program
Novel Agents In CML Therapy: Tyrosine Kinase Inhibitors and Beyond
July 3, 2012, WebmedCentral
On the Horizon: Novel Inhibitors for Hematologic Malignancies
June 13, 2012, Onc Live
First-line treatment for chronic myeloid leukemia: dasatinib, nilotinib, or imatinib
November 26, 2010, Journal of Hematology & Oncology
Novel agents in CML therapy: tyrosine kinase inhibitors and beyond
2008, PublMed
What medications can treat chronic myeloid leukemia (CML)?
February 16, 2023, Medical News Today
Understanding Chronic Myeloid Leukemia (CML) - Treatment options
July 26, 2021, LLSC
New Approaches and Treatment Combinations for the Management of Chronic Myeloid Leukemia
August 6, 2019, Frontiers in Oncology
Chronic Myeloid Leukemia - CML: Types of Treatment
March 2018, Cancer.net
Which TKI? An embarrassment of riches for chronic myeloid leukemia patients
2013, ASH Education Program
Novel Agents In CML Therapy: Tyrosine Kinase Inhibitors and Beyond
July 3, 2012, WebmedCentral
On the Horizon: Novel Inhibitors for Hematologic Malignancies
June 13, 2012, Onc Live
First-line treatment for chronic myeloid leukemia: dasatinib, nilotinib, or imatinib
November 26, 2010, Journal of Hematology & Oncology
Novel agents in CML therapy: tyrosine kinase inhibitors and beyond
2008, PublMed
See also
Note: The list of medications is not exhaustive
Imatinib
Dasatinib
Nilotinib
Bosutinib
Ponatinib
Asciminib
Omacetaxine
PF-114
Danusertib
Bafetinib
Rebastinib
Radotinib
Flumatinib
Vodobatinib
ELVN-001
Note: The list of medications is not exhaustive
Imatinib
Dasatinib
Nilotinib
Bosutinib
Ponatinib
Asciminib
Omacetaxine
PF-114
Danusertib
Bafetinib
Rebastinib
Radotinib
Flumatinib
Vodobatinib
ELVN-001
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