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    • How to get the CMLer's password?
    • Team of experts on CML who developed imatinib >
      • Dr. Elisabeth Buchdunger
      • Dr. Brian Druker
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    • Experts involved in developing dasatinib >
      • Dr. Jagabandhu Das
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    • CML experts in America >
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        • How to get the CMLer's password?
        • Dr. Sarit Assouline
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      • CML experts in US >
        • How to get the CMLer's password?
        • Carolyn Blasdel, RN , FNP-BC, OCN
        • Rey Garcia, RN, BSN
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        • Dr. Charles Schiffer
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      • CML experts in South America >
        • Dr. Michele Bianchini
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    • CML Experts in Europe >
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        • Pr Gregor Verhoef
      • CML expert in France >
        • Comment obtenir le mot de passe?
        • Dr. François-Xavier Mahon
        • Dr Aude Charbonnier
        • Dr. Agnès Guerci Bresler
        • Dr Pascale Cony-Makhoul
        • Dr. Delphine Rea
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        • Dre Célia SALANOUBAT
        • Pr. Mauricette Michallet
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      • CML expert in Italy >
        • Dr. Carlo Gambacorti-Passerini
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      • CML expert in UK >
        • Dr. Jane Apperley
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      • CML expert in Germany >
        • Dr. Andreas Hochhaus
        • Professor Jörg Hasford
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        • Dr Susanne Saussele
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      • CML expert in Portugal >
        • Dr. Antônio Medina de Almeida
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        • Dr. Juan Luis Steegmann
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        • Dr. Jeroen J.W.M. Janssen
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        • Dr. Hana Klamova
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      • Dr. Annuar Rapaee
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    • CML experts in Africa >
      • Dr. Asmaa Quessar
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      • Dr. Ilaria Pagani
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  • Medical Concepts
    • How to get the CMLer's password?
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    • How to get the CMLer's password?
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    • List of side effets >
      • How to get the CMLer's password?
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  • Patient Testimonials
    • How to get the CMLer's password?
    • 30 years and plus survivors >
      • How to get the CMLer's password?
      • Mark Popadick
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    • 20 years and plus survivors >
      • How to get the CMLer's password?
      • Doug Jenson
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    • 10 years and plus survivors >
      • How to get the CMLer's password?
      • Dan Sloan
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      • How to get the CMLer's password?
      • Skye Davidson
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    • Celebrities with CML >
      • How to get the CMLer's password?
      • Alexa Score
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    • Suzan Mc Namara and the petition
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    • Other testimonials
    • Blogs >
      • How to get the CMLer's password?
      • Living with CML
      • Michelle D's Blog
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      • Blogs not recently updated >
        • Access CML Drugs
        • CMKID's blog – Dislodging the bullet - 2012
        • CML Recovery - Stopping KTI -2011
        • Hans's Blog -2012
        • Elizabeth's Blog - my leukemia - 2013journey
        • Elizabeth's Blog - Heart of the rose -2011
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    • CML Awareness Day >
      • Journée mondiale de sensibilisation à la leucémie myéloïde chronique
    • The movie "Dying to Survive"
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  • Cure possible for CML?
    • How to get the CMLer's password?
    • Hematopoietic stem cell transplantation using single UM171-expanded cord blood >
      • Greffe de cellules souches de cordon ombilical amplifiées par la molécule UM171
    • Combination of tyrosine kinase inhibitor with other medication >
      • Combinaison of hydroxychloroquine with tyrosine kinase inhibitor
      • Combination of ruxolitinib with tyrosine kinase inhibitor
      • Combination of insulin sensitizer MSDC-0600K with tyrosine kinase inhibitor
      • Combination of miristen with tyrosine kinase inhibitor
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      • Combination of Venetoclax with tyrosine kinase inhibitor
    • Inhibitory effect of c-Myc on p53-induced apoptosis in leukemia cells
    • Inhibition of the protein Ezh2 can cure CML?
    • Inhibition of STAT5 in conjunction with standard TKI therapy
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    • CRISPR-Cas9 gene-editing technique
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    • Math could help cure leukemia
    • Natural Medicine >
      • Possible cure for CML in Fish Oil
      • Betel leaf may help fight CML
      • Feverfew extract (parthenolide)
      • Can dandelions kill cancer?
      • Can curcumin cure leukemia?
  • Treatment-Free remission(TFR)
    • The French trial called STIM (Stop Imatinib)
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Chronic Myeloid Leukemia

The French trial called STIM (Stop Imatinib) -  CML -  Chronic Myeloid Leukemia

In Stop Imatinib (STIM) study, imatinib treatment (of >2 years duration) was discontinued in patients with CML  in CMR (>5-log reduction in BCR-ABL and ABL levels and undetectable transcripts on quantitative RT-PCR).

Important notice: You must  inform your CML doctor or a qualified doctor if you want to stop your medication. The material presented here is for information  purposes only; it is not a substitute for your physician’s guidance and care....   See our disclamer           

   See also Treatment free remission (TFR)
   See also De-escalation of treatment 
   See also Tyrosine Kinase Inhibitor Withdrawal Syndrome in CML Patients
VIDEOS

CML Takeaways From ASH 2015: Discontinuing Tyrosine Kinase Inhibitors
December 22, 2015, Medscape Oncology

Discontinuation of Treatment With TKIs in Chronic Myelogenous Leukemia  
January 10, 2014, OncLive

News from ASCO: Could Some Patients Stop Taking Medication for CML?
February 20, 2013,  Patient Power

Is Stopping CML Treatment a Viable Option Now?                                                      
January 17, 2013,
Patient  Power

Can we safely stop TKI therapies? Experience from the STOP trials                            
Delphine Rea, Hôpital Saint-Louis,  Paris, France
December 2012, iCMLf


TRIALS

De- Escalation and Stopping Treatment of  Imatinib, Nilotinib or sprYcel in Chronic Myeloid Leukaemia  (DESTINY)

Multicenter Trial Estimating the Persistence of Molecular
​
Remission in Chronic Myeloid Leukaemia in Long Term After Stopping Imatinib  (STIM 2)

April 2011, ClinicalTrials.gov


ARTICLES
​
Stopping TKI Treatment Is Safe, Improves Quality of Life for Some with CML
December 15, 2020, National Cancer Institute


When to Stop Tyrosine Kinase Inhibitors for the Treatment of Chronic Myeloid Leukemia
March 8, 2018, Current Treatment Options in Oncology

Natural Killer-Cell Counts Are Associated With Molecular Relapse-Free Survival After Imatinib Discontinuation In Chronic Myeloid Leukemia: The IMMUNOSTIM Study
August 2017, Haemetalogica.org

DESTINY Study: De-Escalation of TKIs Is Safe for Patients With CML
July 13, 2017, ASH Clinical News

Low body weight and body mass index may be associated with musculoskeletal pain following imatinib discontinuation in chronic myeloid leukemia
April 12, 2017, PublMed

Discontinuation of dasatinib or nilotinib in chronic myeloid leukemia: interim analysis of the STOP 2G-TKI study
2017, Journal Blood

Second TKI Discontinuation in CML Patients That Failed First Discontinuation and Subsequently Regained Deep Molecular Response after TKI Re-Challenge
December 5, 2016,  ASH 2016

Cessation of Tyrosine Kinase Inhibitors Treatment in Chronic Myeloid Leukemia Patients with Deep Molecular Response: Results of the Euro-Ski Trial
December 5, 2016, ASH 2016
​
TKI Cessation Strategies Emerging for CML
December 4, 2016, OncLive

Cutting Dose, Instead of Stopping Therapy, in Patients With CML
December 5, 2016, Medscape

A New Computational Method to Predict Long-Term Minimal Residual Disease and Molecular Relapse after TKI-Cessation in CML
December 4, 2016,  ASH 2016
 
Comparison of Molecular Kinetics after the First and Second Imatinib Discontinuation: Results from the KID Study
December 3, 2016,  ASH 2016
 
Second Attempt to Discontinue TKI in CML Patients Who Have Sustained CMR for over 2 Years Is Rarely Successful Even with the Use of Second Generation TKIs
December 3, 2016,  ASH 2016
 
Long-term Follow-up Confirms Safety of Imatinib Discontinuation in CML
October 5 2016, Cancer Therapy Advisor

Leukemic stem cell persistence in chronic myeloid leukemia patients in deep molecular response induced by tyrosine kinase inhibitors and the impact of therapy discontinuation
May 5, 2016,  Onco target

Increased Serum Creatinine Reversible Upon Imatinib Discontinuation
March 28, 2016, Cancer Therapy Advisor

Long-Term Follow-up of the French 1 Stop Imatinib Study (STIM1) in Chronic Myeloid Leukemia Patients
2015, Journal Blood

When to Stop Beneficial Treatment in Chronic Myeloid Leukemia
November 25, 2015, CureToday

Musculoskeletal Pain in Patients With Chronic Myeloid Leukemia After Discontinuation of Imatinib: A Tyrosine Kinase Inhibitor Withdrawal Syndrome
2014, American Society of Clinical Oncology

New Criterion for Restarting Therapy in CML
January 8, 2014, Medscape


Predicting the risk of relapse after stopping imatinib in chronic myeloid leukemia
November 19, 2013,  Theory, Evolution and Game group

Novartis provides update from treatment-free CML  trial      
September 23, 2013,  Zenopa

Trial Suggests  Imatinib Discontinuation Safe, Some Responses  Persist
September 15, 2013, Cancer  Network

Safety and efficacy of imatinib  cessation for CML patients with stable undetectable minimal residual disease:
results from the TWISTER study

July 25, 2013, Journal  Blood

TWIST it but don’t spin  it
July 25, 2013, Journal  Blood

Predictive factors for successful imatinib cessation in chronic myeloid leukemia patients treated with  imatinib
February 26, 2013, PublMed

Patient Preferences for Stopping Tyrosine Kinase Inhibitors in Chronic Myeloid Leukemia
2012,
Journal Blood

Activation Levels of Natural Killer Cells and CD8+ T Cells  Correlate Highly with Sustained Complete Molecular Response After  Discontinuation of Imatinib in Chronic Myeloid Leukemia  Patients
2012, Journal Blood
 
Early Molecular Response and Female Sex  Strongly Predict Achievement of Stable Undetectable BCR-ABL1, a Criterion for Imatinib Discontinuation in Patients with CML
2012,
Journal Blood

Is going for cure in chronic myeloid leukemia possible and  justifiable?
December 8, 2012, Hematology

Model-based decision rules reduce the risk of molecular relapse after cessation of tyrosine kinase inhibitor therapy in chronic myeloid leukemia
November 21, 2012, Journal Blood

New Data Confirm Safety of Stopping Imatinib in Leukemia
July 4, 2012,
CMLSupport

Discontinuation of imatinib in Japanese patients with chronic myeloid leukemia
June 2012, Haematologica

Biomarker Assay for Residual Chronic Myeloid Leukemia Stem/Progenitor Cells during Treatment with ABL-Tyrosine Kinase Inhibitors (PDF)
May 12, 2012, Molecular Biomarkers & Diagnosis


CML: Stopping TKI Therapy May Be Possible for Some Patients
March 10, 2012, Oncology Times
Presentations - STIM STop IMatinib - Update (FX Mahon)
December 20, 2011, CML Advocates Network

Minimal Residual Disease and Discontinuation of Therapy in Chronic Myeloid Leukemia: Can We Aim at a Cure?
December 10, 2011, Hematalogy

Recent advances in the path toward the cure for chronic myeloid leukemia

September 30, 2011, NCBI

Durable complete molecular remission of chronic myeloid leukemia following dasatinib cessation, despite adverse disease  features
August 2, 2011, Haematologica

Stopping CML therapies and eradicating CML: Patient perspective from EHA
June 15, 2011, CML Advocates Network

Discontinuation of imatinib may be possible in chronic myelogenous leukemia
March 3, 2011, Cancer Journal for Clinicians
CML Patients Stay in Remission Two Years After Imatinib
October 21, 2010, DoctorsLounge
 
Discontinuation of imatinib in patients with chronic myeloid leukaemia who have maintained complete molecular remission for at least 2 years: the  prospective, multicentre Stop Imatinib (STIM)  trial
October 2010,The Lancet Oncology, Early Online Publication

Some With Once-Deadly Leukemia Can Take a Break  From Gleevec 
Small minority of CML patients went off the drug for 2 years with  no sign of recurrence
October 2010, Healthday, U.S. News
 

STIM Study Examines Sustainability of Complete Molecular Response After Stopping Imatinib in CML
January 2010, CMLSupport

Tyrosine kinase inhibitor therapy can cure chronic myeloid leukemia without hitting leukemic stem cells
December 8, 2009, Heamatologica

STIM Study Shows CML Complete Molecular Remission
Possible to Maintain Following Imatinib Discontinuation

December 19, 2008, CMLSupport

The Majority of Chronic Myeloid Leukaemia Patients Who Cease Imatinib after Achieving a Sustained Complete Molecular  Response (CMR) Remain in CMR, and Any Relapses Occur  Early
2008, Journal Blood


                          See also Treatment free remission (TFR)
                            
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