The Use of Dasatinib in Chronic Myeloid Leukemia: Some Practical Considerations

David Marin , Dragana Milojkovic , Marco Bua , Hugues de Lavallade , Catharina Andreasson , Priscilla R. Sauramba , Julia Nicol , Nuria Gonzalez-Cinca , John M. Goldman , Jane F. Apperley
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引用次数: 8

Abstract

Abstract The new multitargeted tyrosine kinase inhibitor dasatinib has been used for 2 years in the treatment of patients with chronic myeloid leukemia whose disease has not responded to or has relapsed on imatinib or who are intolerant of the drug. Dasatinib has proven to be highly effective in re-establishing cytogenetic and/or molecular remissions in patients in all phases of chronic myeloid leukemia resistant to imatinib. The principal side effects include myelosuppression and the development of pleural effusions, both of which can be managed successfully by reduction in dosage or temporary interruption of the drug. Dasatinib could play an important role in the management of newly diagnosed patients, especially those who present with advanced-phase disease.
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达沙替尼在慢性髓系白血病中的应用:一些实际考虑
新的多靶点酪氨酸激酶抑制剂达沙替尼已用于治疗对伊马替尼无反应或复发或对该药不耐受的慢性髓性白血病患者2年。达沙替尼已被证明对伊马替尼耐药的所有期慢性髓性白血病患者重建细胞遗传学和/或分子缓解非常有效。主要的副作用包括骨髓抑制和胸腔积液的产生,这两种副作用都可以通过减少剂量或暂时中断药物来成功地控制。达沙替尼可以在新诊断患者的管理中发挥重要作用,特别是那些出现晚期疾病的患者。
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