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Why Is Monitoring in CML
So Important?

In the era of oral tyrosine kinase inhibitor (TKI) therapies, regular monitoring of disease burden is an important requirement to help optimize outcomes in patients with CML.1,2 Appropriate monitoring of hematologic, cytogenetic, molecular responses is necessary to help

Accurately assess response to therapy
(Note: Time and depth of response are also relevant factors.)

Appropriately predict the durability of response and future risk of disease progression

Quickly identify treatment refractory patients or patients in relapse due to resistance or other factors such as poor compliance

Early identification of unsatisfactory treatment response, relapse or progression is desirable because chronic-phase CML is likely to be more responsive to alternative treatments than advanced-phase disease.3,4

Consensus Guidelines for CML Monitoring
Consensus guidelines issued by European LeukemiaNet and the National Comprehensive Cancer Network (NCCN) support ongoing monitoring of patients with Philadelphia chromosome–positive chronic myeloid leukemia (Ph+ CML).1,2 These guidelines call for clinicians to evaluate the response to treatment in terms of hematologic recovery, normalization of cytogenetics, and the reduction/elimination of bcr-abl mRNA on a molecular level on a regular basis. Each of these tests contribute a different set of information that can be used together to help manage patients with CML.

  1. Baccarani M, Saglio G, Goldman J, et al. Evolving concepts in the management of chronic myeloid leukemia: recommendations from an expert panel on behalf of the European LeukemiaNet. Blood. 2006;108:1809-1820.
  2. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology.Chronic Myelogenous Leukemia. V.2.2010. http://www.nccn.org. Accessed September 10,2009.
  3. Kantarjian H, Giles F, Wunderle L, et al. Nilotinib in imatinib-resistant CML and Philadelphia chromosome-positive ALL.N Engl J Med.2006;354:2542-2551.
  4. Keam SJ. Dasatinib: in chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia.Biodrugs.2008;22(1):59-6
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BCR-ABL PCR Testing Provided by: MolecularMD BCR-ABL PCR Testing Provided by: MolecularMD View more information about BCR-ABL testing at the MolecularMD website.