How would you manage CML first-line second generation TKI with a best response of MMR 4, but now with a loss of MMR with more than one log response loss but still in complete cytogenetic remission and mutation panel negative?

The easiest would be to repeat the test in 1 month or so. If the results show persistently increased levels, then I would monitor the patient closely.

I would also review any new medications for possible drug to drug interactions.

I would also review the patient's adherence, does the patient still h...