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When starting a patient on a tyrosine kinase inhibitor for chronic phase CML, which drug do you choose upfront?

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Mednet Member
Mednet Member
Medical Oncology · Columbia University Medical Center

Randomized clinical trials with nilotinib and dasatinib versus imatinib have shown improved rates of molecular response for the second-generation TKIs:

https://www.ncbi.nlm.nih.gov/pubmed/24311723

https://www.ncbi.nlm.nih.gov/pubmed/20525993

https://www.ncbi.nlm.nih.gov/pubmed/20525995

Improved response...

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Mednet Member
Mednet Member
Medical Oncology · Cancer Research Foundation

I start with nilotinib. I think it is well tolerated and that molecular responses are deeper and the chance of cure is greater.

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When starting a patient on a tyrosine kinase inhibitor for chronic phase CML, which drug do you choose upfront? | Mednet