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What are the recommended first-line treatments for a patient diagnosed with Chronic Myeloid Leukaemia (CML)?
Answer
For patients diagnosed with chronic myeloid leukaemia (CML) in the chronic phase, the recommended first-line treatments primarily involve tyrosine kinase inhibitors (TKIs) 1. These agents are considered the standard of care for initial therapy (García-Gutiérrez et al., 2022). Specific TKIs commonly used as first-line options include imatinib, nilotinib, dasatinib, and bosutinib (García-Gutiérrez et al., 2022). The choice among these TKIs may depend on various factors, including patient characteristics and physician preference (Deininger et al., 2020; García-Gutiérrez et al., 2022). For children and adolescents with CML in the chronic phase, TKI therapy is also the recommended approach (Millot et al., 2025).
Key References
- NG35 - Myeloma: diagnosis and management
- NG52 - Non-Hodgkin's lymphoma: diagnosis and management
- CKS - Multiple myeloma
- CKS - Erythrocytosis/polycythaemia
- CKS - Polycythaemia/erythrocytosis
- (Deininger et al., 2020): Chronic Myeloid Leukemia, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology.
- (García-Gutiérrez et al., 2022): A clinician perspective on the treatment of chronic myeloid leukemia in the chronic phase.
- (Millot et al., 2025): Management of children and adolescents with chronic myeloid leukemia in chronic phase: International pediatric chronic myeloid leukemia expert panel recommendations.
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