Info

Individualizing Targeted Therapy in Patients With CML With Specific History or Comorbidities

Risk for pleural effusions

Avoid dasatinib

Pulmonary arterial hypertension

Avoid dasatinib

QTc prolongation

Avoid nilotinib

Risk of hemorrhagic complications

Avoid dasatinib (increased risk)

Challenges with treatment adherence

Avoid nilotinib

Hepatic impairment

  • Dose reduce
    • bosutinib (200 mg QD) and
    • ponatinib (30 mg QD)

Renal impairment

  • Dose reduce imatinib (50% decrease in recommended starting dose)
  • Caution with bosutinib

History of pancreatitis or at high risk for pancreatitis

  • Careful monitoring with
    • nilotinib
    • asciminib
    • ponatinib

Uncontrolled diabetes mellitus

Use nilotinib with caution

Coronary, cerebrovascular, or peripheral arterial disease

Use dasatinib, nilotinib, bosutinib, asciminib and ponatinib with caution