Long-term follow-up of efficacy and safety in elderly patients with chronic myeloid leukemia treated with intermittent low dose dasatinib therapy

© 2024 The Author(s)..

Intermittent low dose dasatinib therapy brought about a beneficial effect in elderly patients with chronic-phase chronic myeloid leukemia (CML-CP) without inducing severe adverse events (AEs). An 85-year-old male patient, who received twice-weekly, thrice-weekly, or four-times-weekly administration of 20 mg/day dasatinib after once-weekly administration, achieved a major molecular response two years after the start of dasatinib treatment and later sometimes achieved a deep molecular response, maintaining the efficacy for 11 years. The mean daily dose ranged from 5.7 mg to 11.4 mg. Furthermore, a 79-year-old male patient, who received thrice-weekly or every other day administration of 20 mg/day dasatinib after once-weekly administration, achieved a deep molecular response at four and half years after the start of dasatinib treatment. The mean daily dose is 8.6 mg. Intermittent low dose dasatinib therapy appears to be feasible in elderly patients with CML-CP. The goal of treatment in elderly patients with CML-CP appears to be different from that in younger patients, since they often suffer from serious AEs in the case of standard dose tyrosine kinase inhibitor therapy, followed by the dose reduction or cessation of treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Leukemia research reports - 21(2024) vom: 15., Seite 100452

Sprache:

Englisch

Beteiligte Personen:

Imamura, Masahiro [VerfasserIn]
Nakamura, Yusuke [VerfasserIn]
Hidaka, Daisuke [VerfasserIn]
Ogasawara, Reiki [VerfasserIn]
Okada, Kohei [VerfasserIn]
Sugita, Junichi [VerfasserIn]
Ota, Shuichi [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Chronic myeloid leukemia
Dasatinib
Elderly patients
Intermittent low dose therapy
Long-term follow-up

Anmerkungen:

Date Revised 07.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.lrr.2024.100452

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369343549