Table 4.
Summary of Major Clinical Trials Evaluating TKI Discontinuation in CML Patients
| Clinical Characteristics | STIM82 | TWISTER83 | French CML Group85 | EURO-SKI84 |
|---|---|---|---|---|
| Number of pts | 100 | 40 | 52 | 200 |
| Eligibility Criteria | MR4.5 | MR4.5 | MR4.5 | MR4 |
| Discontinued TKI | IM | IM | NIL/DAS | IM/NIL/DAS |
| Median follow-up (months) | 50 | 43 | 32 | NR* |
| Definition of relapse | Loss of MMR | Loss of MMR | Loss of MMR | Loss of MMR |
| Number of pts in remission (%) | 39 (39) | 18 (45) | 28 (54) | 123 (72) |
| Number of relapsed pts (%) | 61 (61) | 22 (55) | 24 (46) | 67 (38) |
| early relapse¥ | 58 (95) | 15 (68) | 19 (80) | 67 |
| late relapse¥ | 3 (5) | 7 (32) | 5 (20) | NR* |
| Incidence of AP or BP | 0 | 0 | 0 | 0 |
TKI, tyrosine kinase inhibitor; Pts, patients; MR4.5, BCR-ABL1 transcript ≤ 0.0032%; MR4, BCR-ABL1 transcript ≤ 0.01%; IM, imatinib; NIL, nilotinib; DAS, dasatinib; NR, not reported; MMR, BCR-ABL1 transcript ≤ 0.1%; AP, accelerated phase; BP, blast phase
Median follow-up was not reported in this interim analysis but all patients had at least 6 months molecular response data
Depending on trial, early relapse reflects the ones that occurred within 6 or 12 months, and late relapses after 6 or 12 months