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. 2018 Mar 8;19(3):15. doi: 10.1007/s11864-018-0532-2

Table 2.

Criteria for stopping TKIs from expert recommendations and guidelines

Criteria Hughes* [52] NCCN** [2] ESMO** [53]
Green Yellow Red
CML past history CP only Resistance or KD mutation AP/BP CP only CP only
Sokal Non-high High NA Non-high
Response to TKI therapy Optimal Warning Failure No resistance Optimal
BCR-ABL1 transcript Typical Quantifiable atypical Not quantifiable Measurable Measurable
Duration TKI ≥ 8 years 3–8 years < 3 years ≥ 3 years ≥ 5 years
DMR ≤ MR4.5 ≤ MR4.0 > MR4.0 ≤ MR4.0 ≤ MR4.5
Duration DMR ≥ 2 years 1–2 years < 1 year ≥ 2 years ≤ MR4 ≥ 2 years
Retreatment Loss MMR
PCR sensitivity ≤ MR4.5 ≤ MR4.5
Frequency of monitoring Q1M 1st 6 months, Q2–3 months Q1M × 6, Q6W × 6M, Q3M Q1M × 6, Q6W × 6, Q3M
PCR result turnaround time ≤ 4 weeks ≤ 2 weeks

M months, W weeks

*Expert recommendations

**Guidelines