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. 2019 Apr 9;11(4):e4411. doi: 10.7759/cureus.4411

Table 7. The example of the score based decision approach in a chronic myeloid leukemia patient after the acute toxic imatinib-induced liver injury (imatinib restart).

Factors Imatinib restart*
The grade of hepatotoxicity reaction  
I grade  
II grade 1
III grade  
IV grade / the presence of the liver transplantation or imatinib-induced liver cirrhosis caused by drug interaction or viral hepatitis reactivation  
The presence of EMR to the imatinib therapy defined as three-month BCR-ABL1IS ≤10%:    
Yes 1
No  
The presence of EMR to the imatinib therapy defined as six-month BCR-ABL1IS <1% (if applicable****):  
Yes 1
No  
The presence of the offender concomitant drug probably caused drug interaction  
Yes  
No 0
The presence of the viral hepatitis reactivation identified by Polymerase Chain Reaction (PCR+)  
Yes  
No 0