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

Table 8. Comorbidities and conditions for the assessment to choose the second-line TKI.

0 – should avoid, 1 point – preferred, 0.5 – intermediate, ND – no data

TKI, tyrosine kinase inhibitor

Condition Drug Nilotinib Dasatinib Ponatinib Bosutinib
Coronary artery disease (documented atherosclerotic coronary artery lesion or myocardial infarction in anamnesis) or cerebrovascular disease 0 0 0 1
Peripheral arterial occlusive disease 0.5 1 0 1
A prior venous thrombosis 1 1 0 1
A high/very high cardiovascular risk 0 1 0 1  
A heart failure (proBNP, left ventricular dysfunction) 1 1 0 1
Cardiac rhythm alterations (QT prolongation syndromes, Torsades de pointes documented prior, concomitant drugs that prolong QT) 0 1 1 1
An uncontrolled hypertension 1 1 0 1
Pulmonary pleural effusion, pulmonary (lung) disease disorders (e.g. chronic obstructive pulmonary disease) 1 0 1 0.5
Pneumonitis 1 0 1 0
Pre-existing pulmonary hypertension 1 0 1 1
A prior hepatotoxicity 1 1 0 1
A prior hyperbilirubinemia Genotypic (UDP- glucuronyltransferase) – Gilbert syndrome 0 1 1 1
T2DM controlled or prediabetes 1 1 1 1
T2DM uncontrolled 0 1 1 1
Family hypercholesterinemia or high baseline total cholesterol 0 1 0 (TG increase) 1
Hypophosphatemia, hyperparathyroidism 0 0.5 1 1
Hypothyroidism 0   0 1 1
Hematological myelosuppression        
Anemia 1 0 0.5 1
Thrombocytopenia 0.5 0 0 0.5
Neutropenia 0.5 0 0.5 0.5
Sepsis, infections complications 1 0 1 1
The bleeding history, gastrointestinal bleeding 1 0 0 1
The Anticoagulation concomitant necessity ( concomitant AF) 1 0 0 1
The antiplatelet therapy necessity 1 0 0 1
Diarrhea 0.5 1 1 0
Pancreatic problems (history of pancreatitis) 0 1 0 1
A reproductive function 1 0 ND 0
A renal failure 1 0.5 0 0
Neurological conditions (headache) 0 0 0 0.5