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. 2020 Dec 24;11(12):996–1007. doi: 10.5306/wjco.v11.i12.996

Table 1.

Summary of level (depth) of molecular response required prior to discontinuation attempt in discontinuation clinical trials, for all of these studies, molecular relapse was considered to be loss of major molecular response

Molecular response
Trial
TKI
TFR, %
TFR at month
MMR Destiny Dasatinib 39 24
DMR JALSG-STIM213 Imatinib 68 12
DMR DASFREE Dasatinib 63 12
DMR ENESTFreedom Nilotinib 52 12
DMR ENESTop Nilotinib 58 12
DMR EURO-SKI Mixed 61 6
CMR1 STIM12 Imatinib 43 6
UMRD ISAV3 Imatinib 48 36
UMRD STOP 2G-TKI4 Mixed 61 12
UMRD STIM25 Imatinib 64 6
UMRD KIDS6 Imatinib 62 12
UMRD TWISTER6 Imatinib 47 24
1

Complete molecular response should not be detectable but could be MR4 or MR4.5 depending on the sensitivity of the BCR-ABL1 transcript quantification technique used[63].

2

> 5-log reduction.

3

Limit of detection log4-4.5.

4

Undetectable BCR-ABL1 by real-time quantitative polymerase chain reaction, with at least 20,000 copies of the control gene.

5

Undetectable BCR-ABL1 with sensitivity ≥ 50000 amplified copies of ABL1 control gene.

6

Limit of detection log4.5. CMR: Complete molecular response; DMR: Deep molecular response MR4 or better (< 0.01%); MMR: Major molecular response, MR3 (0.1%); TFR: Treatment free remission; TKI: Tyrosine kinase inhibitor; UMRD: Undetectable molecular residual disease.