Table 3.
Use of TKI in 7 Patients with Ph+ ALL.
PatientNo. | TKI Before HSCT | TKI in Conditioning | TKI after HSCT | Relapse | ||
---|---|---|---|---|---|---|
Starting Time of TKI (days) | Usage of TKI | Time of TKI Withdrawal (days) | ||||
16 | Dasatinib (100 mg/d) + chemotherapy | Dasatinib (100 mg/d) | 60 | Imatinib (400 mg/d)* | 276 | Yes |
17 | Imatinib (400 mg/d) + chemotherapy | Imatinib (400 mg/d) | 61 | Imatinib (400 mg/d) | 170 | Yes |
18 | Dasatinib (100 mg/d) + chemotherapy | Dasatinib (100 mg/d) | 59 | Dasatinib (100 mg/d) | 223 | Yes |
19 | Imatinib (400 mg/d) + chemotherapy | Imatinib (400 mg/d) | 65 | Imatinib (400 mg/d) | 365 | No |
20 | Imatinib (400 mg/d) + chemotherapy | Imatinib (400 mg/d) | 54 | Imatinib (400 mg/d) | 379 | No |
21 | Dasatinib (100 mg/d) + chemotherapy | Dasatinib (100 mg/d) | 66 | Dasatinib (100 mg/d) | 156 | No |
157 | Imatinib (400 mg/d)# | 365 | ||||
22 | Imatinib (300 mg/d)§ + chemotherapy | Imatinib (300 mg/d) | 57 | Dasatinib (100 mg/d) | 366 | No |
TKI, tyrosine kinase inhibitor; ALL, acute lymphoblastic leukemia; HSCT, hematopoietic stem cell transplantation.
*As the patient suffered from diabetes mellitus complicated with fundus disease, dasatinib was replaced with imatinib after transplantation. #Dasatinib was replaced with imatinib at 157 days after transplantation because of repeated pleural effusion after taking dasatinib.
§The patient was intolerant to imatinib (400 mg/d), accompanied by severe nausea and vomiting, so imatinib was reduced to 300 mg/d.