Comparison of Efficacy and Safety of Imatinib and Dasatinib in the Treatment of Chronic-phase Chronic Myeloid Leukemia
DOI:
https://doi.org/10.54097/yf8hhr56Keywords:
Chronic myeloid leukemia, chronic-phase, Imatinib, Dasatinib, CCyR.Abstract
Chronic-phase chronic myeloid leukemia (CML-CP) treatment has significantly improved in recent years. The generational development of small molecule tyrosine kinase inhibitors (TKIs) such as Imatinib and Dasatinib, has revolutionized the treatment of CML. Their mechanisms and efficacy have been clear, but there is no literature review to summarize or comprehensively compare their efficacy and safety. Studies have revealed that second-generation TKI therapy yields noticeably greater response rates than imatinib and there is no marked difference in treatment-related adverse events between the two therapies. According to this direction, A double-therapies analysis was performed to assess the efficacy and tolerability of various front-line treatments for individuals with CML-CP. Both direct and indirect comparisons between the various treatment choices were taken into account in this general analysis. The author took Imatinib and Dasatinib as the main comparison objects and provide a comprehensive assessment of the two available therapies for CML-CP. By comparing the efficacy outcomes and adverse effects (AEs), the study was aimed to identify the treatment options that are both highly effective and well-tolerated for patients in general.
Downloads
References
American Cancer Society. Cancer Facts & Figures 2023. Atlanta, GA: American Cancer Society, 2023.
National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, 2022.
Rowley J D. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine fluorescence and Giemsa staining. Nature, 1973, 290 – 293.
Mandanas R A, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid cells. Blood, 1993, 82 (6): 1838 – 1847.
Okuda K, et al. Factor independence of human myeloid leukemia cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hemato,1994, 22 (11): 1111 – 1117.
Jabbour, E, Kantarjian, H. Chronic myeloid leukemia: 2022 update on diagnosis, therapy, and monitoring. Am J Hematol, 2022, 97 (9): 1236 - 1256.
Dalziel K, et al. Effectiveness and cost-effectiveness of imatinib for first-line treatment of chronic myeloid leukaemia in chronic phase: a systematic review and economic analysis. Health Technol Assess, 2004, 8 (28).
Mealing S, et al. The use of parametric survival analysis to predict survival in newly diagnosed Chronic Myeloid Leukemia (CML) patients. Presented at ESH ICMLF 13th International Conference on Chronic Myeloid Leukemia - Biology and Therapy, Estoril, Portugal, 2011, 22 – 25.
Mealing S, et al. The relative efficacy of imatinib, dasatinib and nilotinib for newly diagnosed chronic myeloid leukemia: a systematic review and network meta-analysis. Exp Hematol Oncol, 2013, 2.
Jorge E, et al. Outcomes in Patients with Chronic Myeloid Leukemia in the Chronic Phase Randomized to Dasatinib or Imatinib after Suboptimal Responses to 3 Months of Imatinib Therapy: Final 5-Year Results from DASCERN. Blood, 2022, 140: 9647 – 9649.
Cortes J E, et al. Dasatinib vs. imatinib in patients with chronic myeloid leukemia in chronic phase (CML-CP) who have not achieved an optimal response to 3 months of imatinib therapy: the DASCERN randomized study. Leukemia, 2020, 34: 2064 – 2073.
Cortes J E, et al. Final 5-year study results of DASISION: the dasatinib versus imatinib study in treatment-naïve chronic myeloid leukemia patient’s trial. J Clin Oncol, 2016, 34: 2333 – 2340.
Radich J P, et al. A randomized trial of dasatinib100 mg versus imatinib 400 mg in newly diagnosed chronic-phase chronic myeloid leukemia. Blood, 2012, 120 (19): 3898 – 3905.
Massimo Breccia, et al. Impact of Comorbidities on Response Outcomes in Patients with Chronic Myeloid Leukemia in Chronic Phase Treated with First-Line Dasatinib Versus Imatinib: Exploratory Post Hoc Analysis of DASISION. Blood, 2020, 136: 31 – 32.
Tang L, et al. Comparative efficacy and tolerability of front-line treatments for newly diagnosed chronic-phase chronic myeloid leukemia: an update network meta-analysis. BMC Cancer, 2019, 19: 849.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Highlights in Science, Engineering and Technology

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.







