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Management of Elderly Patients with Newly Diagnosed Chronic Myeloid Leukemia in the Accelerated or Blastic Phase

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Abstract

In the elderly population, the accelerated and blastic phases of chronic myeloid leukemia (CML) are difficult to treat, not just because of the higher chance of acquired mutations than in younger individuals, but because of additional associated co-morbidities. Tyrosine kinase inhibitors are well-established in the treatment of the chronic phase of CML, and their use in advanced phases is ever-increasing. Elderly patients who are still eligible candidates for transplant can undergo reduced-intensity transplants from related or unrelated donors after reverting to chronic phase. Post-transplantation, these patients require adequate monitoring and therapy to prevent relapses. Newer modalities of treatment or interventions are urgently required in this complex group of patients.

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Authors and Affiliations

  1. Allogeneic Blood and Marrow Transplant Program, Department of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University of Toronto, Rm 5-106, 610, University Avenue, Toronto, ON, M5G 2M9, Canada

    Uday Deotare, Dennis Dong Hwan Kim & Jeffrey H. Lipton

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  1. Uday Deotare
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  2. Dennis Dong Hwan Kim
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  3. Jeffrey H. Lipton
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U D. declares no conflict of interests. D. K. has served in an advisory capacity for and has received research funding from Novartis and BMS. J. H. L. has served in an advisory capacity for and has received research funding from Novartis, Pfizer, Ariad, Teva, and BMS.

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Deotare, U., Kim, D.D. & Lipton, J.H. Management of Elderly Patients with Newly Diagnosed Chronic Myeloid Leukemia in the Accelerated or Blastic Phase. Drugs Aging 33, 335–345 (2016). https://doi.org/10.1007/s40266-016-0351-8

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