Table 3.

National Comprehensive Cancer Network 2020 guidelines: criteria for discontinuation of tyrosine kinase inhibitor therapy

TKI discontinuation may be considered if all criteria below are met
Age ≥18 y 
CP-CML, no history of accelerated or blast phase CML 
Quantifiable BCR-ABL1 transcripts 
TKI therapy for ≥3 y 
Stable MR4 for ≥2 y 
Access to real time quantitative polymerase chain reaction with sensitivity of at least MR4.5 
TKI discontinuation may be considered if all criteria below are met
Age ≥18 y 
CP-CML, no history of accelerated or blast phase CML 
Quantifiable BCR-ABL1 transcripts 
TKI therapy for ≥3 y 
Stable MR4 for ≥2 y 
Access to real time quantitative polymerase chain reaction with sensitivity of at least MR4.5 

CML, chronic myeloid leukemia; CP, chronic phase; MR4.5, 4.5-log molecular response; TKI, tyrosine kinase inhibitor.

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