Table 2

Summary of the most appropriate alternative therapeutic options based on the BCR-ABL KD mutation status

T315I 
    HSCT or investigational drugs 
V299L, T315A, and F317L/V/I/C 
    Consider nilotinib rather than dasatinib 
Y253H, E255K/V, and F359V/C/I 
    Consider dasatinib rather than nilotinib 
Any other mutation 
    Consider high-dose imatinib* or dasatinib or nilotinib 
T315I 
    HSCT or investigational drugs 
V299L, T315A, and F317L/V/I/C 
    Consider nilotinib rather than dasatinib 
Y253H, E255K/V, and F359V/C/I 
    Consider dasatinib rather than nilotinib 
Any other mutation 
    Consider high-dose imatinib* or dasatinib or nilotinib 

HSCT indicates hematopoietic stem cell transplantation.

*

No sufficient data on dose escalation available to indicate if mutations with lower IC50 values are sensitive to high-dose imatinib.

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