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.