Table 1

Summary of key inclusion criteria and TKI retreatment triggers used in clinical trials

StudyTKINumber of patients reportedRequired depth of MRMinimum duration of MR (years)Trigger to resume TKI
STIM20  Imatinib (±prior IFN) 100 UMRD (MR5.0) Loss of UMRD* 
TWISTER21  Imatinib (±prior IFN) 40 UMRD (MR4.5) Loss of UMRD 
A-STIM22  Imatinib (±prior IFN) 80 UMRD Loss of MMR 
EuroSKI24  Imatinib/nilotinib/dasatinib 200 MR4.0 Loss of MMR 
Stop 2GTKI28  Nilotinib/dasatinib first and second line 52 UMRD (MR4.5) Loss of MMR 
KIDS25  Imatinib (±prior IFN) 90 UMRD (MR4.5) Loss of MMR 
HOVON32  Imatinib 18 UMRD (MR4.5) Loss of UMRD 
DADI27  Second-line dasatinib 63 MR4.0 Loss of MR4.0 
STIM226  Imatinib 124 UMRD (MR4.5) Loss of UMRD 
StudyTKINumber of patients reportedRequired depth of MRMinimum duration of MR (years)Trigger to resume TKI
STIM20  Imatinib (±prior IFN) 100 UMRD (MR5.0) Loss of UMRD* 
TWISTER21  Imatinib (±prior IFN) 40 UMRD (MR4.5) Loss of UMRD 
A-STIM22  Imatinib (±prior IFN) 80 UMRD Loss of MMR 
EuroSKI24  Imatinib/nilotinib/dasatinib 200 MR4.0 Loss of MMR 
Stop 2GTKI28  Nilotinib/dasatinib first and second line 52 UMRD (MR4.5) Loss of MMR 
KIDS25  Imatinib (±prior IFN) 90 UMRD (MR4.5) Loss of MMR 
HOVON32  Imatinib 18 UMRD (MR4.5) Loss of UMRD 
DADI27  Second-line dasatinib 63 MR4.0 Loss of MR4.0 
STIM226  Imatinib 124 UMRD (MR4.5) Loss of UMRD 

DADI, Dasatinib Discontinuation study; HOVON, Stichting Hemato-Oncologie voor Volwassenen Nederland.

*

A-STIM allowed occasional low level positive RQ-PCR results during the 2 years of UMRD.

Loss of UMRD in STIM and STIM2 was defined as ≥2 consecutive samples with detectable BCR-ABL and a 1-log increase; in TWISTER and the HOVON study, any 2 consecutive samples at any level were considered loss of UMRD.

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