Indications for allo-SCT in CML in 2018
Chronic phase |
Failure of first-line TKI and predicted poor response to second-line TKI |
Failure to respond to first- and second-line TKIs |
Presence of T315I mutation and/or failure to respond to ponatinib |
Presence of repeated grade 4 cytopenias in response to treatment with different TKIs despite appropriate dose reduction and cytokine support |
Advanced phase |
TKI naïve |
TKI naïve with suboptimal response to TKI |
TKI resistant |
Blast phase |
Acquisition of second CP after TKI or chemotherapy salvage |
Chronic phase |
Failure of first-line TKI and predicted poor response to second-line TKI |
Failure to respond to first- and second-line TKIs |
Presence of T315I mutation and/or failure to respond to ponatinib |
Presence of repeated grade 4 cytopenias in response to treatment with different TKIs despite appropriate dose reduction and cytokine support |
Advanced phase |
TKI naïve |
TKI naïve with suboptimal response to TKI |
TKI resistant |
Blast phase |
Acquisition of second CP after TKI or chemotherapy salvage |