Management of de novo accelerated phase chronic myeloid leukemia (ie, treatment-naïve AP CML)
Management of de novo accelerated phase chronic myeloid leukemia (ie, treatment-naïve AP CML)
This algorithm describes initial management of de novo CML AP; importantly, management of de novo AP CML differs from that of transformed AP CML (ie, AP CML that arose while the patient was receiving a TKI). Refer to related UpToDate material for criteria for diagnosis of de novo CML AP, selection of a TKI, assessment of response to TKI, and eligibility for allogeneic HCT.
AP CML: accelerated phase chronic myeloid leukemia; 2G TKI: second generation BCR-ABL1 tyrosine kinase inhibitor; HCT: hematopoietic cell transplantation. * If BCR-ABL1 mutation analysis was performed, the choice of a TKI should also reflect mutation findings.