[Recognizing and managing side effects of tyrosine kinase inhibitors in chronic myeloid leukemia]

Rev Med Suisse. 2023 Nov 15;19(850):2175-2181. doi: 10.53738/REVMED.2023.19.850.2175.
[Article in French]

Abstract

Tyrosine kinase inhibitors (TKI) have emerged as a paradigm-shifting therapeutic approach for the treatment of chronic myeloid leukemia (CML) following their regulatory approval in 2001. These agents have revolutionized the management of CML by significantly improving patient outcomes and enabling them to achieve near-normal life expectancies. Consequently, the utilization of TKI has become increasingly prevalent, accompanied by the recognition and management of their associated adverse effects. Given the expanding patient population receiving TKI therapy, it is imperative that hematologists, as well as general practitioners, assume the responsibility of closely and meticulously monitoring patients' treatment progress while effectively addressing the occurrence of any untoward effects.

Les inhibiteurs de tyrosine kinase (ITK) ont révolutionné la prise en charge de la leucémie myéloïde chronique (LMC) depuis leur autorisation de mise sur le marché en 2001, permettant aux patients d’obtenir une survie comparable à celle de la population générale. À ce jour, plusieurs générations d’ITK sont apparues, avec leurs effets secondaires respectifs. Leur prescription nécessite donc un suivi rapproché et pluridisciplinaire entre l’hématologue et l’interniste hospitalier, mais également le médecin généraliste, qui peut aussi être confronté à ces effets indésirables.

Publication types

  • English Abstract

MeSH terms

  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / drug therapy
  • Molecular Targeted Therapy
  • Personality
  • Protein Kinase Inhibitors / adverse effects
  • Tyrosine Kinase Inhibitors*

Substances

  • Tyrosine Kinase Inhibitors
  • Protein Kinase Inhibitors