TKI Discontinuation Criteria Established in Updated NCCN Guidelines

Skeletal muscle toxicity associated with TKIs in CML patients

Falsified Iclusig / ponatinib traded globally

The e13a2 BCR-ABL1 Transcript Is Associated with Higher Rates of Molecular Recurrence after TFR attempts

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scuba on 19 March 2019

Category: Uncategorised

Replies: 3

Last updated: 19 March 2019

Vitamin D - interesting results
by Phuong Phuong (Mar 19)

Hi Scuba, Congratulations on your PCR result and thank you so much for sharing your knowledge and experience about Vitamin D.

by scuba (Mar 19)

Might be a good idea to have a lab done so you know for sure.

by onekayaker (Mar 19)

Thanks for the vitamin D info. They were suppose to check my D lvl Feb 27 but when I did not ever hear anything in the portal I sent a email twice and my doctor's nurse called today and

by scuba (Mar 19)

I had my six month PCR check last Tuesday and received results today. In addition, I also had my vitamin D tested and found the result very interesting.
Last September (2018), I had a vitamin D test
Category: Uncategorised

Replies: 3

Last updated: 19 March 2019
Lucky Utubor on 9 March 2019

Category: Uncategorised

Replies: 4

Last updated: 19 March 2019

Marijuana/interaction
by Tbrand (Mar 19)

Let me know what you find out. In a couple years when I retire, I’m planning to smoke up a storm.

by AlastairC (Mar 18)

I don't know if smoking marijuana would have an impact on the effectiveness of imatinib. I doubt if there is any research available. The link I sent gives an indication on the interaction of

by Lucky Utubor (Mar 18)

Thanks for the info but do you think smoking marijuana can affect the effectiveness of Gliveec?

by AlastairC (Mar 10)

I don't know about any interaction between marijuana and imatinib. This link may provide some useful information.
The issue with the line that marijuana helps cancer patients is a huge
Category: Uncategorised

Replies: 4

Last updated: 19 March 2019
chrissie on 18 March 2019

Category: Uncategorised

Replies: 2

Last updated: 18 March 2019

Vertigo
by chrissie (Mar 18)

Thanks for your reply, David. No other weird sensations - and I didn't think I was getting any real side effects from imatinib either. Have an appt with GP on April 1st ( bad date) and I'll

by David Fitz (Mar 18)

Hi Chrissie,
Isn't it always hard to know what could be drug related, and what is just something unrelated?
Have you noticed any other issues with your ears? Ringing or persistent buzzing

by chrissie (Mar 18)

4 1/2 years ago, exactly 5 years after my diagnosis of CML, I badly broke my upper arm and started having mild dizzy spells. These spells have continued since then and have got worse recently
Category: Uncategorised

Replies: 2

Last updated: 18 March 2019
Ontasigna on 16 March 2019

Category: Treating CML

Replies: 6

Last updated: 18 March 2019

HLA typing : SCT
by scuba (Mar 18)

Davids reference on HLA is good and explains it very well.
Given your blast percentage (borderline AP), you should consider switching to dasatinib right away. Nilotinib (tasigna) works similar to

by Ontasigna (Mar 18)

Thanks David. I understand it is pretty complex subject.
Another doubt - I had, i got my Bone marrow slides reviewed at other hospital. The report shows mine as CML-CP (8% BLAST). However my current

by David Fitz (Mar 18)

I am no expert in HLA matching. I know that there is a 1/4 chance of a sibling being a full HLA match (my sister is, I am fortunate).
HLA matching is pretty complicated. Testing is usually

by Ontasigna (Mar 17)

Hi David/Sandy/Scuba. Appreciate your inputs
Category: Treating CML

Replies: 6

Last updated: 18 March 2019
r06ue1 on 27 February 2019

Category: Treating CML

Replies: 2

Last updated: 18 March 2019

CML Drug Prices in the US - Update for 2019
by r06ue1 (Mar 18)

Basically what we have is a cartel, owned by a few wealthy families who are siphoning money from everyone else like leeches.

by scuba (Feb 27)

It is an outrage and this is what is truly wrong with the government-pharmaceutical industry complex. I am all for a new discovery benefiting from patent protection in order to cover the R&D

by r06ue1 (Feb 27)

Insurance company paid $7422.98 to Teva (Israeli company) for the generic brand of Imatinib.

This is a complete outrage, everyone that has private insurance in America should be
Category: Treating CML

Replies: 2

Last updated: 18 March 2019
Mixail on 16 March 2019

Category: Getting help

Replies: 1

Last updated: 17 March 2019

Diet
by johnw1001 (Mar 17)

Hi All,
I think that your post is worth a response if only because we will have seen mention in columns offered by nutritionists of the keto diet and in particular how through diet one might be able

by Mixail (Mar 16)

Hello all, New to CML I was diagnosed about 9 months ago and still trying to figure it out. I was on the internet and saw that a ketogenic diet helps kill cancer cells. Has anyone heard of that and
Category: Getting help

Replies: 1

Last updated: 17 March 2019
saifur360 on 14 March 2019

Category: About CML

Replies: 3

Last updated: 17 March 2019

Chronic myeloid leukaemia
by saifur360 (Mar 17)

Thank you very much for your kind response. If my diagnosis is correct, can it be turn CML to AML? And what is the main cause to turn from CML to AML?

by Bill Miller (Mar 16)

Yes. It just happened to me. From October to February I was treated for accelerated CML. All kinds of problems, mostly revolving around pancytopenia, inability to consistently continue treatment,

by scuba (Mar 14)

http://www.nationalcmlsociety.org/faq/disease-progression/can-cml-progre...

by saifur360 (Mar 14)

Is it possible turn from CML to AML???
Category: About CML

Replies: 3

Last updated: 17 March 2019
saifur360 on 17 March 2019

Category: Treating CML

Replies: 0

Last updated: 17 March 2019

chronic myeloid leukemia
by saifur360 (Mar 17)

I have been taking Imatinib 400 mg for the last two years. 6 months ago my RQ_PCR was 0.033
Now my family wants to marry me. My question is, now if I get married; will there be any problem with
Category: Treating CML

Replies: 0

Last updated: 17 March 2019
Job Guerra on 13 March 2019

Category: Children & young people

Replies: 3

Last updated: 17 March 2019

Dasatinib to?
by Job Guerra (Mar 17)

Thanks I will give that a try as I get up around the same time in the morning.

by Naj (Mar 17)

Job,
I take mine at 5:30 am in the morning and so I can do breakfast around 7:00am.
I do not eat anything after 3:00 pm and I do take Tasigna arround 5:00 pm I'm the evening so that I can have

by Job Guerra (Mar 16)

Update. Moving to Tasigna. Any recommendations on best time/routine for taking it? Thank you.

by Job Guerra (Mar 13)

Hello everyone. I wanted to get your thoughts regarding Dasatinib resistance.

I have posted on lls as well so bear with me if you already responded.
Dx 8/17, 64%, started Dasatinib 100mg
Category: Children & young people

Replies: 3

Last updated: 17 March 2019
Ontasigna on 16 March 2019

Category: Treating CML

Replies: 0

Last updated: 16 March 2019

HLA typing : SCT
by Ontasigna (Mar 16)

Hi all,
I got my HLA typing report with my sibling as Donor.
The report shows 6/10 match. Is this an good match for sct?
Category: Treating CML

Replies: 0

Last updated: 16 March 2019
Ade on 15 March 2019

Category: Organising your life

Replies: 1

Last updated: 16 March 2019

Diagnosed with CML 6 months now and still working as a Motorcycle machanic worried about work environment
by Dustylloyd (Mar 16)

Hi ade obviously I don’t know the finances of your business but like you say you were diagnosed 6 months ago and getting used to your Nilotinib medication, just wondering say for the next 6

by Ade (Mar 15)

Hi everyone
I am 51 years old and was diagnosed with CML 6 months ago and treatment is going well on 400mg of Imatinib a day,
My brother a year older than myself died 18 months ago from advanced
Category: Organising your life

Replies: 1

Last updated: 16 March 2019
Iyadede on 13 March 2019

Category: Side effects

Replies: 2

Last updated: 15 March 2019

Melanin and Tkis
by Iyadede (Mar 15)

Thank you, David. For your considered response. I see there is nothing major to worry about.

by David Fitz (Mar 14)

Hello,
"Hypopigmentation" - lightening of the skin is a known side effect of imatinib. Though it does not affect everyone, a lot of CML patients will report burning in the sun easier than

by Iyadede (Mar 13)

Good day everyone.
Before being diagnosed last year, I was a normal brown dark skinned woman. After, starting Glivec, people are literally telling me that I look like a mixed person. There is a Cml
Category: Side effects

Replies: 2

Last updated: 15 March 2019
Gillispie on 14 March 2019

Category: Side effects

Replies: 6

Last updated: 14 March 2019

Vomiting with Gleevec increased dose
by Poppert (Mar 14)

I was recently moved up from 400mg to 600mg too. I had one ”blip” upwards (0.18 at 9 months, 0.47 at 12 months).
They talked about some ”GUS sensitivity” which ”was

by johnw1001 (Mar 14)

I was on 600 mg Glivec for two years as I lost my molecular remission and now with a number of undetectable PCRs,have since December 2018 been back to 400mg thank goodness. I found 600 mg

by scuba (Mar 14)

Yes, if bosutinib had been available to me back in the day, I would have chosen it as my TKI of choice.

by David Fitz (Mar 14)

Though bosutinib is well renowned for rather 'explosive' GI issues for the first couple of weeks! It seems to settle pretty quickly for most people.
I don't have the data to hand, but I
Category: Side effects

Replies: 6

Last updated: 14 March 2019
Phil Poole on 8 February 2013

Category: Uncategorised

Replies: 12

Last updated: 14 March 2019

Stopping Imatinib for one month - Insomnia related.
by Phuong Phuong (Mar 14)

Hi Phil and all
My boyfriend has trouble sleeping too. He has been on imatinib for 9 months. can you guys update your experiences and advice?
Thank you so much

by Phil Poole (Feb 12)

Thanks Vickie, all helpful and things to consider when I go back.
Regards,
Phil.

by Phil Poole (Feb 12)

Hi Tony,
Suggest you go to your GP, and ask for a referral to an ENT at the hospital. If you check online for Benign Positional Vertigo, you will be able to find out much more about it. The ENT

by tony morgan (Feb 12)

Hi phil , can you discribe any of these exercises to me ,very interested as I'm going through a lot of issues with work off for 5 months,reported for being drunk on the job ,sent home for a seconded
Category: Uncategorised

Replies: 12

Last updated: 14 March 2019
mozart8 on 13 March 2019

Category: Drug-drug interactions

Replies: 2

Last updated: 13 March 2019

Dasatinib and antidepressants
by mozart8 (Mar 13)

hello and thank you so much for your response!

by johnw1001 (Mar 13)

I use the article by Haouala et al which appeared in Blood Journal 24 Feb 2011 titled "Drug Interactions with TKIs......." as a source of possible interactions.I have tracked down a

by mozart8 (Mar 13)

Hello and hope everyone is feeling well. I have been taking citalopram for a number of years and will be discontinuing since it interacts with dasatinib and could cause qt prolongation (a cardiac
Category: Drug-drug interactions

Replies: 2

Last updated: 13 March 2019
bdmemphis on 25 August 2016

Category: Treating CML

Replies: 17

Last updated: 13 March 2019

Optimal (or suboptimal) response timeline
by AlastairC (Mar 13)

Hi,

Speed of response is very variable; this forum has referred to tortoises and hares on many occasions. There are people who get to MMR in 3-6 months (hares), and some who take several

by Ontasigna (Mar 13)

Hi David/sandy,
Pulling back an old post for reference.
I am just trying to understand why the pcr does not hit optimal response for few.
Considering efficasy and potent nature of nilotnib. It

by Job Guerra (Mar 13)

BDmemphis can you provide any updates? I'm curious because I also have not seen 0.1. Had 0.111 from bmb at 16 months (no mutations) but actually went up at 18 months rather than dropping that

by EvaH (Dec 1)

https://www.cmlsupport.org.uk/videos/how-should-cp-phase-cml-management-...
Definitely not the most obvious of titles!!
Category: Treating CML

Replies: 17

Last updated: 13 March 2019
stefanolucas on 7 March 2019

Category: Treating CML

Replies: 7

Last updated: 13 March 2019

Imatinib&nilotinib failure ! Please advice !
by stefanolucas (Mar 13)

Thank you so much !

by Ontasigna (Mar 13)

Thanks David!

by AnnieKennedy (Mar 13)

Hi - I don't often check or post on here now as I was diagnosed over fifteen years ago. I know that people have high expectations of a rapid response to TKIs and that this is generally the case

by stefanolucas (Mar 12)

Hi David ,
thanks for your response and Yes you did understand good , she doesn’t has any mutations but the Imatinib and Nilotinib didn’t brought her below from 20% BCR-ABL in fast 9
Category: Treating CML

Replies: 7

Last updated: 13 March 2019
Dustylloyd on 10 March 2019

Category: Blood tests

Replies: 3

Last updated: 12 March 2019

Support at work
by johnw1001 (Mar 12)

Hi there,
If you are in the UK then as soon as one is diagnosed with a cancer you are classified as disabled under the Equality Act and employers would be wise to put in place specific measures to

by Dustylloyd (Mar 10)

Thanks David for your reply, it sounds like you work for a caring, understanding company.

by David Fitz (Mar 10)

I'm very fortunate, my employer has been excellent. I had 3 months off at the start, and returned to a 4-day week over the next few months. I never managed to get back to a 5 day week, but my

by Dustylloyd (Mar 10)

I’ve mentioned this subject before and just wondering what support other Cml members get from their employers, I’ve had 19 days off in 2 years and was recently interviewed in a warning
Category: Blood tests

Replies: 3

Last updated: 12 March 2019
Ontasigna on 11 March 2019

Category: Treating CML

Replies: 1

Last updated: 12 March 2019

Tasigna : severe Joint, bone and muscle pain
by johnw1001 (Mar 12)

Hello,
I do not have experience of Tasigna but have been on long term use of imatinib and suffer from the symptoms that you describe;many of the tki s especially if you are on a high dose will

by Ontasigna (Mar 11)

Hi there,
It's been a week I started to get severe joint,bone and muscle pain. I have been on Tasigna 800mg since 21/2 months.
Is this side effect of Tasigna? Will it subside?
Category: Treating CML

Replies: 1

Last updated: 12 March 2019
Naj on 7 March 2019

Category: Blood tests

Replies: 10

Last updated: 12 March 2019

BCR-ABL count started to Increase - Tasigna 300 BID
by Naj (Mar 12)

Scuba,
Thanks for the paper.. I am thinking about Sprycel for some time. I will talk about this with my doctor at some point.

Initially I was hoping I can lower Tasigna to just once a day like

by scuba (Mar 11)

Naj,
Consider switching drugs.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142480/
... only because you prefer not to deal with fasting before or after taking tasigna.
if you switch to sprycel,

by Naj (Mar 11)

Cmljax,
I just had a visit to my oncologist this morning and like all of you guys mentioned on this post, he said I am doing fine . He suggested to be on the same dose for now. I will have next

by cmljax (Mar 8)

If your next PCR improves, you should seriously consider less dose. I reduced from 600 to 450 mg/day when I hit MMR = .1 and my PCR continued to go down. We are all different, but there is
Category: Blood tests

Replies: 10

Last updated: 12 March 2019