DASISION

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Kantarjian H, et al. "Dasatinib versus Imatinib in Newly Diagnosed Chronic-Phase Chronic Myeloid Leukemia". The New England Journal of Medicine. 2010. 362(24):2260-70.
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Clinical Question

Among patients with chronic-phase CML, does front-line therapy with dasatinib induce more rapid complete cytogenetic responses compared to the standard of care imatinib?

Bottom Line

Among patients with chronic-phase CML, front-line dasatinib induces more complete cytogenetic responses at 12 months compared to imatinib.

Major Points

IRIS (2003) was the first randomized trial to demonstrate the benefit of the tyrosine kinase inhibitor (TKI) imatinib over conventional therapy for patients with chronic-phase chronic myeloid leukemia (CML). Subsequently, several second-generation TKIs have been developed including dasatinib, nilotinib, and bosutinib, which may induce a more rapid response compared to imatinib.

Published in 2010, the Dasatinib Versus Imatinib Study in Treatment-Naïve Chronic Myeloid Leukemia Patients (DASISION) study...

Follow-up data.[1] Editorial.[2] Comments.[3]

Guidelines

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Population

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Outcomes

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Further Reading