In patients with CML on imatinib and newly diagnosed breast cancer now requiring radiation therapy, should we hold imatinib?
The said patient has been on Imatinib for 2.5 years and is In MMR. Last rt-PCR was 0.04.
Answer from: Medical Oncologist at Community Practice
There's not a lot of data regarding the best course of action in these rare situations. Anecdotally, I've had one CML patient who had been on dasatinib and was diagnosed with breast cancer a year or two after her CML diagnosis. Her local oncologist did hold her TKI while she was receiving radiation ...
Answer from: Medical Oncologist at Academic Institution
I recommend continuing imatinib through the radiation. The time of imatinib is rather short and stopping poses a risk of CML coming back with the fact that molecular remission is iffy. Kanti Rai
Answer from: Medical Oncologist at Academic Institution
Interesting question and as mentioned, there are not a lot of data to guide us here. There was one small study in desmoid tumors using imatinib with radiation therapy perhaps as a radiosensitizer (Moding et al., PMID 28761389). I would say that if the patient is in a deep remission from CML, holding...