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Published in: Current Oncology Reports 3/2024

10-02-2024 | Chronic Myeloid Leukemia | REVIEW

BCR/ABL-Positive Chronic Myeloid Leukemia in Children: Current Treatment Approach

Authors: Jenna M. Menger, Ryan S. Sathianathen, Kathleen M. Sakamoto, Nobuko Hijiya

Published in: Current Oncology Reports | Issue 3/2024

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Abstract

Purpose of Review

The purpose of this review is to summarize the most updated treatment recommendations for pediatric CML, and to discuss current areas of investigation.

Recent Findings

There is new phase 1 data to support the safety of the non-ATP competitive tyrosine kinase inhibitor (TKI) asciminib in the pediatric cohort. Ongoing studies are investigating the role of treatment-free remission in children.

Summary

Chronic phase CML in children is managed with lifelong TKI therapy; however, evidence of deeper remissions sustained with second-generation TKIs may permit shorter treatment courses. Use of more specific TKIs may mitigate some of the side effects specific to the pediatric cohort. Children with advanced phase CML should achieve a complete hematologic remission with use of a second-generation TKI prior to transplant to achieve the best outcome.
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Metadata
Title
BCR/ABL-Positive Chronic Myeloid Leukemia in Children: Current Treatment Approach
Authors
Jenna M. Menger
Ryan S. Sathianathen
Kathleen M. Sakamoto
Nobuko Hijiya
Publication date
10-02-2024
Publisher
Springer US
Published in
Current Oncology Reports / Issue 3/2024
Print ISSN: 1523-3790
Electronic ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-024-01502-z

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