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Updated: Apr 20, 2026

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Published on: June 6, 2025
Firstline treatment for chronic phase chronic myeloid leukemia patients should be based on a holistic approach
Massimo Breccia1, Giuliana Alimena
1Department of Cellular Biotechnologies and Hematology, Sapienza University, Via Benevento 6, 00161 Rome, Italy.
Insights
Selecting the best treatment for chronic myeloid leukemia (CML) requires a holistic approach. Considering patient-specific factors like comorbidities and lifestyle ensures optimal therapeutic strategies for chronic phase CML.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- New potent drugs for chronic phase chronic myeloid leukemia (CML) are available, necessitating careful physician selection.
- Optimal prognostic factors for guiding drug selection in CML remain under discussion.
Discussion:
- A holistic approach, integrating patient-specific variables, is proposed for CML treatment selection.
- Factors include comorbidities, age, concomitant medications, lifestyle, and patient expectations.
Key Insights:
- Individualized therapeutic strategies are crucial for chronic phase CML patients.
- A comprehensive patient assessment beyond traditional prognostic factors is recommended.
Outlook:
- This holistic strategy may improve treatment outcomes for chronic myeloid leukemia.
- Further research should validate the impact of holistic patient assessment in CML management.
Abstract:
New selective and more potent drugs for the cure of chronic phase chronic myeloid leukemia patients are now available: physicians in some countries must decide the best option, selecting one of the drugs available. What the main prognostic factors are in order to make this selection remains a matter of discussion. Introducing a 'holistic approach' for the first time in chronic myeloid leukemia, as practiced in other diseases, and looking at the patient in a complete picture, considering several variables, such as comorbidities, age, concomitant drugs, lifestyle and patient expectations, may be of help to understand, patient by patient, the best therapeutic strategy.
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