What Do We Currently Know About Chronic Myeloid Leukemia (CML) and COVID-19?
1Department of Hematology, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. deln8@hotmail.com.
Insights
Patients with chronic myeloid leukemia (CML) do not appear to have a higher risk of COVID-19 infection. Tyrosine kinase inhibitors (TKIs) may play a role in managing COVID-19 in CML patients.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- COVID-19, a pandemic declared by WHO, presents management challenges for leukemia patients.
- Chronic myeloid leukemia (CML) is a type of cancer affecting white blood cells.
Purpose of the Study:
- To review current information on chronic myeloid leukemia (CML) and COVID-19.
- To explore risk factors, prognosis, and the role of tyrosine kinase inhibitors (TKIs) in CML patients with COVID-19.
Main Methods:
- Literature review of studies on CML and COVID-19.
- Analysis of risk factors and outcomes for CML patients diagnosed with SARS-CoV-2 infection.
Main Results:
- No current data indicates CML-chronic phase (CML-CP) patients face increased SARS-CoV-2 infection risk compared to the general population.
- Tyrosine kinase inhibitors (TKIs) have been investigated for potential therapeutic roles in COVID-19.
- CML patients with COVID-19 should continue their TKI therapy.
Conclusions:
- Current evidence does not suggest an elevated risk of COVID-19 in CML patients.
- Further large-scale studies are needed to confirm the protective role of TKIs against SARS-CoV-2 in CML patients.
Purpose Of Review:
COVID-19 is highly contagious; since it was first identified, the virus has rapidly spread to more than 100 countries and was declared a pandemic on March 11, 2020, by the World Health Organization (WHO). This disease presents several challenges when managing patients with leukemia. We review the information about chronic myeloid leukemia (CML) and COVID-19: risk factors, prognosis, and the role of tyrosine kinase inhibitors (TKIs).
Recent Findings:
At present, we find no data suggesting that patients with CML-chronic phase (CML-CP) are at higher risk of infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) than the general healthy population. TKIs had been proposed to fight the SARS-CoV-2-related disease (COVID-19). CML patients should continue receiving their TKIs if they have COVID-19 disease. The role of TKIs as protective factors against SARS-CoV-2 infection in patients with CML should be confirmed by large-scale epidemiologic studies.
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