Secondary treatment-free remission in chronic myeloid leukemia in the chronic phase: a case series and literature review (PubMed, Zhonghua Xue Ye Xue Za Zhi)
Before the first TKI discontinuation, all six patients had received imatinib treatment for a median of 82.5 months (range, 40-87 months) and maintained a sustained deep molecular response, specifically MR(4.5), for a median of 34.5 months (range, 24-62 months)...All four patients who had resumed TKI treatment for >6 years and maintained MR(4.5) for >5 years achieved a sustained second TFR of ≥21 months; among these, three had received second-generation TKI for >1 year during the resumption of TKI treatment. The other two patients lost MMR at 4 and 3 months, respectively, after the second TKI discontinuation but regained MR(4.5) at 2 and 3 months, respectively, after resuming TKI treatment again.