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Cited by 443

The DOI matches its Crossref record; 75 of the 75 references it cites were found in a registry or an index.

Tyrosine Kinase Inhibitor–Associated Cardiovascular Toxicity in Chronic Myeloid Leukemia

Open access
Moslehi, Javid J., Deininger, Michael·2015·Journal of Clinical Oncology

Abstract

For most patients with chronic myeloid leukemia, tyrosine kinase inhibitors (TKIs) have turned a fatal disease into a manageable chronic condition. Imatinib, the first BCR-ABL1 TKI granted regulatory approval, has been surpassed in terms of molecular responses by the second-generation TKIs nilotinib, dasatinib, and bosutinib. Recently, ponatinib was approved as the only TKI with activity against the T315I mutation. Although all TKIs are associated with nonhematologic adverse events (AEs), experience with imatinib suggested that toxicities are typically manageable and apparent early during drug development. Recent reports of cardiovascular AEs with nilotinib and particularly ponatinib and of pulmonary arterial hypertension with dasatinib have raised concerns about long-term sequelae of drugs that may be administered for decades. Here, we review what is currently known about the cardiovascular toxicities of BCR-ABL1 TKIs, discuss potential mechanisms underlying cardiovascular AEs, and elucidate discrepancies between the reporting of such AEs between oncology and cardiovascular trials. Whenever possible, we provide practical recommendations, but we concede that cause-directed interventions will require better mechanistic understanding. We suggest that chronic myeloid leukemia heralds a fundamental shift in oncology toward effective but mostly noncurative long-term therapies. Realizing the full potential of these treatments will require a proactive rational approach to minimize long-term cardiovascular and cardiometabolic toxicities.

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Metadata

Authors
Moslehi, J. J., & Deininger, M.
Venue
Journal of Clinical Oncology
Published
2015-12-10
Volume
33
Issue
35
Pages
4210-4218
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1939978733
Cited by
443
References
75
FWCI
28.72
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Tyrosine Kinase Inhibitor–Associated Cardiovascular Toxicity in Chronic Myeloid Leukemia. https://app.cochat.ai/papers/10.1200/jco.2015.62.4718
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Moslehi, J. J., & Deininger, M. (2015). Tyrosine Kinase Inhibitor–Associated Cardiovascular Toxicity in Chronic Myeloid Leukemia. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2015.62.4718

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.