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BCR-ABL1 p210 (e13a2/e14a2) defines chronic-phase CML and is the paradigm targeted-therap...

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDBMA-BCR-ABL1-P210-CML
TypeActionability
Statusreviewed 2026-04-27 | pending_clinical_signoff | actionability review required
DiseasesDIS-CML
SourcesSRC-ASCEMBL-REA-2021 SRC-CIVIC SRC-ELN-CML-2025 SRC-IRIS-OBRIEN-2003

Actionability Facts

BiomarkerBIO-BCR-ABL1
Variantp210 (e13a2 / e14a2) — typical CML
DiseaseDIS-CML
ESCAT tierIA
Recommended combinationsimatinib monotherapy (1L, low-cost standard), dasatinib monotherapy (1L), nilotinib monotherapy (1L), bosutinib monotherapy (1L), asciminib monotherapy (resistant or 1L per ASC4FIRST)
Evidence summaryBCR-ABL1 p210 (e13a2/e14a2) defines chronic-phase CML and is the paradigm targeted-therapy success story. Imatinib 1L (IRIS, O'Brien 2003) established BCR-ABL1 TKI as standard; 2nd-gen TKIs (dasatinib/nilotinib/bosutinib) achieve faster, deeper molecular responses with similar OS. Asciminib (ASCEMBL, Réa 2021) is the first STAMP-class allosteric TKI for resistant disease.

Notes

ESCAT IA. OncoKB Level 1. Monitoring by RT-qPCR on International Scale; MMR (≤0.1% IS at 12mo) defines optimal response per ELN 2020/2025. Choice of 1L TKI driven by comorbidity profile (cardiovascular for nilotinib; pleural effusion for dasatinib; etc.).

Used By

No reverse references found in the YAML corpus.