Abstract
INTRODUCTION
The first line treatment for chronic myeloid leukaemia (CML) is still imatinib mesylate in many countries. Dasatinib and nilotinib are also effective in first line treatment but often used in resistant or intolerant patients. The treatment requires strict drug compliance and regular blood tests. Lifelong treatment as well as regular controls may negatively affect the quality of life. The aim of this study was to evaluate the quality of life of CML patients taking tyrosine kinase inhibitors (TKI).
METHODS
A total of 120 patients were included in the study and divided into 3 groups according to the TKI they take generic imatinib (n=72), dasatinib (n=23) or nilotinib (n=25). EORTC QLQ-CML24 and EORTC QLQ-C30 (version 3.0) scales were used to evaluate the quality of life.
RESULTS
Insomnia in nilotinib group was lower than the dasatinib group (16.00 ± 23.80 vs 28.70± 35.25, p= 0.027). The satisfaction with care information of imatinib group was lower than dasatinib group (75.46± 17.00 vs 84.78± 20.66, p = 0.007). No difference was found between the 3 groups for other parameters.
DISCUSSION AND CONCLUSION
The comparison of chronic myeloid leukemia patients under generic imatinib, dasatinib and nilotinib suggested that the second generation TKIs are generally well tolerated and have nearly similar effects with imatinib on quality of life.