Research record

CML treatment-free remission discussion

Some CML patients who have had a deep molecular response for a long time may discuss a carefully monitored TKI stop attempt, sometimes called treatment-free remission.

What this is

Some CML patients who have had a deep molecular response for a long time may discuss a carefully monitored TKI stop attempt, sometimes called treatment-free remission.

Why it may come up

  • deep molecular response
  • stable molecular response
  • quality-of-life discussion
  • clinical trial question

What not to assume

  • Do not stop medicine without the leukemia team.
  • Do not imply treatment-free remission equals guaranteed cure.
  • Do not discuss monitoring schedules as instructions.

At a glance

CML treatment-free remission discussion

Clinical trialThis is being studied or tracked through trials.
Type
Trial search
Mutation result
BCR-ABL / Philadelphia chromosome context
Where
Global
Evidence status
Source gives context
Last checked
2026-05-21

What we know

  • NCI describes clinical trial work studying TKI cessation in CML patients with stable molecular response.
  • NCI's discontinuation discussion emphasizes careful monitoring and selected-patient context.

What is unclear

  • Whether a specific patient is a candidate depends on exact response history, monitoring access, medicine history, and physician judgment.
  • This is different from a transplant and different from being automatically cured.

Questions to ask

  • Is treatment-free remission a recognized goal in this exact case?
  • What molecular response depth and duration would be required before discussing it?
  • How often would PCR monitoring happen if a supervised stop attempt were ever considered?

Related trial leads

NCI

Tyrosine kinase inhibitor cessation for chronic myeloid leukemia patients with stable molecular response

Supports the treatment-free remission research context for selected CML patients with stable molecular response.

A TKI cessation trial record does not mean a patient should stop medicine or fits the study.