CML Flashcards
CML - What are the drugs used to treat CML?
imitinib, nilotinib, bosutinib, dasatinib, ponatinib, asciminib
CML - what is their clinical utility overall? MOA
Affect BCR-ABL1
t(9;22) translocate to form Philadelphia chromosome which increases proliferation of leukemic cells
CML - Which ones can we use for the T315i mutation?
ponatinib, asciminib
CML - which drug has less toxicity associated with its use?
asciminib
CML - what is the funny mnemonic?
indeed new boobs do pop ahhh
CML - true or false these are all tyrosine tyrosine kinase inhibitors
true
CML - what phase of CML growth is each drug good for
Imitinib - CP , AP, BP
Nilotinib - CP, AP,
Bosutinib - CP, AP, BP
Dasatinib - CP, AP, BP
Panotinib - CP, AP, BP
Asciminib - CP
What does CML stand for?
chronic myeloid leukemia
What drugs are indicated for MDS?
imatinib
Lenalidomide
what does MDS stand for?
myelodysplastic syndrome
MDS- mutation/ clinical utility of imatinib
FIP1A1/PDGFRA
- gene alternation of PDGFRA
MDS- mutation/ clinical utility of lenalidomide
deletion of 5q on chromosome 5 making it shorter
what does AML stand for?
Acute myeloid leukemia
AML- what are the drugs used to treat it?
Midostaurin
Gilteritinib
Ivosidenib
Enasidenib
Gemtuzumab
AML- what gene is affected?
FIC gene
AML- what is the mutation for midostaurin
FLT3
AML- what is the mutation for gilteritinib
FLT3
AML- what is the mutation for ivosidenib
IHD1
AML- what is the mutation for enasidenib
IHD2
AML- what is the mutation for gemtuzumab
CD33
AML- what are the mutations in FLT3
- exon 14 ITD (inframe)
- point mutation in the kinase loop domain
AML- what is the mnemonic used / how many drugs
my gosh ivan eats grapes
5
drugs for APL?
arsenic trioxide and tretinoin
What APL stands for?
Acute promyelocytic leukemia
APL - mutaion/clinical utiliy
translocation of t(15;17) in PML/RARA genes
APL- affects what genes specifically
PML/RARA
CEL - what does it stand for
Chronic Eosinophilic leukemia
CEL - treatment
imatinib
CEL mutation/ clinical utility
FLIPA1A / PDGFRA
- gene re-arrangement in PDGFRA
what does ASM stand for?
aggressive systemic mastocytosis
ASM - treatment
imatinib
ASM - caution point
not for the D816K mutation
ASM - clinical utility/mutation
C- KIT
not for the D816V C-KIT mutation
ALL - what does it stand
acute lymphoblastic leukemia
ALL - What are the drugs?
Imatinib
Dasatinib
Ponatinib
Blinatumomab
Mercaptopurine
Vincristine
ALL - what is the mnemonic
Icecream
delicious
pls
bring
me
vanilla
ALL - what is the mutation or clinical utility of imatinib
BCR/ABL1 positive
ALL - what is the mutation or clinical utility of dasatinib
BCR/ABL1 positive
ALL - what is the mutation or clinical utility of ponatinib
BCR/ABL1 positive
ALL - what is the mutation or clinical utility of Blinatumomab
BCR/ABL1 negative
ALL - what is the mutation or clinical utility of vincristine
BCR/ABL1 negative
ALL - what is the mutation or clinical utility of mercaptopurine
TPMT/NUDT15
TPMT 2/3A/3C = reduce enzyme actvity
NUDT 2/3 = PMs
NUDT 4/5/6 + IMs
ALL - indicated for resistance to treatment or intolerance to treatment or new
Dasatinib
ALL - indicated when no TKI other indicated
Ponatinib
ALL - which drugs can be used for t315i mutations?
ponatinib
CLL- drugs?
Ibrutinib and venetoclax
CLL- mutation and clinical utility
deletion of 17p
CLL- a drug with refractory of one prior treatment
venetoclax
ALL - what drugs should be given alongside chemotherapy
imatinib, dasatinib, ponatinib
what are the drugs for lymphomas?
rituximab
Denileukin Deftitox
Brentuximab Vedotin
lymphomas - which drugs are for non-Hodgkins diffuse B-cell lymphoma?
rituximab
lymphomas - which drugs are for Cutaneous T-cell lymphoma (CTCL)?
denileukin deftitox
lymphomas - which drugs are for peripheral T-cell lymphoma (PTCL)?
brentuximab vedotin
lymphomas - what is the clinical utility/mutation of rituximab?
CD20+
lymphomas - what is the clinical utility/mutation of denileukin deftitox?
CD25 component of IL-2 receptor
lymphomas - what is the clinical utility/mutation of brentuximab vedotin?
CD30