Title: Nilotinib as an alternate medication for Imatinib-Resistant CML
1Nilotinib as an alternate medication for
Imatinib-Resistant CML
Chronic Myeloid Leukemia and its treatment with
Nilotinib / Tasigna
2Chronic Myeloid Leukemia or CML forms from the
clonal expansion of stem cells (pluripotent
hematopoietic) that contains an active fusion
gene / protein known as BCR/ABL. This protein
shows organized tyrosine activity and enables the
leukemic cells to grow and also provide
resistance to apoptosis.
3CML was considered to be a fatal disorder before
Imatinib (Brand Gleevec) was used a target
therapy medication for its treatment. The use
of Imatinib essentially revolutionised targeted
cancer therapy as it only attacked the cancer
phenotype that were linked to BCR/ABL protein
while keeping normal features unharmed.
4However, a small percentage of CML patient have
shown resistance to the Imatinib medication and
as a result taking Imatinib may result in
increased toxicity for them. To counter the
Imatinib-Resistant CML, several medications
(which were used as tyrosine kinase inhibitor or
TKI) were tested.
5The advantages of such medications over Imatinib
such as Tasigna (Generic Nilotinib) may become
the recommended medication. Nilotinib / Tasigna
cost information Tasigna is more potent than
Imatinib against CML cells by a factor of 20 to
50. Studies show that prescribing TKIs such as
for improving the overall survival of CML
patients.
6Nilotinib (Tasigna by Novartis Pharmaceuticals)
was developed to have a similar structure to 30
fold higher potency against the BCR/ABL protein.
It was approved for the treatment of CML
patients and for those patients who have shown
intolerance to other therapies. In a study
conducted to study the effects of Nilotinib on
CML, it was found that Some common adverse
effects included rashes, transient indirect
hyperbilirubinemia and myelosuppression
7Out of the 33 patients with a blastic stage of
the disease 13 patients showed hematologic
responses and 9 patients showed cytogenic
responses Out of the 46 patients with an
accelerated stage of the disease 33 patients
showed hematologic responses and 22 patients
showed cytogenetic responses 11 out of 12
patients with the chronic phase of the disease
showed a complete hematologic remission
8Based on the above results it was concluded that
Nilotinib / Tasigna medication has a safer and
more active profile in treating
Imatinib-resistant CML. Frequently Asked
Questions about Nilotnib / Tasigna
medication How does Tasigna work? Tasigna
(generic Nilotinib) functions by attacking the
BCR/ABL protein that enables the growth of
leukemic cells.
9- What Are The Nilotinib / Tasigna Side Effects?
- Nilotinib side effects generally vary from one
patient to another based on their condition. Some
of the more common side effects include - rashes and sudden hair loss
- night sweats and tiredness
- joint pains
- headaches
- constant sneezing with a running nose
- constant coughing with a sore throat
10Can Nilotinb / Tasigna medication be used for
treating Parkinsons? Potential use of Nilotinib
in the treatment of Parkinsons Nilotinib cost
information The information provided on the page
is meant for the purpose of being helpful and
educational. It should not be considered as
medical advice.
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