Hi Choi I was on sprycel and to go off it because of pleural effusion. I then 
went on omacetaxine for a couple of years and finally am on ponatinib. I only 
take normally one pill a week it is a strong drug so I am off it for three 
weeks. John B 










Sent from my iPad

> On Jun 9, 2015, at 6:47 AM, Choi <[email protected]> wrote:
> 
> Hi, this is Choi from South Korea. One of my CML friends had some problems 
> and I just wonder who had a similar experience.
> 
> He was diagnosed with CML chronic phase on july 2012 and started Gleevec 
> 400mg for 16 months and switched to Sprycel due to E355G mutation.
> At that time his PCR was 1.89. He started Sprycel  and E355G mutaiton was 
> disappered. He was on Sprycel for 12 months.
> He developed pleural effusions after 12 months of Sprycel at that time his 
> dose was 100mg. His doctor stopped Sprycel for 2 weeks and restarted Sprycel 
> 80mg for 3 months.
> Once again he developed pleural effusions so he was off Sprycel for 4 weeks 
> and restarted Sprycel 60mg until now and still had minor pleural effusions.
> PCR count was 0.37, 0.47, 0.45 and never drop to under 0.1% so his doctor was 
> considering to switch to other drugs but hesitated to switch because of he 
> had E355G mutation.
> Is there any one who had a similar experience?
> 
> Choi.
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