Description
Why It’s Done:
This test is recommended for:
• Patients with CML or Ph+ ALL who show signs of treatment failure or disease progression while on TKI therapy
• Detecting specific point mutations (e.g., T315I, E255K, Y253H) that confer resistance to certain TKIs
• Guiding treatment decisions, including switching to a more effective TKI or considering alternative therapies (like allogeneic stem cell transplant)
• Monitoring minimal residual disease (MRD) or relapse in patients with prior history of mutation
This analysis helps oncologists personalize therapy based on the mutation profile of the BCR-ABL1 gene.
Preparation:
• No fasting or special preparation is required.
• A blood sample (or sometimes bone marrow aspirate) is collected for analysis.
• Inform your doctor about:
o Current medications
o Any recent chemotherapy or targeted therapies (as this can affect test interpretation)
Results may take several days, depending on the lab and method used.


