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Objective The introduction of tyrosine kinase inhibitors (TKI) has changed the evolution and prognosis of Chronic Myeloid Leukaemia (CML) worldwide.However,the cost of TKIs is exorbitant and sometimes prohibitive especially in developing countries.Prior to April 2014,CML patients receive Imatinib as first line therapy and Nilotinib is only available as second line therapy in public hospitals in Malaysia mainly through a patient assistance programme.In this study,we report the response rate and overall survival using nilotinib as second line TKI for imatinib resistance or intolerance among CML patients treated in our centre.