This study evaluated quality of life and symptoms in 102 chronic myeloid leukemia patients receiving first- or second-line treatment with dasatinib in real-world clinical settings. For first-line dasatinib patients, quality of life improved in several domains after 12 months, and common symptom severity decreased. For second-line dasatinib patients after imatinib failure, quality of life and symptoms also improved over 12 months. Clinical responses to dasatinib were consistent with previous trials. Real-world data provided additional evidence for dasatinib's effectiveness outside of clinical trials.