Chemotherapy schedule of the PONALFIL trial
| Phase . | Route . | Dose . | Days . | 
|---|---|---|---|
| Induction* | |||
| Ponatinib | By mouth | 30 mg | Until consolidation | 
| Vincristine (maximum 2 mg) | IV | 1.5 mg/m2 | 1, 8, 15, 22 | 
| Daunorubicin | IV | 45 mg/m2 | 1, 8, 15, 22 | 
| Prednisone | IV | 60 mg/m2 | 1-14 | 
| IV | 30 mg/m2 | 15-21 | |
| IV | 15 mg/m2 | 22-28 | |
| Triple IT† | IT | 1, 28 | |
| Consolidation | |||
| Ponatinib | By mouth | 30 mg | Until HSCT | 
| Methotrexate | IV | 1.5 g/m2 | 1, 28, 56 | 
| Mercaptopurine | By mouth | 50 mg/m2 | 1-7, 28-35, 56-63 | 
| Etoposide | IV | 100 mg/m2 | 14, 42 | 
| Cytarabine | IV | 1000 mg/m2/12h | 14, 15, 42, 43 | 
| Triple IT† | IT | 1, 28, 56 | |
| Maintenance | |||
| Ponatinib‡ | By mouth | 30 mg (first year) 15 mg (second year) | Daily | 
| Phase . | Route . | Dose . | Days . | 
|---|---|---|---|
| Induction* | |||
| Ponatinib | By mouth | 30 mg | Until consolidation | 
| Vincristine (maximum 2 mg) | IV | 1.5 mg/m2 | 1, 8, 15, 22 | 
| Daunorubicin | IV | 45 mg/m2 | 1, 8, 15, 22 | 
| Prednisone | IV | 60 mg/m2 | 1-14 | 
| IV | 30 mg/m2 | 15-21 | |
| IV | 15 mg/m2 | 22-28 | |
| Triple IT† | IT | 1, 28 | |
| Consolidation | |||
| Ponatinib | By mouth | 30 mg | Until HSCT | 
| Methotrexate | IV | 1.5 g/m2 | 1, 28, 56 | 
| Mercaptopurine | By mouth | 50 mg/m2 | 1-7, 28-35, 56-63 | 
| Etoposide | IV | 100 mg/m2 | 14, 42 | 
| Cytarabine | IV | 1000 mg/m2/12h | 14, 15, 42, 43 | 
| Triple IT† | IT | 1, 28, 56 | |
| Maintenance | |||
| Ponatinib‡ | By mouth | 30 mg (first year) 15 mg (second year) | Daily |