Selected trials incorporating TKIs in the initial therapy of Ph+ ALL
Reference . | N . | Age, median [range] . | Regimen . | CMR rate, % . | Allo-HCT rate, % . | RFS rate, % . | OS rate, % . |
---|---|---|---|---|---|---|---|
Imatinib | |||||||
45 | 80 | 48 [15-63] | Intensive chemotherapy | 50 (day 63) | 49 | — | 76 (1 y) |
39 | 29 | 69 [61-83] | Corticosteroids | 4 | — | 48 (1 y) | 74 (1 y) |
46 | 59 | 45 [20-66] | Intensive chemotherapy | — | 72 | 39 (5 y) | 38 (5 y) |
9 | 169 | 42 [16-64] | Intensive chemotherapy | — | 72 | 50 (4 y) | 38 (4 y) |
57 | 54 | 51 [17-84] | Intensive chemotherapy | 45 (overall) | 30 | 43 (5 y) | 43 (5 y) |
15 | 133 | 45 [21-59] | Intensive chemotherapy | 23 (2 cycles) | 65 | — | 46 (5 y) |
135 | 49 [18-59] | Low-intensity chemotherapy | 29 (2 cycles) | 62 | — | 46 (5 y) | |
37 | 34 | 45 [24-57] | Intensive chemotherapy | — | 44 | 46 (5 y) | 51 (5 y) |
25 | 92 | 10 [1.3-21] | Intensive chemotherapy | — | — | 70 (5 y) | — |
Dasatinib | |||||||
19 | 53 | 54 [24-77] | Corticosteroids | 15 (day 85) | 42 | 22 (20 mo) | 31 (20 mo) |
47 | 72 | 55 [21-80] | Intensive chemotherapy | 65 (overall) | 17 | 44 (5 y) | 46 (5 y) |
16 | 97 | 44 [20-60] | Intensive chemotherapy | — | 42 | 62 (3 y) | 69 (3 y) |
40 | 71 | 69 [55-83] | Low-intensity chemotherapy | 24 (consolidation) | 10 | 28 (5 y) | 36 (5 y) |
26 | 60 | 10.2* [1.5-27.6] | Intensive chemotherapy | — | 32 | 60† (5 y) | 86 (5 y) |
Nilotinib | |||||||
31 | 90 | 47 [17-71] | Intensive chemotherapy | 77 (3 mo) | 63 | 72 (2 y) | 72 (2 y) |
Ponatinib | |||||||
17 | 37 | 51 [27-75] | Intensive chemotherapy | 78 (overall) | 24 | — | 80 (2 y) |
41 | 44 | 68 [27-85] | Corticosteroids | 61 (evaluable; 6 mo) | — | — | 87.5 (1 y) |
Reference . | N . | Age, median [range] . | Regimen . | CMR rate, % . | Allo-HCT rate, % . | RFS rate, % . | OS rate, % . |
---|---|---|---|---|---|---|---|
Imatinib | |||||||
45 | 80 | 48 [15-63] | Intensive chemotherapy | 50 (day 63) | 49 | — | 76 (1 y) |
39 | 29 | 69 [61-83] | Corticosteroids | 4 | — | 48 (1 y) | 74 (1 y) |
46 | 59 | 45 [20-66] | Intensive chemotherapy | — | 72 | 39 (5 y) | 38 (5 y) |
9 | 169 | 42 [16-64] | Intensive chemotherapy | — | 72 | 50 (4 y) | 38 (4 y) |
57 | 54 | 51 [17-84] | Intensive chemotherapy | 45 (overall) | 30 | 43 (5 y) | 43 (5 y) |
15 | 133 | 45 [21-59] | Intensive chemotherapy | 23 (2 cycles) | 65 | — | 46 (5 y) |
135 | 49 [18-59] | Low-intensity chemotherapy | 29 (2 cycles) | 62 | — | 46 (5 y) | |
37 | 34 | 45 [24-57] | Intensive chemotherapy | — | 44 | 46 (5 y) | 51 (5 y) |
25 | 92 | 10 [1.3-21] | Intensive chemotherapy | — | — | 70 (5 y) | — |
Dasatinib | |||||||
19 | 53 | 54 [24-77] | Corticosteroids | 15 (day 85) | 42 | 22 (20 mo) | 31 (20 mo) |
47 | 72 | 55 [21-80] | Intensive chemotherapy | 65 (overall) | 17 | 44 (5 y) | 46 (5 y) |
16 | 97 | 44 [20-60] | Intensive chemotherapy | — | 42 | 62 (3 y) | 69 (3 y) |
40 | 71 | 69 [55-83] | Low-intensity chemotherapy | 24 (consolidation) | 10 | 28 (5 y) | 36 (5 y) |
26 | 60 | 10.2* [1.5-27.6] | Intensive chemotherapy | — | 32 | 60† (5 y) | 86 (5 y) |
Nilotinib | |||||||
31 | 90 | 47 [17-71] | Intensive chemotherapy | 77 (3 mo) | 63 | 72 (2 y) | 72 (2 y) |
Ponatinib | |||||||
17 | 37 | 51 [27-75] | Intensive chemotherapy | 78 (overall) | 24 | — | 80 (2 y) |
41 | 44 | 68 [27-85] | Corticosteroids | 61 (evaluable; 6 mo) | — | — | 87.5 (1 y) |