Table 1.

Chemotherapy schedule of the PONALFIL trial

PhaseRouteDoseDays
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 
PhaseRouteDoseDays
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 
*

Pre-phase with prednisone 60 mg/m2 and triple IT was given for a maximum of 1 week, while ALL was fully characterized.

Triple IT with methotrexate (15 mg), cytarabine (30 mg), and hydrocortisone (20 mg).

After alloHSCT, only if molecular disease persisted or reappeared.

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