Spectrum and frequency of BCR-ABL kinase domain mutations recovered in the presence of imatinib mesylate, nilotinib, and dasatinib
. | Imatinib mesylate . | . | . | . | . | Nilotinib* . | . | . | . | . | Dasatinib . | . | . | . | . | . | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mutation . | Incidence (%) . | 2 μM . | 4 μM . | 8 μM . | 16 μM . | Incidence (%) . | 50 nM . | 500 nM . | 2000 nM . | 5000 nM . | Incidence (%) . | 5 nM . | 10 nM . | 25 nM . | 100 nM . | 500 nM . | |||||||||||||
M244V | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L248R | 2 (0.54) | 1 | 0 | 1 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L248V | 3 (0.81) | 3 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 3 (1.66) | 3 | 0 | 0 | 0 | 0 | |||||||||||||
G250E | 4 (1.08) | 3 | 1 | 0 | 0 | 5 (2.89) | 5 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
Q252H | 5 (1.34) | 0 | 4 | 0 | 1 | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.55) | 0 | 1 | 0 | 0 | 0 | |||||||||||||
Y253H | 168 (45.16) | 56 | 65 | 31 | 16 | 64 (36.99) | 14 | 50 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E255K | 22 (5.91) | 12 | 8 | 1 | 1 | 5 (2.89) | 5 | 0 | 0 | 0 | 2 (1.1) | 2 | 0 | 0 | 0 | 0 | |||||||||||||
E255V | 1 (0.27) | 0 | 1 | 0 | 0 | 1 (0.58) | 0 | 1 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
D276G | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E292V† | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
V299L | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 3 (1.66) | 0 | 3 | 0 | 0 | 0 | |||||||||||||
F311I | 4 (1.08) | 4 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F311V | 3 (0.81) | 3 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
T315I | 139 (37.37) | 39 | 56 | 29 | 15 | 88 (50.87) | 13 | 29 | 36 | 10 | 141 (77.9) | 20 | 33 | 32 | 39 | 17 | |||||||||||||
F317C | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 7 (3.87) | 1 | 6 | 0 | 0 | 0 | |||||||||||||
F317I | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 12 (6.63) | 2 | 10 | 0 | 0 | 0 | |||||||||||||
F317L | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 10 (5.52) | 6 | 4 | 0 | 0 | 0 | |||||||||||||
F317V | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 2 (1.1) | 1 | 0 | 1 | 0 | 0 | |||||||||||||
M351T | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E355G | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F359C | 6 (1.61) | 6 | 0 | 0 | 0 | 6 (3.47) | 6 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F359V | 3 (0.81) | 3 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
V379I | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L384M | 1 (0.27) | 1 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L387F | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
H396R | 2 (0.54) | 1 | 1 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 |
. | Imatinib mesylate . | . | . | . | . | Nilotinib* . | . | . | . | . | Dasatinib . | . | . | . | . | . | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mutation . | Incidence (%) . | 2 μM . | 4 μM . | 8 μM . | 16 μM . | Incidence (%) . | 50 nM . | 500 nM . | 2000 nM . | 5000 nM . | Incidence (%) . | 5 nM . | 10 nM . | 25 nM . | 100 nM . | 500 nM . | |||||||||||||
M244V | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L248R | 2 (0.54) | 1 | 0 | 1 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L248V | 3 (0.81) | 3 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 3 (1.66) | 3 | 0 | 0 | 0 | 0 | |||||||||||||
G250E | 4 (1.08) | 3 | 1 | 0 | 0 | 5 (2.89) | 5 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
Q252H | 5 (1.34) | 0 | 4 | 0 | 1 | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.55) | 0 | 1 | 0 | 0 | 0 | |||||||||||||
Y253H | 168 (45.16) | 56 | 65 | 31 | 16 | 64 (36.99) | 14 | 50 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E255K | 22 (5.91) | 12 | 8 | 1 | 1 | 5 (2.89) | 5 | 0 | 0 | 0 | 2 (1.1) | 2 | 0 | 0 | 0 | 0 | |||||||||||||
E255V | 1 (0.27) | 0 | 1 | 0 | 0 | 1 (0.58) | 0 | 1 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
D276G | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E292V† | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
V299L | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 3 (1.66) | 0 | 3 | 0 | 0 | 0 | |||||||||||||
F311I | 4 (1.08) | 4 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F311V | 3 (0.81) | 3 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
T315I | 139 (37.37) | 39 | 56 | 29 | 15 | 88 (50.87) | 13 | 29 | 36 | 10 | 141 (77.9) | 20 | 33 | 32 | 39 | 17 | |||||||||||||
F317C | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 7 (3.87) | 1 | 6 | 0 | 0 | 0 | |||||||||||||
F317I | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 12 (6.63) | 2 | 10 | 0 | 0 | 0 | |||||||||||||
F317L | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 10 (5.52) | 6 | 4 | 0 | 0 | 0 | |||||||||||||
F317V | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 2 (1.1) | 1 | 0 | 1 | 0 | 0 | |||||||||||||
M351T | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
E355G | 1 (0.27) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F359C | 6 (1.61) | 6 | 0 | 0 | 0 | 6 (3.47) | 6 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
F359V | 3 (0.81) | 3 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
V379I | 2 (0.54) | 2 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L384M | 1 (0.27) | 1 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
L387F | 0 (0) | 0 | 0 | 0 | 0 | 1 (0.58) | 1 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 | |||||||||||||
H396R | 2 (0.54) | 1 | 1 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 (0) | 0 | 0 | 0 | 0 | 0 |