Table 1.
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 |
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.