Evidence map›Paper›PMID 41557074›Full record

Trial reportAnnals of hematology2026

One-year consolidation with Ponatinib 15 mg in chronic myeloid leukaemia on deep molecular response with Imatinib.

Lucía Pérez-Lamas, Mario Manzanares, Juan Carlos Hernández Boluda, Luis Felipe Casado Montero, María Teresa Gómez Casares, Rosa Ayala, Blanca Xicoy, Francisca Ferrer Marin, Guillermo Ortí, Raquel De Paz Arias and 11 more

Abstract readMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Annals of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Lucía Pérez-Lamas *Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Mario Manzanares *Immunopathology and Viral Reservoir Unit, National Center of Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
Juan Carlos Hernández BoludaHospital Clínico Universitario-INCLIVA, Valencia, Spain.
Luis Felipe Casado MonteroHM hospitales CIOCC, Madrid, Spain.
María Teresa Gómez CasaresHospital Universitario de G.C. Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Rosa AyalaHospital Universitario, Hospital Universitario 12 de Octubre, I+12, CNIO, Complutense University, CIBERONC, Madrid, Spain.
Blanca XicoyHematology Department, Institut Català d'Oncologia, Institut de Recerca Contra la Leucèmia Josep Carreras, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Spain.
Francisca Ferrer MarinHospital Universitario Morales Meseguer. Centro Regional de Hemodonación. UCAM. CIBERER IMIB-Arrixaca, Murcia, Spain.
Guillermo OrtíHospital Universitari Vall d´Hebron, Barcelona, Spain.
Raquel De Paz AriasHospital Universitario La Paz-Idipaz, Madrid, Spain.
Santiago Osorio PrendesHospital Universitario Gregorio Marañón, Madrid, Spain.
Raul Perez LopezHospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Elvira MoraHospital Universitario y Politécnico La Fe, Valencia, Spain.
Concepción Ruiz NuñoHospital Universitario Regional de Málaga, Málaga, Spain.
Antonio Jimenez VelascoHospital Universitario Regional de Málaga, Málaga, Spain.
Concepción BoquéHospital Duran i Reynals-ICO, Barcelona, Spain.
Magdalena Sierra PachoHospital Universitario de Salamanca, Salamanca, Spain.
Joaquin Martinez LopezHospital Universitario, Hospital Universitario 12 de Octubre, I+12, CNIO, Complutense University, CIBERONC, Madrid, Spain.
Gonzalo Carreño-TarragonaHospital Universitario, Hospital Universitario 12 de Octubre, I+12, CNIO, Complutense University, CIBERONC, Madrid, Spain.
Mayte CoirasImmunopathology and Viral Reservoir Unit, National Center of Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.
Valentin Garcia-GutierrezHospital Universitario Ramón y Cajal. IRYCIS, Universidad de Alcalá, Madrid, Spain. jvalentingg@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine kinase inhibitors (TKIs) discontinuation is the standard option for patients with chronic myeloid leukaemia (CML) in deep molecular response (MR) with imatinib. This study aimed to evaluate the efficacy and safety of one year consolidation with ponatinib on treatment-free remission (TFR) rate. This was a multicenter open-label, single-arm, phase II, exploratory clinical trial including patients with CML treated ≥4 years with imatinib therapy, and MR4.0 ≥12 months. Patients entered the TFR phase after receiving ponatinib at 15 mg/day for one year. Twenty three patients received ponatinib and 19 completed consolidation. Among the patients with detectable BCR::ABL1, 70% deepened response. The 48-weeks MR4.0 rate was 68.4% (95%CI: 43.4-87.4). The 48-week TFR rate as classically defined was 73.7% (95% CI: 8 56.3-96.4). Five restarted TKIs and all regained MR. The most frequent adverse events (AEs) were constipation (34.8%), asthenia (30.4%) and myalgia (21.7%). Patients who remained relapse-free one year after ponatinib discontinuation exhibited higher levels of NK and NKT-like cells with degranulation capacity. Consolidation with ponatinib showed a high TFR rate and adequate safety, granting further research.

Indexed as

Antineoplastic AgentsConsolidation ChemotherapyImatinib MesylateImidazolesLeukemia, Myelogenous, Chronic, BCR-ABL PositiveProtein Kinase InhibitorsPyridazinesAdultAgedFemaleFusion Proteins, bcr-ablHumansMaleMiddle AgedTreatment OutcomeAntineoplastic AgentsFusion Proteins, bcr-ablImatinib MesylateImidazolesponatinibProtein Kinase InhibitorsPyridazinesChronic myeloid leukaemiaConsolidation treatmentPonatinibTreatment-Free remission

Identifiers

PMID41557074
PMCPMC12819508

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.