Evidence map›Paper›PMID 41571767›Full record

Trial reportLeukemia2026

Immunomodulatory effect of dasatinib plus blinatumomab versus ponatinib plus blinatumomab in newly diagnosed Ph+ acute lymphoblastic leukemia.

Michela Ansuinelli, Nadia Peragine, Maria Stefania De Propris, Maria Cristina Puzzolo, Mariangela Di Trani, Loredana Elia, Cristina Skert, Roberto Cairoli, Simona Sica, Alessandro Rambaldi and 8 more

Abstract readClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

18 authors.

Michela Ansuinelli *Hematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-3424-915X
Nadia Peragine *Hematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-6338-3112
Maria Stefania De ProprisHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0009-0001-4956-8911
Maria Cristina PuzzoloHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Mariangela Di TraniHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Loredana EliaHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Cristina SkertHematology and Bone Marrow Transplantation Unit, Ospedale Dell'Angelo, Venezia Mestre, Italy.
Roberto CairoliDepartment of Hematology, ASST Grande Ospedale Metropolitano Niguarda, Niguarda Cancer Center, Milan, Italy.ORCID 0000-0001-6372-2623
Simona SicaDepartment of Hematology, Università Cattolica del Sacro Cuore, Rome, Italy.
Alessandro RambaldiDepartment of Oncology-Hematology, University of Milan, Milan and Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID 0000-0002-3739-7502
Alessandra TucciHematology Division, Spedali Civili di Brescia, Brescia, Italy.ORCID 0000-0003-3052-7463
Marco CerranoDivision of Hematology, Department of Oncology, Presidio Molinette, AOU Città della Salute e Della Scienza, Torino, Italy.
Daniele VallisaHematology Unit, Department of Oncology and Hematology, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Valeria CardinaliDipartimento di Medicina e Chirurgia, Università di Perugia, Ospedale Santa Maria della Misericordia, Perugia, Italy.
Antonino MulèOncohematology Unit, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy.
Sabina ChiarettiHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Anna GuariniHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Robin FoàHematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy. rfoa@bce.uniroma1.it.ORCID 0000-0002-5021-3026

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) Special Program Metastases (21198)
6 · The paper itself

Abstract

In Ph+ acute lymphoblastic leukemia, frontline dasatinib plus blinatumomab (dasa+blina) is associated with long-term survival rates of 75-80%. The phase III GIMEMA ALL2820 trial has explored ponatinib with blinatumomab (pona+blina). In the present study, the immune modulation induced by dasa+blina and pona+blina was investigated. Immune cells were analyzed at the end of induction (T0) and after 2, 4 and 5 blinatumomab cycles (T2, T4, T5). Among 153 patients (43 dasa+blina, 110 pona+blina), the dasa+blina combination induced a significantly greater lymphocyte increase at T4 and T5 compared to pona+blina. The Treg counts decreased only in the dasa+blina treated patients. NK and NK-T cells increased significantly in the dasa+blina group, at all timepoints. Complete molecular responders (CMR) after dasatinib induction had significantly higher lymphocytes, T and NK cells compared to non-CMR patients. Bone marrow analyses showed higher activation (CD25, CD69) and lower exhaustion (PD1, TIM3) markers on NK and NK-T cells in dasa+blina treated patients. Dasa+blina patients exhibited a significantly enhanced NK cell capacity compared to ponatinib treated patients. Patients remaining on dasatinib maintained elevated NK cells with a more mature phenotype, suggesting a durable effect. These results highlight the greater dasa+blina immune activation, supporting a potential synergistic effect of the drug combination.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmunomodulationPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAntibodies, BispecificDasatinibFemaleHumansImidazolesKiller Cells, NaturalMaleMiddle AgedPhiladelphia ChromosomePrognosisPyridazinesYoung AdultAntibodies, BispecificblinatumomabDasatinibImidazolesponatinibPyridazines

Identifiers

PMID41571767

What OpenQuestion holds

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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.