Ponatinib-Blinatumomab or Imatinib-Chemotherapy for Adult Ph-Positive ALL.
N Engl J MedOct 15, 2026
This multicenter, phase 3 randomized trial compared frontline ponatinib plus blinatumomab with imatinib plus chemotherapy in adults with Philadelphia-positive acute lymphoblastic leukemia.
Key findings
- Estimated 24-month event-free survival was 86% with ponatinib–blinatumomab versus 67% with imatinib–chemotherapy (P<0.001).
- Survival with no measurable residual disease was 68% in the intervention group and 42% in the control group.
- Complete hematologic response at the end of induction occurred in 94% versus 79%, respectively.