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NCT03589326 · ADVERSE EVENTS

Adverse events

A Study of Ponatinib Versus Imatinib in Adults With Acute Lymphoblastic Leukemia · Source last updated 2025-11-26

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Adverse events occurred during the study; they are not necessarily caused by treatment. Serious events are not interchangeable with severe/grade 3–4 events. These safety populations may differ from efficacy populations.

Collection time frame
From signing of informed consent up to data cut-off date: 12 August 2022 (up to 46 months 1 week)
Other-event reporting threshold
5%

Safety population was defined as all participants who were randomized to the ponatinib or imatinib arm and received at least 1 dose of any study drug.

Participants affected / participants at risk, as reported
Safety groupSerious eventsOther eventsDeaths
Cohort A: Ponatinib 30 mg

Ponatinib 30 mg, tablets, orally, once daily (QD), with vincristine 1.4 mg/m\^2 (max 2 mg) intravenous (IV), on Days 1 and 14 and dexamethasone 40 mg (\<60 years \[yrs\]) and 20 mg (≥60 yrs), orally, once on Days 1 to 4, Days 11 to 14 for up to 3 cycles (each cycle=28 days) in induction phase (IP) (reduced dose of ponatinib 15 mg upon achievement of MRD-negative CR at end of induction) followed by ponatinib last induction phase dose with cytarabine, 1000 mg/m\^2 as 2-hour IV infusion (\<60 yrs) and 250 mg/m\^2 (≥60 yrs) every 12 hours, IV on Days 1, 3, 5 of Cycles 2,4,6 and methotrexate, 1000 mg/m\^2 (\<60 yrs) and 250 mg/m\^2 (≥60 yrs), IV infusion, on Day 1 of cycles 1, 3, 5 in consolidation phase (CP) followed by ponatinib last consolidation phase dose with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Day 1 and prednisone 200 mg (\<60 yrs), 100 mg (≥60-69 yrs) and 50 mg(≥70 yrs) on Days 1 to 5 for up to 11 cycles in maintenance phase (MP) up to data cut-off date: 12 August 2022.

97 / 163159 / 16321 / 163
Cohort B: Imatinib 600 mg

Imatinib 600 mg, tablets, orally, QD, with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Days 1 and 14 and dexamethasone 40 mg (\<60 yrs) and 20 mg (≥60 yrs), orally, once on Days 1 to 4 and Days 11 to 14 in each 28-day cycle for up to 3 cycles in the induction phase followed by imatinib 600 mg, tablets, orally, QD, with cytarabine, 1000 mg/m\^2 every 12 hours as a 2-hour-IV infusion (\<60 yrs) and 250 mg/m\^2 every 12 hours (≥60 yrs), IV on Days 1, 3, and 5 of each 28-day even cycles (Cycles 2, 4, and 6), and methotrexate, 1000 mg/m\^2 (\<60 yrs) and 250 mg/m\^2 (≥60 yrs), IV infusion, on Day 1 of each 28-day odd cycles (Cycle 1, 3, and 5) in consolidation phase followed by imatinib 600 mg, tablets, orally, QD, along with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Day 1 and prednisone 200 mg (\<60 yrs), 100 mg (≥60-69 yrs) and 50 mg (≥70 yrs) on Days 1 through 5 in each 28-day cycle up to 11 cycles in maintenance phase up to data cut-off date: 12 August 2022.

45 / 8180 / 8113 / 81

Group identifiers: EG000: Cohort A: Ponatinib 30 mg · EG001: Cohort B: Imatinib 600 mg

Serious adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Septic shock
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      7
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      81
    term
    COVID-19
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      81
    term
    Sepsis
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Pneumonia
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      81
    term
    COVID-19 pneumonia
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      81
    term
    Cellulitis
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Device related infection
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Urinary tract infection
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Bacteraemia
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Klebsiella sepsis
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Vascular device infection
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Abdominal sepsis

Other reported adverse events

Event terms and counts are source-reported; expand to read more. A reporting threshold may omit less frequent events.

  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      67
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      27
      num At Risk
      81
    term
    Alanine aminotransferase increased
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      44
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      29
      num At Risk
      81
    term
    Lipase increased
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      39
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      26
      num At Risk
      81
    term
    Platelet count decreased
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      26
      num At Risk
      81
    term
    Neutrophil count decreased
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      39
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      15
      num At Risk
      81
    term
    Aspartate aminotransferase increased
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      20
      num At Risk
      81
    term
    White blood cell count decreased
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      21
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Gamma-glutamyltransferase increased
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Blood lactate dehydrogenase increased
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      16
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      10
      num At Risk
      81
    term
    Amylase increased
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      14
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      7
      num At Risk
      81
    term
    Blood alkaline phosphatase increased
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      10
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Blood creatinine increased
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      14
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Blood bilirubin increased
Complete source fields
description
Safety population was defined as all participants who were randomized to the ponatinib or imatinib arm and received at least 1 dose of any study drug.
event Groups
  1. deaths Num Affected
    21
    deaths Num At Risk
    163
    description
    Ponatinib 30 mg, tablets, orally, once daily (QD), with vincristine 1.4 mg/m\^2 (max 2 mg) intravenous (IV), on Days 1 and 14 and dexamethasone 40 mg (\<60 years \[yrs\]) and 20 mg (≥60 yrs), orally, once on Days 1 to 4, Days 11 to 14 for up to 3 cycles (each cycle=28 days) in induction phase (IP) (reduced dose of ponatinib 15 mg upon achievement of MRD-negative CR at end of induction) followed by ponatinib last induction phase dose with cytarabine, 1000 mg/m\^2 as 2-hour IV infusion (\<60 yrs) and 250 mg/m\^2 (≥60 yrs) every 12 hours, IV on Days 1, 3, 5 of Cycles 2,4,6 and methotrexate, 1000 mg/m\^2 (\<60 yrs) and 250 mg/m\^2 (≥60 yrs), IV infusion, on Day 1 of cycles 1, 3, 5 in consolidation phase (CP) followed by ponatinib last consolidation phase dose with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Day 1 and prednisone 200 mg (\<60 yrs), 100 mg (≥60-69 yrs) and 50 mg(≥70 yrs) on Days 1 to 5 for up to 11 cycles in maintenance phase (MP) up to data cut-off date: 12 August 2022.
    id
    EG000
    other Num Affected
    159
    other Num At Risk
    163
    serious Num Affected
    97
    serious Num At Risk
    163
    title
    Cohort A: Ponatinib 30 mg
  2. deaths Num Affected
    13
    deaths Num At Risk
    81
    description
    Imatinib 600 mg, tablets, orally, QD, with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Days 1 and 14 and dexamethasone 40 mg (\<60 yrs) and 20 mg (≥60 yrs), orally, once on Days 1 to 4 and Days 11 to 14 in each 28-day cycle for up to 3 cycles in the induction phase followed by imatinib 600 mg, tablets, orally, QD, with cytarabine, 1000 mg/m\^2 every 12 hours as a 2-hour-IV infusion (\<60 yrs) and 250 mg/m\^2 every 12 hours (≥60 yrs), IV on Days 1, 3, and 5 of each 28-day even cycles (Cycles 2, 4, and 6), and methotrexate, 1000 mg/m\^2 (\<60 yrs) and 250 mg/m\^2 (≥60 yrs), IV infusion, on Day 1 of each 28-day odd cycles (Cycle 1, 3, and 5) in consolidation phase followed by imatinib 600 mg, tablets, orally, QD, along with vincristine 1.4 mg/m\^2 (max 2 mg), IV, on Day 1 and prednisone 200 mg (\<60 yrs), 100 mg (≥60-69 yrs) and 50 mg (≥70 yrs) on Days 1 through 5 in each 28-day cycle up to 11 cycles in maintenance phase up to data cut-off date: 12 August 2022.
    id
    EG001
    other Num Affected
    80
    other Num At Risk
    81
    serious Num Affected
    45
    serious Num At Risk
    81
    title
    Cohort B: Imatinib 600 mg
frequency Threshold
5
other Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      67
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      27
      num At Risk
      81
    term
    Alanine aminotransferase increased
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      44
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      29
      num At Risk
      81
    term
    Lipase increased
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      39
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      26
      num At Risk
      81
    term
    Platelet count decreased
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      34
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      26
      num At Risk
      81
    term
    Neutrophil count decreased
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      39
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      15
      num At Risk
      81
    term
    Aspartate aminotransferase increased
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      25
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      20
      num At Risk
      81
    term
    White blood cell count decreased
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      21
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Gamma-glutamyltransferase increased
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      19
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Blood lactate dehydrogenase increased
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      16
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      10
      num At Risk
      81
    term
    Amylase increased
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      14
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      7
      num At Risk
      81
    term
    Blood alkaline phosphatase increased
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      10
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      8
      num At Risk
      81
    term
    Blood creatinine increased
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Investigations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      14
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Blood bilirubin increased
serious Events
  1. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Septic shock
  2. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      7
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      81
    term
    COVID-19
  3. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      6
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      81
    term
    Sepsis
  4. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      4
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      3
      num At Risk
      81
    term
    Pneumonia
  5. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      2
      num At Risk
      81
    term
    COVID-19 pneumonia
  6. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      1
      num At Risk
      81
    term
    Cellulitis
  7. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Device related infection
  8. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      3
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Urinary tract infection
  9. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Bacteraemia
  10. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Klebsiella sepsis
  11. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      2
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Vascular device infection
  12. assessment Type
    SYSTEMATIC_ASSESSMENT
    organ System
    Infections and infestations
    source Vocabulary
    MedDRA25.0
    stats
    1. group Id
      EG000
      num Affected
      1
      num At Risk
      163
    2. group Id
      EG001
      num Affected
      0
      num At Risk
      81
    term
    Abdominal sepsis
time Frame
From signing of informed consent up to data cut-off date: 12 August 2022 (up to 46 months 1 week)

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Preserved source evidence · Not medical advice