Ponatinib
| Biomarker requirement | Regimen | Setting | Conditions |
|---|---|---|---|
| Acute lymphoblastic leukaemia3 | |||
Philadelphia chromosome (BCR::ABL1 translocation) | + reduced-intensity chemotherapy | 1L | None |
Philadelphia chromosome (BCR::ABL1 translocation) | Monotherapy | 2L | Resistant to dasatinib, or intolerant to dasatinib and subsequent treatment with imatinib is not clinically appropriate |
T315I, Philadelphia chromosome-positive | Monotherapy | Any line | None |
| Chronic myeloid leukaemia4 | |||
BCR::ABL1 fusion (defines the disease) | Monotherapy | 2L | Resistant to dasatinib or nilotinib, or intolerant to dasatinib or nilotinib and subsequent treatment with imatinib is not clinically appropriate |
BCR::ABL1 fusion (defines the disease) | Monotherapy | 2L | Chronic phase only; Children and adolescents only; Resistant to dasatinib or nilotinib, or intolerant to dasatinib or nilotinib and subsequent treatment with imatinib is not clinically appropriate; Aged 6 years or older |
BCR::ABL1 T315I | Monotherapy | Any line | None |
BCR::ABL1 T315I | Monotherapy | Any line | Chronic phase only; Children and adolescents only; Aged 6 years or older |
Full text of section 4.1 (therapeutic indications)
Iclusig is indicated as monotherapy in adult patients with • chronic phase, accelerated phase, or blast phase chronic myeloid leukaemia (CML) who are resistant to dasatinib or nilotinib; who are intolerant to dasatinib or nilotinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation • Philadelphia chromosome positive acute lymphoblastic leukaemia (Ph+ ALL) who are resistant to dasatinib; who are intolerant to dasatinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation. Iclusig is indicated in combination with reduced-intensity chemotherapy in adult patients with newly diagnosed Ph+ ALL (see section 5.1). Iclusig is indicated as monotherapy in paediatric patients 6 years of age or older with • chronic phase chronic myeloid leukaemia (CP-CML) who are resistant to dasatinib or nilotinib; who are intolerant to dasatinib or nilotinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation. See sections 4.2 for the assessment of cardiovascular status prior to start of therapy and 4.4 for situations where an alternative treatment may be considered.
Label history
43 changes to the Iclusig label since 2013, 2 of them to the indications. Newest first, in the words of EMA's record of each procedure.
Changes