Table 3.

Mutations impacting the selection of the subsequent-line 2G TKI or of ponatinib

MutationContraindicated TKI(s)
Y253H Nilotinib 
E255K Nilotinib, bosutinib 
E255V Nilotinib 
V299L Dasatinib, bosutinib 
T315I Dasatinib, nilotinib, bosutinib 
T315A Dasatinib 
T315L Ponatinib (asciminib?) 
T315M Ponatinib (asciminib?) 
F317L Dasatinib 
F317V Dasatinib 
F317I Dasatinib 
F317C Dasatinib 
F359V Nilotinib (asciminib) 
F359I Nilotinib (asciminib) 
F359C Nilotinib (asciminib) 
MutationContraindicated TKI(s)
Y253H Nilotinib 
E255K Nilotinib, bosutinib 
E255V Nilotinib 
V299L Dasatinib, bosutinib 
T315I Dasatinib, nilotinib, bosutinib 
T315A Dasatinib 
T315L Ponatinib (asciminib?) 
T315M Ponatinib (asciminib?) 
F317L Dasatinib 
F317V Dasatinib 
F317I Dasatinib 
F317C Dasatinib 
F359V Nilotinib (asciminib) 
F359I Nilotinib (asciminib) 
F359C Nilotinib (asciminib) 

List of single mutations that, when detected, should exclude one or more 2G TKIs or ponatinib from the decision algorithm. All mutations except V299L, T315A, T315L, and T315M are also resistant to imatinib. Asciminib has been included, in brackets, for some mutations based on in vitro or in vivo data. This list will grow once asciminib resistance mutations are fully elucidated.

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