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OncoMatch/Leukemia — Chronic Myeloid (CML)/ABL1 kinase domain mutation

Leukemia — Chronic Myeloid (CML)ABL1 kinase domain mutation Clinical Trials

19 recruiting trials·Updated daily from ClinicalTrials.gov

ABL1 kinase domain mutations — most notably T315I — are the primary mechanism of TKI resistance in CML, conferring varying degrees of resistance to first-, second-, and third-generation inhibitors. The T315I 'gatekeeper' mutation is uniquely resistant to all ATP-competitive TKIs except ponatinib; asciminib (STAMP inhibitor binding the myristoyl pocket) is active against T315I. Trials investigate mutation-specific treatment sequencing, asciminib combinations, and novel allosteric ABL1 inhibitors.

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BCR::ABL1