Good evening to all,
Below is some info on Ponatinib.  The common side effects are  listed.
The most common side effects reported in the clinical trial include  
hypertension, rash, abdominal pain, fatigue, headache, dry skin, constipation,  
fever, joint pain, and nausea.
So far I have the rash, headache, abdominal pain, dry skin, and  nausea.  
Some of these I have had before.  The rash is quite bad, but  they say don't 
put anything on it.
Blessings Jeanie<3
Ponatinib
On December 14, 2012, the U. S. Food and Drug Administration  granted 
accelerated approval to ponatinib (Iclusig tablets, ARIAD  Pharmaceuticals, 
Inc.) 
for the treatment of adult patients with chronic phase,  accelerated phase, 
or blast phase chronic myeloid leukemia (CML) that is  resistant or 
intolerant to prior tyrosine kinase inhibitor therapy or  Philadelphia 
chromosome 
positive acute lymphoblastic leukemia (Ph+ALL) that is  resistant or 
intolerant to prior tyrosine kinase inhibitor therapy. 
 
The approval was based on the results of the PACE trial, a multicenter,  
international, single-arm clinical trial of 449 patients with disease that was 
 resistant or intolerant to prior tyrosine kinase inhibitor therapy. The 
primary  endpoints were Major Cytogenetic Response (MCyR) for patients with 
CP-CML and  Major Hematologic Response (MaHR) for patients with AP-CML, BP-CML 
or Ph+ALL.  FDA required that the sponsor commit to submit 24-month 
follow-up data for all  patients as a condition for the accelerated approval.
 
The efficacy results demonstrated a 54% MCyR rate in patients with CP-CML.  
Seventy percent of patients with CP-CML with T315I mutation achieved MCyR. 
The  median duration of MCyR had not yet been reached at the time of 
analysis. For  patients with AP-CML, BP-CML and Ph+ ALL, the MaHR rates were 
52%, 
31% and 41%,  respectively. The median duration of MaHR in patients with 
AP-CML, BP-CML and  Ph+ ALL was 9.5 months, 4.7 months and 3.2 months 
respectively.
 
Iclusig is being approved with a Boxed Warning alerting patients and  
healthcare professionals that arterial thrombosis and liver toxicity have  
occurred in Iclusig-treated patients. The most common side effects reported in  
the clinical trial include hypertension, rash, abdominal pain, fatigue,  
headache, dry skin, constipation, fever, joint pain, and nausea.
 
The recommended dose and schedule for ponatinib is 45 mg taken orally once  
daily with or without food.
 
Full prescribing information is available at: 
http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/203469lbl.pdf1
 
Healthcare professionals should report all serious adverse events suspected 
 to be associated with the use of any medicine and device to FDA’s MedWatch 
 Reporting System by completing a form online at 
http://www.fda.gov/medwatch/report.htm2,  by faxing (1-800-FDA-0178) or mailing 
the postage-paid 
address form provided  online, or by telephone (1-800-FDA-1088).

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