Eight patients had primary resistance to dasatinib (patients #1–8 in Table 1 and Figure 1). In all these patients, a T315I or a F317L mutation was already detectable before the onset of treatment or became detectable after 1 month. Interestingly, in two of these cases relapse was associated with the selection of novel amino acid substitutions – a threonine to alanine change at codon 315 (T315A) and a phenylalanine to isoleucine change at codon 317 (F317I).