Here, we report a case with a NUP214-ABL1 fusion detected at relapse by multiplexed, targeted RNA sequencing....we started CD19-directed therapy with blinatumomab, highly effective in eradicating MRD,22 and switched dasatinib to ponatinib...Indeed, 4 weeks after this therapeutic change, MRD was absent by flow cytometry and NGS...this data demonstrates for the first time that the combination of blinatumomab with ponatinib has the potential to effectively treat dasatinib-resistance manifesting as MRD recurrence in NUP214-ABL1+B-ALL.