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Minimal residual disease and outcome characteristics in infant KMT2A-germline acute lymphoblastic leukaemia treated on the Interfant-06 protocol
J. Stutterheim, P. de Lorenzo, IM. van der Sluis, J. Alten, P. Ancliffe, A. Attarbaschi, L. Aversa, JM. Boer, A. Biondi, B. Brethon, P. Diaz, G. Cazzaniga, G. Escherich, A. Ferster, RS. Kotecha, B. Lausen, AW. Leung, F. Locatelli, L. Silverman,...
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- akutní lymfatická leukemie komplikace mortalita patologie MeSH
- analýza přežití MeSH
- kojenec MeSH
- lidé MeSH
- prognóza MeSH
- reziduální nádor etiologie patologie MeSH
- výsledek terapie MeSH
- zárodečné buňky MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: The outcome of infants with KMT2A-germline acute lymphoblastic leukaemia (ALL) is superior to that of infants with KMT2A-rearranged ALL but has been inferior to non-infant ALL patients. Here, we describe the outcome and prognostic factors for 167 infants with KMT2A-germline ALL enrolled in the Interfant-06 study. METHODS: Univariate analysis on prognostic factors (age, white blood cell count at diagnosis, prednisolone response and CD10 expression) was performed on KMT2A-germline infants in complete remission at the end of induction (EOI; n = 163). Bone marrow minimal residual disease (MRD) was measured in 73 patients by real-time quantitative polymerase chain reaction at various time points (EOI, n = 68; end of consolidation, n = 56; and before OCTADAD, n = 57). MRD results were classified as negative, intermediate (<5∗10-4), and high (≥5∗10-4). RESULTS: The 6-year event-free and overall survival was 73.9% (standard error [SE] = 3.6) and 87.2% (SE = 2.7). Relapses occurred early, within 36 months from diagnosis in 28 of 31 (90%) infants. Treatment-related mortality was 3.6%. Age <6 months was a favourable prognostic factor with a 6-year disease-free survival (DFS) of 91% (SE = 9.0) compared with 71.7% (SE = 4.2) in infants >6 months of age (P = 0.04). Patients with high EOI MRD ≥5 × 10-4 had a worse outcome (6-year DFS 61.4% [SE = 12.4], n = 16), compared with patients with undetectable EOI MRD (6-year DFS 87.9% [SE = 6.6], n = 28) or intermediate EOI MRD <5 × 10-4 (6-year DFS 76.4% [SE = 11.3], n = 24; P = 0.02). CONCLUSION: We conclude that young age at diagnosis and low EOI MRD seem favourable prognostic factors in infants with KMT2A-germline ALL and should be considered for risk stratification in future clinical trials.
Berlin Frankfurt Miu nster Group Germany Kiel Germany
Center of Bioinformatics Biostatistics and Bioimaging University of Milano Bicocca Monza Italy
Chilean National Pediatric Oncology Group Santiago Chile
Czech Working Group for Pediatric Hematology Prague Czech Republic
Dana Farber Cancer Institute Pediatric Oncology Boston MA USA
Department of Immunology Erasmus University Medical Center the Netherlands
Department of Pediatric Hematology University Robert Debre Hospital APHP Paris France
Dutch Childhood Oncology Group Utrecht the Netherlands
European Organisation for Research and Treatment of Cancer Children Leukemia Group Brussels Belgium
German Cooperative Study Group for Childhood Acute Lymphoblastic Leukemia Hamburg Germany
Oncode Institute Utrecht the Netherlands
Pediatric Oncology Princess Máxima Center for Pediatric Oncology Utrecht the Netherlands
Rigshospitalet University Hospital Department of Pediatrics Copenhagen Denmark
St Anna Children's Hospital Pediatric Hematology and Oncology Austria
Telethon Kids Cancer Centre Telethon Kids Institute University of Western Australia Perth Australia
United Kingdom Children Cancer Study Group London United Kingdom
Citace poskytuje Crossref.org
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