Article ; Online: MRD in adult Ph/BCR-ABL-negative ALL: how best to eradicate?
Hematology. American Society of Hematology. Education Program
2022 Volume 2021, Issue 1, Page(s) 718–725
Abstract: Evaluation of minimal residual disease (MRD) during first-line treatment and after salvage therapy is part of the standard management of acute lymphoblastic leukemia (ALL). Persistent or recurrent MRD is one of the most relevant prognostic factors and ... ...
Abstract | Evaluation of minimal residual disease (MRD) during first-line treatment and after salvage therapy is part of the standard management of acute lymphoblastic leukemia (ALL). Persistent or recurrent MRD is one of the most relevant prognostic factors and identifies a group of patients with resistance to standard chemotherapy. These patients have a high risk of relapse despite continued first-line therapy. Although stem cell transplantation (SCT) is an appropriate strategy, patients with high MRD show an increased relapse rate even after SCT. Approximately one-quarter of adult ALL patients develop an MRD failure, defined as MRD above 0.01% after standard induction and consolidation. The best time point and level of MRD for treatment modification are matters of debate. In order to eradicate MRD and thereby improve chances for a cure, new targeted compounds with different mechanisms of action compared to chemotherapy are being utilized. These compounds include monoclonal antibodies, chimeric antigen receptor T cells, and molecular targeted compounds. Essential factors for decision-making, available compounds, and follow-up therapies are discussed. |
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MeSH term(s) | Adult ; Hematopoietic Stem Cell Transplantation ; Humans ; Neoplasm, Residual ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Prognosis ; Recurrence ; Treatment Outcome |
Language | English |
Publishing date | 2022-01-27 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2084287-9 |
ISSN | 1520-4383 ; 1520-4391 |
ISSN (online) | 1520-4383 |
ISSN | 1520-4391 |
DOI | 10.1182/hematology.2021000224 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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