The poor prognosis of low hypodiploidy in adults with B-cell precursor acute lymphoblastic leukaemia is restricted to older adults and elderly patients

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Ribera, J
  • Granada, I
  • Morgades, M
  • Vives, S
  • Genesca, E
  • Gonzalez, C
  • Nomdedeu, J
  • Escoda, L
  • Mercadal, S
  • Coll, R
  • Gonzalez-Campos, J
  • Abella, E
  • Barba, P
  • Bermudez, A
  • Pedreno, M
  • Martinez-Carballeira, D
  • Hernandez-Rivas, JM
  • Orfao, A
  • Martinez-Lopez, J
  • Esteve, J
  • Bravo, P
  • Garcia-Guinon, A
  • Deben, G
  • Moraleda, JM
  • Queizan, JA
  • Ortin, X
  • Feliu, E
  • Sole, F
  • Ribera, JM

Grupos

Abstract

The prognostic significance of low-hypodiploidy has not been extensively evaluated in minimal residual disease (MRD)-oriented protocols for adult acute lymphoblastic leukaemia (ALL). We analysed the outcome of hypodiploid adult ALL patients treated within Programa Espanol de Tratamientos en Hematologia (PETHEMA) protocols. The 5-year cumulative incidence of relapse (CIR) of low-hypodiploid B-cell precursor (BCP)-ALL was significantly higher than that of high-hypodiploids (52% vs. 12%, P = 0.013). Low-hypodiploid BCP-ALL patients aged <= 35 years showed superior survival (71% vs. 21%, P = 0.026) and lower 5-year CIR (17% vs. 66%, P = 0.090) than low-hypodiploids aged >35 years. Older adults and elderly low-hypodiploid BCP-ALL patients show dismal prognosis although achieving an end-induction good MRD response.

Datos de la publicación

ISSN/ISSNe:
0007-1048, 1365-2141

BRITISH JOURNAL OF HAEMATOLOGY  WILEY

Tipo:
Article
Páginas:
263-268
PubMed:
30916384
Factor de Impacto:
1,844 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 7

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Keywords

  • acute lymphoblastic leukaemia; adults; hypodiploidy; prognosis; age

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