Prognostic heterogeneity of adult B-cell precursor acute lymphoblastic leukaemia patients with t(1;19)(q23;p13)/ TCF3-PBX1 treated with measurable residual disease-oriented protocols

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Ribera, Jordi
  • Granada, Isabel
  • Morgades, Mireia
  • Gonzalez, Teresa
  • Ciudad, Juana
  • Calasanz, Maria-Jose
  • Mercadal, Santiago
  • Coll, Rosa
  • Gonzalez-Campos, Jose
  • Tormo, Mar
  • Garcia-Cadenas, Irene
  • Gil, Cristina
  • Cervera, Marta
  • Barba, Pere
  • Costa, Dolors
  • Ayala, Rosa
  • Bermudez, Arancha
  • Orfao, Alberto
  • Ribera, Josep-Maria

Grupos

Abstract

The prognosis of t(1;19)(q23;p13)/transcription factor 3-pre-B-cell leukaemia homeobox 1 (TCF3-PBX1) in adolescent and adult patients with acute lymphoblastic leukaemia (ALL) treated with measurable residual disease (MRD)-oriented trials remains controversial. In the present study, we analysed the outcome of adolescent and adult patients with t(1;19)(q23;p13) enrolled in paediatric-inspired trials. The patients with TCF3-PBX1 showed similar MRD clearance and did not have different survival compared with other B-cell precursor ALL patients. However, patients with TCF3-PBX1 had a significantly higher cumulative incidence of relapse, especially among patients aged =35 years carrying additional cytogenetic alterations. These patients might benefit from additional/intensified therapy (e.g. immunotherapy in first complete remission with or without subsequent haematopoietic stem cell transplantation).

© 2021 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd.

Datos de la publicación

ISSN/ISSNe:
0007-1048, 1365-2141

BRITISH JOURNAL OF HAEMATOLOGY  WILEY

Tipo:
Article
Páginas:
670-675
PubMed:
34549416
Factor de Impacto:
1,677 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 6

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Keywords

  • acute lymphoblastic leukaemia, adults, cytogenetic alterations, prognosis, t(1;19)(q23;p13)/TCF3-PBX1

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