Predictors of outcome in adults with BCR-ABL negative acute lymphoblastic leukemia treated with a pediatric-based regimen

被引:4
作者
Brandwein, Joseph M. [1 ]
Atenafu, Eshetu G. [2 ]
Schuh, Andre C. [1 ]
Yee, Karen W. L. [1 ]
Schimmer, Aaron D. [1 ]
Gupta, Vikas [1 ]
Minden, Mark D. [1 ]
机构
[1] Univ Toronto, Princess Margaret Canc Ctr, Dept Med Oncol & Hematol, Toronto, ON, Canada
[2] Univ Toronto, Princess Margaret Canc Ctr, Dept Biostat, Toronto, ON, Canada
关键词
Acute lymphoblastic leukemia; Leukemia; Chemotherapy; Prognostic factors; ACUTE LYMPHOCYTIC-LEUKEMIA; MINIMAL RESIDUAL DISEASE; ALLOGENEIC TRANSPLANTATION; STANDARD-RISK; CHEMOTHERAPY; ADOLESCENTS; TRIAL; METAANALYSIS; REMISSION; SURVIVAL;
D O I
10.1016/j.leukres.2013.10.025
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We retrospectively evaluated the outcome of 156 adults age 17-60 with BCR-ABL negative acute lymphoblastic leukemia treated with a pediatric-inspired protocol. The CR rate was 93%; 5-year overall survival (OS) and disease-free survival were 66% and 70%, respectively. Age <34 years and low presenting WBC were independent predictors of favorable OS (p<0.0001). The 5 year OS of patients age <34 and 34-60 presenting with a low WBC were 85% and 57%, respectively; the 5 year OS for those presenting with a high WBC were 57% and 30%, respectively. Cytogenetics and phenotype were not independent predictors of OS. (C) 2014 Published by Elsevier Ltd.
引用
收藏
页码:532 / 536
页数:5
相关论文
共 26 条
[1]   Treatment of adult acute lymphoblastic leukemia (ALL): long-term follow-up of the GIMEMA ALL 0288 randomized study [J].
Annino, L ;
Vegna, ML ;
Camera, A ;
Specchia, G ;
Visani, G ;
Fioritoni, G ;
Ferrara, F ;
Peta, A ;
Ciolli, S ;
Deplano, W ;
Fabbiano, F ;
Sica, S ;
Di Raimondo, F ;
Cascavilla, N ;
Tabilio, A ;
Leoni, P ;
Invernizzi, R ;
Baccarani, M ;
Rotoli, B ;
Amadori, S ;
Mandelli, F .
BLOOD, 2002, 99 (03) :863-871
[2]   NOTCH1/FBXW7 mutation identifies a large subgroup with favorable outcome in adult T-cell acute lymphoblastic leukemia (T-ALL): a Group for Research on Adult Acute Lymphoblastic Leukemia (GRAALL) study [J].
Asnafi, Vahid ;
Buzyn, Agnes ;
Le Noir, Sandrine ;
Baleydier, Frederic ;
Simon, Arnauld ;
Beldjord, Kheira ;
Reman, Oumedaly ;
Witz, Francis ;
Fagot, Thierry ;
Tavernier, Emmanuelle ;
Turlure, Pascal ;
Leguay, Thibaut ;
Huguet, Francoise ;
Vernant, Jean-Paul ;
Daniel, Francis ;
Bene, Marie-Christine ;
Ifrah, Norbert ;
Thomas, Xavier ;
Dombret, Herve ;
Macintyre, Elizabeth .
BLOOD, 2009, 113 (17) :3918-3924
[3]   Favorable outcome for adolescents with acute lymphoblastic leukemia treated on Dana-Farber Cancer Institute Acute Lymphoblastic Leukemia Consortium Protocols [J].
Barry, Elly ;
DeAngelo, Daniel J. ;
Neuberg, Donna ;
Stevenson, Kristen ;
Loh, Mignon L. ;
Asselin, Barbara L. ;
Barr, Ronald D. ;
Clavell, Luis A. ;
Hurwitz, Craig A. ;
Moghrabi, Albert ;
Samson, Yvan ;
Schorin, Marshall ;
Cohen, Harvey J. ;
Sallan, Stephen E. ;
Silverman, Lewis B. .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (07) :813-819
[4]   Clinical significance of minimal residual disease in childhood acute lymphoblastic leukemia and its relationship to other prognostic factors: a Children's Oncology Group study [J].
Borowitz, Michael J. ;
Devidas, Meenakshi ;
Hunger, Stephen P. ;
Bowman, W. Paul ;
Carroll, Andrew J. ;
Carroll, William L. ;
Linda, Stephen ;
Martin, Paul L. ;
Pullen, D. Jeanette ;
Viswanatha, David ;
Willman, Cheryl L. ;
Winick, Naomi ;
Camitta, Bruce M. .
BLOOD, 2008, 111 (12) :5477-5485
[5]   A subtype of childhood acute lymphoblastic leukaemia with poor treatment outcome: a genome-wide classification study [J].
Den Boer, Monique L. ;
van Slegtenhorst, Marjon ;
De Menezes, Renee X. ;
Cheok, Meyling H. ;
Buijs-Gladdines, Jessica G. C. A. M. ;
Peters, Susan T. C. J. M. ;
Van Zutven, Laura C. M. ;
Beverloo, H. Berna ;
Van der Spek, Peter J. ;
Escherich, Gaby ;
Horstmann, Martin A. ;
Janka-Schoub, Gritta E. ;
Kamps, Willem A. ;
Evans, William E. ;
Pieters, Rob .
LANCET ONCOLOGY, 2009, 10 (02) :125-134
[6]   In adults with standard-risk acute lymphoblastic leukemia, the greatest benefit is achieved from a matched sibling allogeneic transplantation in first complete remission, and an autologous transplantation is less effective than conventional consolidation/maintenance chemotherapy in all patients: final results of the International ALL Trial (MRC UKALL XII/ECOG E2993) [J].
Goldstone, Anthony H. ;
Richards, Susan M. ;
Lazarus, Hillard M. ;
Tallman, Martin S. ;
Buck, Georgina ;
Fielding, Adele K. ;
Burnett, Alan K. ;
Chopra, Raj ;
Wiernik, Peter H. ;
Foroni, Letizia ;
Paietta, Elisabeth ;
Litzow, Mark R. ;
Marks, David I. ;
Durrant, Jill ;
McMillan, Andrew ;
Franklin, Ian M. ;
Luger, Selina ;
Ciobanu, Niculae ;
Rowe, Jacob M. .
BLOOD, 2008, 111 (04) :1827-1833
[7]   Allogeneic, but not autologous, hematopoietic cell transplantation improves survival only among younger adults with acute lymphoblastic leukemia in first remission: an individual patient data meta-analysis [J].
Gupta, Vikas ;
Richards, Sue ;
Rowe, Jacob .
BLOOD, 2013, 121 (02) :339-350
[8]   Pediatric-Inspired Therapy in Adults With Philadelphia Chromosome-Negative Acute Lymphoblastic Leukemia: The GRAALL-2003 Study [J].
Huguet, Francoise ;
Leguay, Thibaut ;
Raffoux, Emmanuel ;
Thomas, Xavier ;
Beldjord, Kheira ;
Delabesse, Eric ;
Chevallier, Patrice ;
Buzyn, Agnes ;
Delannoy, Andre ;
Chalandon, Yves ;
Vernant, Jean-Paul ;
Lafage-Pochitaloff, Marina ;
Chassevent, Agnes ;
Lheritier, Veronique ;
Macintyre, Elizabeth ;
Bene, Marie-Christine ;
Ifrah, Norbert ;
Dombret, Herve .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (06) :911-918
[9]   Inotuzumab ozogamicin, an anti-CD22-calecheamicin conjugate, for refractory and relapsed acute lymphocytic leukaemia: a phase 2 study [J].
Kantarjian, Hagop ;
Thomas, Deborah ;
Jorgensen, Jeffrey ;
Jabbour, Elias ;
Kebriaei, Partow ;
Rytting, Michael ;
York, Sergernne ;
Ravandi, Farhad ;
Kwari, Monica ;
Faderl, Stefan ;
Rios, Mary Beth ;
Cortes, Jorge ;
Fayad, Luis ;
Tarnai, Robert ;
Wang, Sa A. ;
Champlin, Richard ;
Advani, Anjali ;
O'Brien, Susan .
LANCET ONCOLOGY, 2012, 13 (04) :403-411
[10]   Results of treatment with Hyper-CVAD, a dose-intensive regimen, in adult acute lymphocytic leukemia [J].
Kantarjian, HM ;
O'Brien, S ;
Smith, TL ;
Cortes, J ;
Giles, FJ ;
Beran, M ;
Pierce, S ;
Huh, Y ;
Andreeff, M ;
Koller, C ;
Ha, CS ;
Keating, MJ ;
Murphy, S ;
Freireich, EJ .
JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (03) :547-561