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BCR-ABL1�positive cells outside the B-lineage compartment are found in 40% of adult patients with BCR-ABL1�positive BCP-ALL. Selection of preexisting CD19� subclones is a potential source of tumor escape after CD19-targeted therapies in adult Philadelphia chromosome�positive ALL.
Among adults with MRD-positive ALL in hematologic remission after chemotherapy, 78% achieved a complete MRD response with blinatumomab...Complete MRD response after blinatumomab treatment in this population was associated with significantly improved OS.
NCCN offers clinical guidelines to guide the treatment and care of patients with multiple myeloma. (Create a free account profile to access guidelines.)
This online, no-cost CME activity, features presentations on current and evolving MM patient care practices and discussions of how they are likely to evolve over the next 3 to 5 years.
"Adults with relapsed or refractory B-precursor acute lymphoblastic leukaemia have an unfavourable prognosis... This study aimed to confirm the activity and safety profile of blinatumomab for ALL."
"Initial imatinib-based therapy of Ph+ adult ALL is associated with lower early mortality and higher CR rate. In adults with Ph+ ALL, allogeneic SCT in first CR prolongs relapse-free survival and OS."
"Assessment of measurable residual disease (MRD) is rapidly transforming the therapeutic and prognostic landscape of a wide range of hematological malignancies. Its prognostic value in acute lymphoblastic leukemia (ALL) has been established and MRD measured at the end of induction is increasingly used to guide further therapy. Although MRD detectable immediately before allogeneic hematopoietic cell transplantation (HCT) is known to be associated with poor outcomes, it is unclear if or to what extent this differs with different types of conditioning."
"Ten of 36 patients (28%) achieved an OS ?30 months in a blinatumomab study in relapsed/refractory acute lymphoblastic leukemia. Long-term survival may be associated with T-cell expansion, B-cell depletion, and a minimal residual disease response."
"BCR-ABL1�positive cells outside the B-lineage compartment are found in 40% of adult patients with BCR-ABL1�positive BCP-ALL. Selection of preexisting CD19� subclones is a potential source of tumor escape after CD19-targeted therapies in adult Philadelphia chromosome�positive ALL."
"Authors identified genetic mutations in�CD19�and loss of heterozygosity at the time of CD19��relapse to chimeric antigen receptor (CAR) therapy."
"In adults with relapsed/refractory ALL receiving first salvage therapy, achievement of MRD negativity is an important therapeutic outcome. Patients who achieve MRD negativity with first salvage treatment and undergo SCT have the best long-term survival."
Preinfusion dim CD19 expression and rare CD19� events in B-ALL do not affect relapses or responses to CD19-directed CAR T-cells... Prior blinatumomab treatment increases the rate of failure to achieve MRD� remission and CD19� MRD and relapse.
"Among adults with MRD-positive ALL in hematologic remission after chemotherapy, 78% achieved a complete MRD response with blinatumomab... Complete MRD response after blinatumomab treatment in this population was associated with significantly improved OS."
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