Abstract
We measured minimal residual disease (MRD) by multiparameter flow cytometry at three time points (TP) in 117 infants with KMT2A (lysine [K]-specific methyltransferase 2A)-rearranged and 58 with KMT2A-germline acute lymphoblastic leukemia (ALL) on Children's Oncology Group AALL0631 study. For KMT2A-rearranged patients, 3-year event-free survival (EFS) by MRD-positive (≥0.01%) versus MRD-negative (<0.01%) was: TP1: 25% (±6%) versus 49% (±7%; p =.0009); TP2: 21% (±8%) versus 47% (±7%; p <.0001); and TP3: 22% (±14%) versus 51% (±6%; p =.0178). For KMT2A-germline patients, 3-year EFS was: TP1: 88% (±12%) versus 87% (±5%; p =.73); TP2: 100% versus 88% (±5%; p =.24); and TP3: 100% versus 87% (±5%; p =.53). MRD was a strong independent outcome predictor in KMT2A-rearranged, but not KMT2A-germline infant ALL.
Original language | English |
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Article number | e30467 |
Journal | Pediatric Blood and Cancer |
Volume | 70 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2023 |
Externally published | Yes |
Keywords
- acute lymphoblastic leukemia
- infant leukemia
- minimal residual disease