Minimal residual disease predicts outcomes in KMT2A-rearranged but not KMT2A-germline infant acute lymphoblastic leukemia: Report from Children's Oncology Group study AALL0631

Kelly E. Faulk, John A. Kairalla, Zo Ann E. Dreyer, Andrew J. Carroll, Nyla A. Heerema, Meenakshi Devidas, William L. Carroll, Elizabeth A. Raetz, Mignon L. Loh, Stephen P. Hunger, Michael Borowitz, Cindy Wang, Erin Guest, Patrick A. Brown

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Article numbere30467
JournalPediatric Blood and Cancer
Volume70
Issue number9
DOIs
StatePublished - Sep 2023
Externally publishedYes

Keywords

  • acute lymphoblastic leukemia
  • infant leukemia
  • minimal residual disease

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