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首页> 外文期刊>European Journal of Haematology >IKZF1(plus) alterations are not associated with outcomes in Philadelphia-positive acute lymphoblastic leukemia patients enrolled in the FBMTG ALL/MRD2008 trial
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IKZF1(plus) alterations are not associated with outcomes in Philadelphia-positive acute lymphoblastic leukemia patients enrolled in the FBMTG ALL/MRD2008 trial

机译:IKZF1(plus) alterations are not associated with outcomes in Philadelphia-positive acute lymphoblastic leukemia patients enrolled in the FBMTG ALL/MRD2008 trial

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摘要

Objective: The prognostic significance of IKZF1(plus) in adult Philadelphia-positive acute lymphoblastic leukemia (Ph+ ALL) patients had remained to be clarified.Methods: We conducted a prospective, multicenter study, the ALL/MRD2008 trial, and investigated the clinical significance of IKZF1(plus).Results: From December 2008 to November 2013, 38 untreated Ph+ ALL patients were enrolled. At the end of the induction, 97.4 of patients (37/38) achieved complete hematological remission, with MRD-negativity of 48.6 (18/37). There were 19 patients with IKZF1(plus), 13 with IKZF1 deletion alone (Delta IKZF1) and 4 with no IKZF1 deletions (no Delta IKZF1). The probability of 3-year DFS and OS in these Ph+ ALL patients were 50 (95 confidence interval CI, 33-65) and 55 (95 CI, 38-69), respectively. There was no significant difference between IKZF1(plus), Delta IKZF1, and no Delta IKZF1 in DFS (47, 54, 75 p = .63) or OS (47, 62, NA p = .39).Conclusions: We revealed no relationship between IKZF1(plus) status and survival outcomes in Ph+ ALL patients treated with imatinib/dasatinib combination chemotherapy. Further investigations are warranted to clarify the prognostic significance of IKZF1(plus) in adult Ph+ ALL patients.

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