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An Observational Study of Chinese Adults with Relapsed/refractory Philadelphia-negative Acute Lymphoblastic Leukemia

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Date 2018 Nov 9
PMID 30405901
Citations 3
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Abstract

Aim: Chinese adults with relapsed/refractory Philadelphia chromosome-negative B-cell precursor acute lymphoblastic leukemia (Ph- ALL) have poor outcomes.

Patients & Methods: We conducted a nationwide, retrospective, observational study to assess outcomes in this patient population.

Results: Of the 270 enrolled patients, 31% of patients at last salvage achieved complete remission (CR) or CR with partial hematologic recovery (CRh), with median time to CR/CRh of 30 days and median CR/CRh duration of 2.7 months. The CR/CRh rate was more favorable with earlier versus later lines of salvage (41, 24 and 17% at first, second and third or later salvages, respectively).

Conclusion: This dataset serves as an important reference of real-world outcomes using currently available chemotherapy regimens for high-risk Chinese adults with relapsed/refractory Ph- ALL.

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Inotuzumab ozogamicin versus standard of care in Asian patients with relapsed/refractory acute lymphoblastic leukemia.

Fujishima N, Uchida T, Onishi Y, Jung C, Goh Y, Ando K Int J Hematol. 2019; 110(6):709-722.

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References
1.
Kantarjian H, Thomas D, Jorgensen J, Jabbour E, Kebriaei P, Rytting M . Inotuzumab ozogamicin, an anti-CD22-calecheamicin conjugate, for refractory and relapsed acute lymphocytic leukaemia: a phase 2 study. Lancet Oncol. 2012; 13(4):403-11. DOI: 10.1016/S1470-2045(11)70386-2. View

2.
Gokbuget N, Hoelzer D, Arnold R, Bohme A, Bartram C, Freund M . Treatment of Adult ALL according to protocols of the German Multicenter Study Group for Adult ALL (GMALL). Hematol Oncol Clin North Am. 2001; 14(6):1307-25, ix. DOI: 10.1016/s0889-8588(05)70188-x. View

3.
Liu L, Jiao W, Zhang Y, Qu Q, Li X, Wu D . Efficacy of low-dose cytarabine and aclarubicin in combination with granulocyte colony-stimulating factor (CAG regimen) compared to Hyper-CVAD regimen as salvage chemotherapy in relapsed/refractory Philadelphia chromosome-negative acute.... Leuk Res. 2015; 39(3):323-8. DOI: 10.1016/j.leukres.2015.01.003. View

4.
Martinelli G, Boissel N, Chevallier P, Ottmann O, Gokbuget N, Topp M . Complete Hematologic and Molecular Response in Adult Patients With Relapsed/Refractory Philadelphia Chromosome-Positive B-Precursor Acute Lymphoblastic Leukemia Following Treatment With Blinatumomab: Results From a Phase II, Single-Arm, Multicenter.... J Clin Oncol. 2017; 35(16):1795-1802. DOI: 10.1200/JCO.2016.69.3531. View

5.
Matsumura T, Kami M, Yamaguchi T, Yuji K, Kusumi E, Taniguchi S . Allogeneic cord blood transplantation for adult acute lymphoblastic leukemia: retrospective survey involving 256 patients in Japan. Leukemia. 2012; 26(7):1482-6. DOI: 10.1038/leu.2012.11. View