Significance of four MRD markers in MRD-based treatment strategy for childhood acute lymphoblastic leukemia

Leuk Res. 2009 Dec;33(12):1710-1713, Akihisa Sawada, Naoki Sakata, Tomoko Kishimoto, Banryoku Higuchi, Maho Koyama, Osamu Kondo, Emiko Sato, Takayuki Okamura, Masahiro Yasui, Masami Inoue, Akira Yoshioka, Keisei Kawa

Newly diagnosed children with ALL (n=32) were treated on a protocol incorporating minimal residual disease (MRD)-based treatment decisions. MRD was monitored at 4 time points by semi-quantitative PCR detection of antigen receptor gene rearrangement, flow cytometry, quantitative RT-PCR detection of chimeric gene transcripts and overexpressed WT1 mRNA. Four patients positive for MRD at week 5 were treated with an intensified regimen. Median follow-up was 5.0 years (range 3.8–6.6 years) with a 4-year...

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