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Subject: 1 selected item: 28819280 - PubMed
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Affiliations
1 Department of Hematology, Herlev University Hospital, University of Copenhagen, Herlev, Denmark.
2 Department of Hematology, University Hospital Rigshospitalet, Copenhagen, Denmark.
3 Department of Pediatrics, Institution for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
4 Hematology, Oncology and Transfusion Medicine Center Vilnius University Hospital Santaros Klinikos, Vilnius University, Vilnius, Lithuania.
5 Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
6 Childhood Cancer Research Unit, Karolinska Institute, Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
7 Children's Hospital, Landspitali University Hospital, Reykjavík, Iceland.
8 Department of Hematology, North Estonia Medical Centre, Tallinn, Estonia.
9 Tallinn Children's Hospital, Tallinn, Estonia.
10 Department of Hematology, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
11 Centre for Pediatric Oncology and Hematology, Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania.
12 Division of Hematology-Oncology and Stem Cell Transplantation, Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland.
13 Department of Pediatrics, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
14 Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark.
15 Department of Clinical Immunology, Section 7631, University Hospital Rigshospitalet, Copenhagen, Denmark.
16 Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
17 Institute Clinical Medicine, Faculty of Medicine, University of Copenhagen, Copenhagen, Denmark.
Affiliations
1 Department of Hematology, Herlev University Hospital, University of Copenhagen, Herlev, Denmark.
2 Department of Hematology, University Hospital Rigshospitalet, Copenhagen, Denmark.
3 Department of Pediatrics, Institution for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
4 Hematology, Oncology and Transfusion Medicine Center Vilnius University Hospital Santaros Klinikos, Vilnius University, Vilnius, Lithuania.
5 Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
6 Childhood Cancer Research Unit, Karolinska Institute, Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
7 Children's Hospital, Landspitali University Hospital, Reykjavík, Iceland.
8 Department of Hematology, North Estonia Medical Centre, Tallinn, Estonia.
9 Tallinn Children's Hospital, Tallinn, Estonia.
10 Department of Hematology, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
11 Centre for Pediatric Oncology and Hematology, Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania.
12 Division of Hematology-Oncology and Stem Cell Transplantation, Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland.
13 Department of Pediatrics, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
14 Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark.
15 Department of Clinical Immunology, Section 7631, University Hospital Rigshospitalet, Copenhagen, Denmark.
16 Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
17 Institute Clinical Medicine, Faculty of Medicine, University of Copenhagen, Copenhagen, Denmark.
Adults with acute lymphoblastic leukemia (ALL) do worse than children. From 7/2008 to 12/2014, Nordic and Baltic centers treated 1509 consecutive patients aged 1-45 years with Philadelphia chromosome-negative ALL according to the NOPHO ALL2008 without cranial irradiation. Overall, 1022 patients were of age 1-9 years (A), 266 were 10-17 years (B) and 221 were 18-45 years (C). Sixteen patients (three adults) died during induction. All others achieved remission after induction or 1-3 intensive blocks. Subsequently, 45 patients (12 adults) died, 122 patients relapsed (32 adults) with a median time to relapse of 1.6 years and 13 (no adult) developed a second malignancy. Median follow-up time was 4.6 years. Among the three age groups, older patients more often had higher risk ALL due to T-ALL (32%/25%/9%, P<0.001), KMT2A rearrangements (6%/5%/3%, P<0.001) and higher day 29 residual leukemia for B-lineage (P<0.001), but not T-ALL (P=0.53). Event-free survival rates (pEFS5y) were 89±1% (A), 80±3% (B) and 74±4% (C) with significant differences only for non-high risk groups. Except for thrombosis, pancreatitis and osteonecrosis, the risk of 19 specified toxicities was not enhanced by age above 10 years. In conclusion, a pediatric-based protocol is tolerable and effective for young adults, despite their increased frequency of higher risk features.
Toft N, Birgens H, Abrahamsson J, Griškevičius L, Hallböök H, Heyman M, Klausen TW, Jónsson ÓG, Palk K, Pruunsild K, Quist-Paulsen P, Vaitkeviciene G, Vettenranta K, Asberg A, Helt LR, Frandsen T, Schmiegelow K. Toft N, et al. Eur J Haematol. 2016 Feb;96(2):160-9. doi: 10.1111/ejh.12562. Epub 2015 Apr 24. Eur J Haematol. 2016. PMID: 25867866
Schmiegelow K, Forestier E, Hellebostad M, Heyman M, Kristinsson J, Söderhäll S, Taskinen M; Nordic Society of Paediatric Haematology and Oncology. Schmiegelow K, et al. Leukemia. 2010 Feb;24(2):345-54. doi: 10.1038/leu.2009.251. Epub 2009 Dec 10. Leukemia. 2010. PMID: 20010622 Clinical Trial.
Nielsen SN, Grell K, Nersting J, Abrahamsson J, Lund B, Kanerva J, Jónsson ÓG, Vaitkeviciene G, Pruunsild K, Hjalgrim LL, Schmiegelow K. Nielsen SN, et al. Lancet Oncol. 2017 Apr;18(4):515-524. doi: 10.1016/S1470-2045(17)30154-7. Epub 2017 Mar 1. Lancet Oncol. 2017. PMID: 28258828 Clinical Trial.
Litzow MR. Litzow MR. Hematology Am Soc Hematol Educ Program. 2009:362-70. doi: 10.1182/asheducation-2009.1.362. Hematology Am Soc Hematol Educ Program. 2009. PMID: 20008222 Review.
Chiaretti S. Chiaretti S. Clin Adv Hematol Oncol. 2016 Nov;14(11):892-896. Clin Adv Hematol Oncol. 2016. PMID: 27930641 Review. No abstract available.
Short NJ, Kantarjian H, Jabbour E. Short NJ, et al. Leukemia. 2021 Jun 25. doi: 10.1038/s41375-021-01277-3. Online ahead of print. Leukemia. 2021. PMID: 34172894 Review.
Koganesawa M, Matsuno R, Sugishita Y, Kaneko R, Kawabata N, Fujita S, Akiyama K, Toyama D, Yamamoto S. Koganesawa M, et al. SAGE Open Med Case Rep. 2021 Apr 29;9:2050313X211013225. doi: 10.1177/2050313X211013225. eCollection 2021. SAGE Open Med Case Rep. 2021. PMID: 34017593 Free PMC article.
Tosi M, Spinelli O, Leoncin M, Cavagna R, Pavoni C, Lussana F, Intermesoli T, Frison L, Perali G, Carobolante F, Viero P, Skert C, Rambaldi A, Bassan R. Tosi M, et al. Cancers (Basel). 2021 Apr 27;13(9):2108. doi: 10.3390/cancers13092108. Cancers (Basel). 2021. PMID: 33925541 Free PMC article. Review.
Ozbalak M, Mastanzade MG, Gurel E, Kalayoglu Besisik S. Ozbalak M, et al. Am J Blood Res. 2021 Feb 15;11(1):118-122. eCollection 2021. Am J Blood Res. 2021. PMID: 33796399 Free PMC article.
Norvilas R, Dirse V, Semaskeviciene R, Mickeviciute O, Gineikiene E, Stoskus M, Vaitkeviciene G, Rascon J, Griskevicius L. Norvilas R, et al. BMC Cancer. 2021 Mar 29;21(1):326. doi: 10.1186/s12885-020-07781-6. BMC Cancer. 2021. PMID: 33781217 Free PMC article.
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