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Hematology

Improved outcome for young adult patients with ALL

The success achieved in the management of children with acute lymphoblastic leukemia has now been extended to older adolescents and young adults, as demonstrated recently by Nachman and coauthors. The effectiveness of treatment with an intense multiagent chemotherapy protocol renders the use of allogeneic hematopoietic stem-cell transplantation in first remission questionable, and calls for careful evaluation of the use of this chemotherapy in this patient population.

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References

  1. Goldstone, A. H. et al. In adults with standard-risk acute lymphoblastic leukemia, the greatest benefit is achieved from a matched sibling allogeneic transplantation in first complete remission, and an autologous transplantation is less effective than conventional consolidation/maintenance chemotherapy in all patients: final results of the International ALL Trial (MRC UKALL XII/ECOG E2993). Blood 111, 1827–1833 (2008).

    Article  CAS  PubMed  Google Scholar 

  2. Balduzzi, A. et al. Chemotherapy versus allogeneic transplantation for very-high-risk childhood acute lymphoblastic leukaemia in first complete remission: comparison by genetic randomisation in an international prospective study. Lancet 366, 635–642 (2005).

    Article  PubMed  Google Scholar 

  3. Bleyer, W. A. et al. Cancer in older adolescents and young adults: epidemiology, diagnosis, treatment, survival, and importance of clinical trials. Med. Pediatr. Oncol. 38, 1–10 (2002).

    Article  PubMed  Google Scholar 

  4. Ferrari, A., Montello, M., Budd, T. & Bleyer, A. The challenges of clinical trials for adolescents and young adults with cancer. Pediatr. Blood Cancer 50, 1101–1104 (2008).

    Article  PubMed  Google Scholar 

  5. Boissel, N. et al. Should adolescents with acute lymphoblastic leukemia be treated as old children or young adults? Comparison of the French FRALLE-93 and LALA-94 trials. J. Clin. Oncol. 21, 774–780 (2003).

    Article  PubMed  Google Scholar 

  6. de Bont, J. M. et al. Significant difference in outcome for adolescents with acute lymphoblastic leukemia treated on pediatric vs adult protocols in the Netherlands. Leukemia 18, 2032–2035 (2004).

    Article  CAS  PubMed  Google Scholar 

  7. Stock, W. et al. What determines the outcomes for adolescents and young adults with acute lymphoblastic leukemia treated on cooperative group protocols? A comparison of Children's Cancer Group and Cancer and Leukemia Group B studies. Blood 112, 1646–1654 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Ribera, J. M. et al. Comparison of the results of the treatment of adolescents and young adults with standard-risk acute lymphoblastic leukemia with the Programa Espanol de Tratamiento en Hematologia Pediatric-Based Protocol ALL-96. J. Clin. Oncol. 26, 1843–1849 (2008).

    Article  CAS  PubMed  Google Scholar 

  9. Nachman, J. B. et al. Young adults with acute lymphoblastic leukemia have an excellent outcome with chemotherapy alone and benefit from intensive post-induction treatment: a report from the Children's Oncology Group. J. Clin. Oncol. 27, 5189–5194 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Seibel, N. L. et al. Early postinduction intensification therapy improves survival for children and adolescents with high-risk acute lymphoblastic leukemia: a report form the Children's Oncology Group. Blood 111, 2548–2555 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Hutchinson, R. Improved outcome for young adult patients with ALL. Nat Rev Clin Oncol 7, 132–134 (2010). https://doi.org/10.1038/nrclinonc.2010.14

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