The significance of minimal residual disease kinetics in adults with newly diagnosed PML-RARα-positive acute promyelocytic leukemia: Results of a prospective trial

Seok Lee, Yoo Jin Kim, Ki Seong Eom, Chang Ki Min, Hee Je Kim, Seok Goo Cho, Jong Wook Lee, Woo Sung Min, Chun Choo Kim

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24 Scopus citations

Abstract

Seventy adults with acute promyelocytic leukemia were studied to clarify the significance of the level and kinetics of minimal residual disease (MRD) over their entire treatment course by real-time quantitative polymerase chain reaction. At a median follow-up of 44 months, nine relapses had occurred. The 5-year probabilities of relapse and disease-free survival were 17.3±5.4% and 81.5±5.4%, respectively. A MRD level of >10-3 after first consolidation was the most powerful predictor of relapse (85.7±13.2% versus 7.3±4.1%, p<0.001) and disease-free survival (14.3±13.2% versus 91.2±4.3%, p<0.001). Prospective MRD monitoring may allow us to identify subgroups of patients at high risk of relapse earlier during treatment.

Original languageEnglish
Pages (from-to)671-674
Number of pages4
JournalHaematologica
Volume91
Issue number5
StatePublished - May 2006

Keywords

  • Acute promyelocytic leukemia
  • Minimal residual disease
  • Real-time quantitative polymerase chain reaction

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