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 language | English |
|---|---|
| Pages (from-to) | 671-674 |
| Number of pages | 4 |
| Journal | Haematologica |
| Volume | 91 |
| Issue number | 5 |
| State | Published - May 2006 |
Keywords
- Acute promyelocytic leukemia
- Minimal residual disease
- Real-time quantitative polymerase chain reaction