Recommendations for the assessment and management of measurable residual disease in adults with acute lymphoblastic leukemia: A consensus of North American experts

Nicholas J. Short, Elias Jabbour, Maher Albitar, Marcos de Lima, Lia Gore, Jeffrey Jorgensen, Aaron C. Logan, Jae Park, Farhad Ravandi, Bijal Shah, Jerald Radich, Hagop Kantarjian

Research output: Contribution to journalReview articlepeer-review

83 Scopus citations

Abstract

Measurable residual disease (MRD) that persists after initial therapy is a powerful predictor of relapse and survival in acute lymphoblastic leukemia (ALL). However, the optimal use of this information to influence therapeutic decisions is controversial. Herein, we comprehensively review the role of MRD assessment in adults with ALL, including methods to quantify residual leukemia cells during remission, prognostic impact of MRD across ALL subtypes, and available therapeutic approaches to eradicate MRD. This review presents consensus statements and provides an evidence-based framework for practicing hematologists and oncologists to use MRD information to make rational treatment decisions in adult patients with ALL.

Original languageEnglish (US)
Pages (from-to)257-265
Number of pages9
JournalAmerican journal of hematology
Volume94
Issue number2
DOIs
StatePublished - Feb 2019

ASJC Scopus subject areas

  • Hematology

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