Acute lymphoblastic leukemia, version 1.2019 featured updates to the NCCN guidelines

  • Patrick A. Brown
  • , Matthew Wieduwilt
  • , Aaron Logan
  • , Daniel J. DeAngelo
  • , Eunice S. Wang
  • , Amir Fathi
  • , Ryan D. Cassaday
  • , Mark Litzow
  • , Anjali Advani
  • , Patricia Aoun
  • , Bhavana Bhatnagar
  • , Michael W. Boyer
  • , Teresa Bryan
  • , Patrick W. Burke
  • , Peter F. Coccia
  • , Steven E. Coutre
  • , Nitin Jain
  • , Suzanne Kirby
  • , Arthur Liu
  • , Stephanie Massaro
  • Ryan J. Mattison, Olalekan Oluwole, Nikolaos Papadantonakis, Jae Park, Jeffrey E. Rubnitz, Geoffrey L. Uy, Kristina M. Gregory, Ndiya Ogba, Bijal Shah

Research output: Contribution to journalArticlepeer-review

59 Scopus citations

Abstract

Survival outcomes for older adults with acute lymphoblastic leukemia (ALL) are poor and optimal management is challenging due to higher-risk leukemia genetics, comorbidities, and lower tolerance to intensive therapy. A critical understanding of these factors guides the selection of frontline therapies and subsequent treatment strategies. In addition, there have been recent developments in minimal/measurable residual disease (MRD) testing and blinatumomab use in the context of MRD-positive disease after therapy. These NCCN Guidelines Insights discuss recent updates to the NCCN Guidelines for ALL regarding upfront therapy in older adults and MRD monitoring/testing in response to ALL treatment.

Original languageEnglish
Pages (from-to)414-423
Number of pages10
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume17
Issue number5
DOIs
StatePublished - 2019

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