Time to post-remission therapy is an independent prognostic factor in adults with acute lymphoblastic leukemia.

Abstract:

:We evaluated patients with newly diagnosed ALL treated at the Cleveland Clinic during the years 1996 through 2005. Cox proportional hazards analysis was used to identify univariate and multivariate correlates of complete remission, overall survival and progression-free survival. On univariate analysis, significant prognostic factors included: age at diagnosis (per 10-year increase), poor risk cytogenetics, time to white blood count recovery, and time from induction chemotherapy (IC) to post-remission therapy (PRT). In patients age <60 years without poor risk cytogenetics, time from IC to PRT (per week increase) was a significant prognostic factor by multivariate analysis and was associated with a decreased progression-free survival [HR 1.27, CI (1.04-1.55), p = 0.019] and decreased overall survival [HR 1.34, CI (1.08-1.67), p = 0.009]. Delayed time from IC to PRT (> or =6.6 weeks) was associated with a statistically worse progression-free and overall survival.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Advani AS,Jin T,Ramsingh G,Tiu R,Saber W,Theil K,Sobecks R,Sekeres M,Copelan E,Sungren S,Tripp B,Kalaycio M

doi

10.1080/10428190802146078

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

1560-6

issue

8

eissn

1042-8194

issn

1029-2403

pii

902121831

journal_volume

49

pub_type

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