Controversies in the Treatment of Adolescents and Young Adults with Philadelphia Chromosome-Negative B-Cell Acute Lymphoblastic Leukemia

Punita Grover, Lori Muffly

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of the review: The incidence of acute lymphoblastic leukemia (ALL) has been increasing steadily in the adolescent and young adult (AYA) population. In this review article focused on the management of AYAs with Philadelphia chromosome-negative (Ph-) B-ALL, we examine topics of clinical interest and identify areas of controversy in need of further investigation. Recent findings: We explore four areas of active investigation: pediatric-inspired front-line treatment regimens, the optimal time of measurable residual disease (MRD) assessment, the role of hematopoietic stem cell transplant and the optimal salvage therapy for relapsed/refractory B-ALL in AYAs. Summary: There has been rapid advancement in the management of ALL in the AYA patient population, which has resulted in improved outcomes. We must build on the successes by continuing to promote multi-center innovative clinical research with clinical trial populations reflecting the AYA ALL patient spectrum. The incorporation of novel targeted immunotherapy into front-line treatment will be transformative and redefine treatment paradigms in the coming years.

Original languageEnglish (US)
Pages (from-to)995-1001
Number of pages7
JournalCurrent oncology reports
Volume24
Issue number8
DOIs
StatePublished - Aug 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • ALL
  • AYA
  • Acute lymphoblastic leukemia
  • Adolescent and young adult
  • Hematopoietic stem cell transplant
  • MRD
  • Measurable residual disease
  • Pediatric inspired
  • Refractory
  • Relapsed
  • Salvage

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