Real-world outcomes of adult patients with acute lymphoblastic leukemia treated with a modified CALGB 10102 regimen

Ann Hematol. 2023 Apr;102(4):897-906. doi: 10.1007/s00277-023-05141-5. Epub 2023 Mar 1.

Abstract

Acute lymphoblastic leukemia (ALL) is an aggressive bone marrow cancer with disparate outcomes. Data on patient outcomes in real world settings outside of clinical trials is limited. The current study reports on outcomes for 137 ALL patients who received an adult induction and consolidation regimen derived from the CALGB 10102 trial modified without alemtuzumab. Of the 137 patients, 32 were < 40 years old, 52 were between 40 and 59, and 53 were ≥ 60 years old. Overall, 109 (79.6%) patients achieved a complete remission (< 40: 96.1%, 40-59: 86.5%, and 62.3% ≥ 60 (p = 0.0002)). Progression free survival for the entire cohort was 13.5 months and by age was 19.8 months for less than 40, 23.4 months for 40 to 59 and 6.7 months for ≥ 60; p = 0.0002. Median survival was 22.1 months for the entire cohort (32.9 months for ages < 40, 26.6 months ages 40-59, 7.8 months ≥ 60, p < 0.001).

Keywords: Acute Lymphoblastic Leukemia; Chemotherapy Treatment Regimens; Real-World Outcomes; Therapeutics.

MeSH terms

  • Adult
  • Alemtuzumab / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Child, Preschool
  • Humans
  • Infant
  • Middle Aged
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / drug therapy
  • Remission Induction
  • Treatment Outcome

Substances

  • Alemtuzumab