Successful Treatment of Adolescents and Young Adults with Philadelphia-Negative Acute Lymphoblastic Leukemia by Novel L-Asparaginase-Intensified Induction Therapy and Cord Blood Transplantation: A Single-Center Decade Report

J Adolesc Young Adult Oncol. 2018 Jun;7(3):389-394. doi: 10.1089/jayao.2017.0120. Epub 2018 Feb 6.

Abstract

A novel induction therapy, including intensive L-asparaginase, was designed in 2007 for patients aged <45 years with Philadelphia-negative acute lymphoblastic leukemia (ALL). We analyzed seven de novo cases and one case of recurrence who received this treatment. The median age was 21 years (range: 16-35 years). Four patients had T-ALL and the others had B-ALL. All the patients achieved complete remission and proceeded to cord blood transplantation. In the median 72-month follow-up, there were no cases of observed mortality or recurrence. Our results indicate scope for further development of both induction therapy and postremission therapy.

Keywords: ALL; CBT; L-asparaginase; Philadelphia-negative.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / therapeutic use*
  • Asparaginase / therapeutic use*
  • Combined Modality Therapy
  • Cord Blood Stem Cell Transplantation / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Philadelphia Chromosome*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy*
  • Prognosis
  • Remission Induction
  • Retrospective Studies
  • Time Factors
  • Young Adult

Substances

  • Antineoplastic Agents
  • Asparaginase