Different outcome of T cell acute lymphoblastic leukemia with translocation t(11;14) treated in two consecutive children leukemia group EORTC trials

Acute lymphoblastic leukemia of T cell lineage (T-ALL) is an aggressive malignant disease which accounts for 15 % of childhood ALL. T(11;14) is the more frequent chromosomal abnormality in childhood T-ALL, but its prognostic value remained controversial. Our aim was to analyze the outcome of childho...

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Veröffentlicht in:Annals of hematology 2016-01, Vol.95 (1), p.93-103
Hauptverfasser: Simon, Pauline, Suciu, Stefan, Clappier, Emmanuelle, Cave, Hélène, Sirvent, Nicolas, Plat, Geneviève, Thyss, Antoine, Mechinaud, Françoise, Costa, Vitor M., Ferster, Alina, Lutz, Patrick, Mazingue, Françoise, Plantaz, Dominique, Plouvier, Emmanuel, Bertrand, Yves, Benoit, Yves, Dastugue, Nicole, Rohrlich, Pierre S.
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container_issue 1
container_start_page 93
container_title Annals of hematology
container_volume 95
creator Simon, Pauline
Suciu, Stefan
Clappier, Emmanuelle
Cave, Hélène
Sirvent, Nicolas
Plat, Geneviève
Thyss, Antoine
Mechinaud, Françoise
Costa, Vitor M.
Ferster, Alina
Lutz, Patrick
Mazingue, Françoise
Plantaz, Dominique
Plouvier, Emmanuel
Bertrand, Yves
Benoit, Yves
Dastugue, Nicole
Rohrlich, Pierre S.
description Acute lymphoblastic leukemia of T cell lineage (T-ALL) is an aggressive malignant disease which accounts for 15 % of childhood ALL. T(11;14) is the more frequent chromosomal abnormality in childhood T-ALL, but its prognostic value remained controversial. Our aim was to analyze the outcome of childhood T-ALL with t(11;14) to know if the presence of this translocation is associated with a poor prognosis. We conducted a retrospective study from a series of 20 patients with t(11;14), treated in two consecutive trials from the European Organization for Research and Treatment of Cancer Children Leukemia Group over a 19-year period from 1989 to 2008. There were no significant differences between the 2 consecutive groups of patients with t(11;14) regarding the clinical and biological features at diagnosis. Among 19 patients who reached complete remission, 9 patients relapsed. We noticed 7 deaths all relapse- or failure-related. In the 58881 study, a presence of t(11;14) was associated with a poor outcome with an event-free survival at 5 years at 22.2 % versus 65.1 % for the non-t(11;14) T-ALL ( p  = 0.0004). In the more recent protocol, the outcome of T-ALL with t(11;14) reached that of non-t(11;14) T-ALL with an event-free survival at 5 years at 65.5 versus 74.9 % ( p  = 0.93). The presence of t(11;14) appeared as a poor prognostic feature in the 58881 trial whereas this abnormality no longer affected the outcome in the 58951 study. This difference is probably explained by the more intensive chemotherapy in the latest trial.
doi_str_mv 10.1007/s00277-015-2515-8
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T(11;14) is the more frequent chromosomal abnormality in childhood T-ALL, but its prognostic value remained controversial. Our aim was to analyze the outcome of childhood T-ALL with t(11;14) to know if the presence of this translocation is associated with a poor prognosis. We conducted a retrospective study from a series of 20 patients with t(11;14), treated in two consecutive trials from the European Organization for Research and Treatment of Cancer Children Leukemia Group over a 19-year period from 1989 to 2008. There were no significant differences between the 2 consecutive groups of patients with t(11;14) regarding the clinical and biological features at diagnosis. Among 19 patients who reached complete remission, 9 patients relapsed. We noticed 7 deaths all relapse- or failure-related. In the 58881 study, a presence of t(11;14) was associated with a poor outcome with an event-free survival at 5 years at 22.2 % versus 65.1 % for the non-t(11;14) T-ALL ( p  = 0.0004). In the more recent protocol, the outcome of T-ALL with t(11;14) reached that of non-t(11;14) T-ALL with an event-free survival at 5 years at 65.5 versus 74.9 % ( p  = 0.93). The presence of t(11;14) appeared as a poor prognostic feature in the 58881 trial whereas this abnormality no longer affected the outcome in the 58951 study. 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In the more recent protocol, the outcome of T-ALL with t(11;14) reached that of non-t(11;14) T-ALL with an event-free survival at 5 years at 65.5 versus 74.9 % ( p  = 0.93). The presence of t(11;14) appeared as a poor prognostic feature in the 58881 trial whereas this abnormality no longer affected the outcome in the 58951 study. This difference is probably explained by the more intensive chemotherapy in the latest trial.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26455579</pmid><doi>10.1007/s00277-015-2515-8</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4693-1671</orcidid><orcidid>https://orcid.org/0000-0002-3257-0302</orcidid><orcidid>https://orcid.org/0000-0002-9920-8359</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adolescent
Child
Child, Preschool
Chromosomes, Human, Pair 11 - genetics
Chromosomes, Human, Pair 14 - genetics
Cohort Studies
Economics and Finance
Female
Hematology
Human health and pathology
Humanities and Social Sciences
Humans
Life Sciences
Male
Medicine
Medicine & Public Health
Oncology
Original Article
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma - diagnosis
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma - genetics
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma - mortality
Prospective Studies
Psychiatrics and mental health
Psychology
Retrospective Studies
Santé publique et épidémiologie
Survival Rate - trends
Translocation, Genetic - genetics
Treatment Outcome
title Different outcome of T cell acute lymphoblastic leukemia with translocation t(11;14) treated in two consecutive children leukemia group EORTC trials
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