Minimal residual disease by high-throughput sequencing in standard risk-favorable pediatric B-lymphoblastic leukemia

Publication Citation

Fries C, Ji L, Devidas M, Rabin KR, Loh ML, Lee LW, Kirsch I, Teachey DT, Gupta S, Wood BL, Rau RE. Minimal residual disease by high-throughput sequencing in standard risk-favorable pediatric B-lymphoblastic leukemia. Blood Adv. 2026 Sep 8;10(17):6027-6031. doi: 10.1182/bloodadvances.2026020975. PMID: 42348788; PMCID: PMC13558236.

Abstract

Most children with B-lymphoblastic leukemia (B-ALL) are cured by modern chemotherapy immunotherapy, but their burden of treatment-related toxicity underscores a need to further refine risk-adapted therapy. Prognostic advances from frontline incorporation of blinatumomab1 have stimulated interest in testing whether carefully selected, favorable-risk groups might safely benefit from chemotherapy deescalation. The responsible design of such studies requires a clear understanding of how all prognostic information should inform eligibility.

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