1. Results of successive EORTC‐CLG 58 881 and 58 951 trials in paediatric T‐cell acute lymphoblastic leukaemia (ALL)
- Author
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Yves Bertrand, Dominique Plantaz, Catherine Paillard, Mattias Hofmans, Odile Minckes, Pieter Van Vlierberghe, Hélène Cavé, Geneviève Plat, Alina Ferster, Vitor Costa, Karima Yakouben, Anne Uyttebroeck, Jutte van der Werff ten Bosch, Sandrine Girard, Pauline Simon, Barbara De Moerloose, Frédéric Millot, Stefan Suciu, Pierre Rohrlich, Caroline Piette, Marilyne Poirée, Françoise Mazingue, Nicolas Sirvent, European Organisation for Research and Treatment of Cancer [Bruxelles] (EORTC), European Cancer Organisation [Bruxelles] (ECCO), Center for Medical Genetics [Ghent], Ghent University Hospital, Hôpital Jeanne de Flandres, Université de Lille, Droit et Santé-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Université de Montpellier (UM), CHU Strasbourg, University Hospitals Leuven [Leuven], Département de pédiatrie, CHU Grenoble-Hôpital Michallon, CHU Toulouse [Toulouse], CHU Pointe-à-Pitre/Abymes [Guadeloupe], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre hospitalier universitaire de Poitiers (CHU Poitiers), Hopital L'Archet-II, Centre Hospitalier Universitaire de Liège (CHU-Liège), CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN), CIC CHU Lyon (inserm), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Lyon, Clinical sciences, Growth and Development, and Pediatrics
- Subjects
Male ,T-cell acute lymphoblastic leukaemia ,medicine.medical_specialty ,Asparaginase ,Adolescent ,[SDV]Life Sciences [q-bio] ,medicine.medical_treatment ,cranial radiotherapy ,Precursor T-Cell Lymphoblastic Leukemia-Lymphoma ,Gastroenterology ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,childhood leukaemia ,White blood cell ,Internal medicine ,medicine ,Humans ,Child ,Dexamethasone ,Medicine(all) ,Clinical Trials as Topic ,Chemotherapy ,Hematology ,business.industry ,Hazard ratio ,Infant, Newborn ,Infant ,Induction chemotherapy ,asparaginase ,Survival Analysis ,3. Good health ,EORTC ,Treatment Outcome ,medicine.anatomical_structure ,chemistry ,Child, Preschool ,030220 oncology & carcinogenesis ,Prednisolone ,Childhood Leukaemia ,Female ,business ,Hématologie ,030215 immunology ,medicine.drug - Abstract
Outcomes in childhood T-cell acute lymphoblastic leukaemia (T-ALL) are steadily improving due to intensive therapy. Between 1989 and 2008, 599 children with newly diagnosed T-ALL were enrolled in two successive European Organization for Research and Treatment of Cancer - Children's Leukaemia Group trials (58881 and 58951), both based on the Berlin-Frankfurt-Munster protocol and without cranial irradiation. In the latter trial induction chemotherapy was intensified. The most important randomizations were Medac Escherichia coli asparaginase versus Erwinia asparaginase in trial 58881, and dexamethasone (6 mg/m2/day) versus prednisolone (60 mg/m2/day) and prolonged versus conventional asparaginase duration in trial 58951. 8-year event-free survival (EFS) increased from 65·1% to 74·0% in trial 58951. Improvement was most profound for patients with white blood cell (WBC) counts, SCOPUS: ar.j, info:eu-repo/semantics/published
- Published
- 2019
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