Acute Core Binding Factor leukemias represent a specific category of acute myeloid leukemias that share prognostic factors, a specific mutational profile, and a favorable response to chemotherapy. Their management now follows the reference pattern from the French trial CBF-2006 closed to inclusions since November 2010. This includes intensive chemotherapy and intensification by allogeneic marrow transplant depending on the residual disease measured by RT qPCR . These leukemias have not been the subject of multicenter clinical trials since that date. The results of this treatment regimen need to be evaluated. Known prognostic factors such as signaling mutations, clonal interference or residual disease follow-up (MRD) will be analyzed and updated in this recent cohort. The interaction between residual disease and mutational profile will be evaluated on the prognosis. Treatment with gemtuzumab-ozogamycin and first-line allogeneic transplantation will be investigated, depending on prognostic factors including associated mutations and residual disease. The course and early treatment of molecular relapses will be analyzed. The treatment and prognosis of cytological relapses will be described with in particular the role of tyrosine kinase inhibitors and therapeutic intensification.
NOT PROVIDED
Study Type
OBSERVATIONAL
Enrollment
400
NOT PROVIDED
Chu Amiens
Amiens, France
Centre Hospitalier Victor Dupouy
Argenteuil, France
AP-HP-GHU - Hôpital AVICENNE
Bobigny, France
CHU de la cote de Nacre
Caen, France
CH Métropole Savoie
Chambéry, France
Hôpital MILITAIRE PERCY
Clamart, France
Centre hospitalier Sud Francilien
Corbeil-Essonnes, France
Henri Mondor Aphp
Créteil, France
Dijon Chu
Dijon, France
Centre Hospitalier de Dunkerque
Dunkirk, France
...and 16 more locations
Event-free survival (EFS)
Time frame: December 2010 to December 2020
- Complete remission rate (CR / CRp)
Time frame: December 2010 to December 2020
- Overall survival (OS), relapse free survival (DFS) +/- censored with allogeneic transplant
Time frame: December 2010 to December 2020
- Cumulative incidence of relapse (CIR) +/- censored at allograft
Time frame: December 2010 to December 2020
- Second complete remission rate, OS, EFS, DFS and CIR post-relapse
Time frame: December 2010 to December 2020
-Prognostic impact on OS, CR, EFS, DFS and CIR of recurrent somatic mutations
Time frame: December 2010 to December 2020
- Interaction between mutations and MRD on OS, CR, EFS, DFS and CIR
Time frame: December 2010 to December 2020
- Cumulative incidence of molecular relapse.
Time frame: December 2010 to December 2020
- Prognostic impact on OS, CR, EFS, DFS, CIR and post-relapse survival of using first-line GO and relapsing
Time frame: December 2010 to December 2020
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