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Flow cytometric minimal residual disease assessment in B-cell precursor acute lymphoblastic leukaemia patients treated with CD19-targeted therapies - a EuroFlow study.

Martijn W C VerbeekChiara BuracchiAnna LaquaStefan NierkensLukasz SedekJuan Flores-MonteroMattias HofmansElaine Sobral de CostaMichaela NovákováEster MejstrikovaSusana BarrenaSaskia KohlscheenMonika SzczepanowskiJan KulisElen OliveiraRomana JugooaAnja X de JongShaji K KumarJan PhilippéJacques J M van DongenAlberto OrfaoMonika BrüggemannGiuseppe GaipaVincent H J van der Velden
Published in: British journal of haematology (2021)
The standardized EuroFlow protocol, including CD19 as primary B-cell marker, enables highly sensitive and reliable minimal residual disease (MRD) assessment in B-cell precursor acute lymphoblastic leukaemia (BCP-ALL) patients treated with chemotherapy. We developed and validated an alternative gating strategy allowing reliable MRD analysis in BCP-ALL patients treated with CD19-targeting therapies. Concordant data were obtained in 92% of targeted therapy patients who remained CD19-positive, whereas this was 81% in patients that became (partially) CD19-negative. Nevertheless, in both groups median MRD values showed excellent correlation with the original MRD data, indicating that, despite higher interlaboratory variation, the overall MRD analysis was correct.
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