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Mixed-phenotype acute leukemia: A cohort and consensus research strategy from the Children's Oncology Group Acute Leukemia of Ambiguous Lineage Task Force.

Etan OrgelThomas B AlexanderBrent L WoodSamir B KahwashMeenakshi DevidasYunfeng DaiTodd A AlonzoCharles G MullighanHiroto InabaStephen P HungerElizabeth A RaetzAlan S GamisKaren R RabinAndrew J CarrollNyla A HeeremaJason N BermanWilliam G WoodsMignon L LohPatrick A Zweidler-McKayJohn T Horannull null
Published in: Cancer (2019)
The results of the COG MPAL cohort and a literature review suggest that ALL chemotherapy without HSCT may be the preferred initial therapy. A prospective trial within the COG is proposed to investigate this approach; AML chemotherapy and/or HSCT will be reserved for those with treatment failure as assessed by minimal residual disease. Embedded biology studies will provide further insight into MPAL genomics.
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