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  • Purpose From 2002 to 2007, the International Berlin-Frankfurt-Munster Study Group conducted a prospective randomized clinical trial (ALL IC-BFM 2002) for the management of childhood acute lymphoblastic leukemia (ALL) in 15 countries on three continents. The aim of this trial was to explore the impact of differential delayed intensification (DI) on outcome in all risk groups. Patients and Methods For this trial, 5,060 eligible patients were divided into three risk groups according to age, WBC, early treatment response, and unfavorable genetic aberrations. DI was randomized as follows: standard risk (SR), two 4-week intensive elements (protocol III) versus one 7-week protocol II; intermediate risk (IR), protocol III x 3 versus protocol II x 1; high risk (HR), protocol III x 3 versus either protocol II x 2 (Associazione Italiana Ematologia Oncologia Pediatrica [AIEOP] option), or 3 HR blocks plus single protocol II (Berlin-Frankfurt-Munster [BFM] option). Results At 5 years, the probabilities of event-free survival and survival were 74% ( 1%) and 82% (+/- 1%) for all 5,060 eligible patients, 81% and 90% for the SR (n = 1,564), 75% and 83% for the IR (n = 2,650), and 55% and 62% for the HR (n = 846) groups, respectively. No improvement was accomplished by more intense and/or prolonged DI. Conclusion The ALL IC-BFM 2002 trial is a good example of international collaboration in pediatric oncology. A wide platform of countries able to run randomized studies in ALL has been established. Although the alternative DI did not improve outcome compared with standard treatment and the overall results are worse than those achieved by longer established leukemia groups, the national results have generally improved. (C) 2013 by American Society of Clinical Oncology
  • Purpose From 2002 to 2007, the International Berlin-Frankfurt-Munster Study Group conducted a prospective randomized clinical trial (ALL IC-BFM 2002) for the management of childhood acute lymphoblastic leukemia (ALL) in 15 countries on three continents. The aim of this trial was to explore the impact of differential delayed intensification (DI) on outcome in all risk groups. Patients and Methods For this trial, 5,060 eligible patients were divided into three risk groups according to age, WBC, early treatment response, and unfavorable genetic aberrations. DI was randomized as follows: standard risk (SR), two 4-week intensive elements (protocol III) versus one 7-week protocol II; intermediate risk (IR), protocol III x 3 versus protocol II x 1; high risk (HR), protocol III x 3 versus either protocol II x 2 (Associazione Italiana Ematologia Oncologia Pediatrica [AIEOP] option), or 3 HR blocks plus single protocol II (Berlin-Frankfurt-Munster [BFM] option). Results At 5 years, the probabilities of event-free survival and survival were 74% ( 1%) and 82% (+/- 1%) for all 5,060 eligible patients, 81% and 90% for the SR (n = 1,564), 75% and 83% for the IR (n = 2,650), and 55% and 62% for the HR (n = 846) groups, respectively. No improvement was accomplished by more intense and/or prolonged DI. Conclusion The ALL IC-BFM 2002 trial is a good example of international collaboration in pediatric oncology. A wide platform of countries able to run randomized studies in ALL has been established. Although the alternative DI did not improve outcome compared with standard treatment and the overall results are worse than those achieved by longer established leukemia groups, the national results have generally improved. (C) 2013 by American Society of Clinical Oncology (en)
Title
  • Intensive Chemotherapy for Childhood Acute Lymphoblastic Leukemia: Results of the Randomized Intercontinental Trial ALL IC-BFM 2002
  • Intensive Chemotherapy for Childhood Acute Lymphoblastic Leukemia: Results of the Randomized Intercontinental Trial ALL IC-BFM 2002 (en)
skos:prefLabel
  • Intensive Chemotherapy for Childhood Acute Lymphoblastic Leukemia: Results of the Randomized Intercontinental Trial ALL IC-BFM 2002
  • Intensive Chemotherapy for Childhood Acute Lymphoblastic Leukemia: Results of the Randomized Intercontinental Trial ALL IC-BFM 2002 (en)
skos:notation
  • RIV/00216208:11130/14:10292788!RIV15-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 3
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 22250
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/14:10292788
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • therapy; survival; risk; t-cell; prognostic-factors; clinical-significance; aieop-bfm; requiring prolonged observation; minimal residual disease; childrens oncology group (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [2A6C36260A7A]
http://linked.open...i/riv/nazevZdroje
  • Journal of Clinical Oncology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 32
http://linked.open...iv/tvurceVysledku
  • Starý, Jan
  • Trka, Jan
  • Hrušák, Ondřej
  • Jabali, Yahia
  • Schrappe, Martin
  • Stark, Batia
  • Zimmermann, Martin
  • Kaiserova, Emilia
  • Izraeli, Shai
  • Campbell, Myriam
  • Castillo, Luis
  • Dibar, Eduardo
  • Donska, Svetlana
  • Gonzalez, Alejandro
  • Janic, Dragana
  • Jazbec, Janez
  • Konja, Josip
  • Kovacs, Gabor
  • Kowalczyk, Jerzy
  • Li, Chi-Kong
  • Magyarosy, Edina
  • Masera, Giuseppe
  • Popa, Alexander
  • Riehm, Hansjoerg
http://linked.open...ain/vavai/riv/wos
  • 000330627900004
issn
  • 0732-183X
number of pages
http://bibframe.org/vocab/doi
  • 10.1200/JCO.2013.48.6522
http://localhost/t...ganizacniJednotka
  • 11130
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