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Cited by 293

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Long-term results of St Jude Total Therapy Studies 11, 12, 13A, 13B, and 14 for childhood acute lymphoblastic leukemia

Open access
Pui, C H, Pei, D, Sandlund, J T, Ribeiro, R C, Rubnitz, J E, Raimondi, S C, Onciu, M, Campana, D, Kun, L E, Jeha, S, Cheng, C, Howard, S C, Metzger, M L, Bhojwani, D, Downing, J R, Evans, W E, Relling, M V·2010·Leukemia

Abstract

We analyzed the long-term outcome of 1011 patients treated in five successive clinical trials (Total Therapy Studies 11, 12, 13A, 13B, and 14) between 1984 and 1999. The event-free survival improved significantly (P=0.003) from the first two trials conducted in the 1980s to the three more recent trials conducted in the 1990s. Approximately 75% of patients treated in the 1980s and 80% in the 1990s were cured. Early intensive triple intrathecal therapy, together with more effective systemic therapy, including consolidation and reinduction treatment (Studies 13A and 13B) as well as dexamethasone (Study 13B), resulted in a very low rate of isolated central nervous system (CNS) relapse rate (<2%), despite the reduced use of cranial irradiation. Factors consistently associated with treatment outcome were age, leukocyte count, immunophenotype, DNA index, and minimal residual disease level after remission induction treatment. Owing to concerns about therapy-related secondary myeloid leukemia and brain tumors, in our current trials we reserve the use of etoposide for patients with refractory or relapsed leukemia undergoing hematopoietic stem cell transplantation, and cranial irradiation for those with CNS relapse. The next main challenge is to further increase cure rates while improving quality of life for all patients.

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Metadata

Authors
Pui, C. H., Pei, D., Sandlund, J. T., Ribeiro, R. C., Rubnitz, J. E., Raimondi, S. C., Onciu, M., Campana, D., Kun, L. E., Jeha, S., Cheng, C., Howard, S. C., Metzger, M. L., Bhojwani, D., Downing, J. R., Evans, W. E., & Relling, M. V.
Venue
Leukemia
Published
2009-12-10
Volume
24
Issue
2
Pages
371-382
ISSN
  • 0887-6924 (ISSN-L)
  • 1476-5551
OpenAlex
W2129291628
Cited by
293
References
49
FWCI
26.86
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Long-term results of St Jude Total Therapy Studies 11, 12, 13A, 13B, and 14 for childhood acute lymphoblastic leukemia. https://app.cochat.ai/papers/10.1038/leu.2009.252
The paper
Pui, C. H., Pei, D., Sandlund, J. T., Ribeiro, R. C., Rubnitz, J. E., Raimondi, S. C., Onciu, M., Campana, D., Kun, L. E., Jeha, S., Cheng, C., Howard, S. C., Metzger, M. L., Bhojwani, D., Downing, J. R., Evans, W. E., & Relling, M. V. (2010). Long-term results of St Jude Total Therapy Studies 11, 12, 13A, 13B, and 14 for childhood acute lymphoblastic leukemia. Leukemia. https://doi.org/10.1038/leu.2009.252

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.