Table 1.
Patient A | Patient B | Patient C | Patient D | Patient E | |
---|---|---|---|---|---|
Diagnosis | MLL‐R ALL | MLL‐R ALL | MLL‐R ALL | MLL nonrearranged ALL | MLL nonrearranged ALL |
Age at diagnosis | 5 month old | 5 month old | 7 month old | 8 month old | 11 month old |
Treatment | COG AALL0631a | COG AALL0631b | COG AALL0631b | CCG 1953 | CCG P9407 |
No Lestaurtanib | No Lestaurtanib | No Lestaurtanib | |||
Treatment course complications | Bacterial and fungal infections | Bacterial and viral infections, extensive thrombi involving upper venous system, enteritis | None | Bacterial and viral infections | Bacterial infections, chronic rhinorrhea/sinusitis |
Age at end of chemotherapy treatment | 29 month old | 29 month old | 31 month old | 33 month old | 24 month old |
Course after chemotherapy treatment | CMV viremia and cystitis, Clostridium difficile colitis, Mycobacterium chelonae cellulitis | Clostridium difficile colitis, oral herpes simplex virus, norovirus, bocavirus, rhinovirus, and HHV‐6 viremia, Enterobacter cloacae cystitis, pneumatosis intestinalis | Mycobacterium chelonae abscesses, parainfluenza‐3, coronavirus, CMV retinitis, Candida esophagitis | Pulmonary aspergillus, Pseudomonas sepsis | Parainfluenza type 3 sinusitis, HHV‐6 viremia, and encephalitis |
Age immunodeficiency confirmed | 31 month old | 31 month old | 44 month old | 36 month old | 31 month old |
Therapy after ALL treatment | None | Interleukin‐7 | HSCT | None | HSCT |
Current age or age at death | 31 month old (deceased) | 35 month old (deceased) | 50 month old (deceased) | 37 month old (deceased) | 8‐year‐old (alive) |
Autopsy results | Disseminated aspergillosis; severe thymic involution; lymphoid depletion | Diffuse bronchopneumonia; severe thymic involution, lymphoid depletion | Diffuse alveolar damage | Autopsy not performed | Not applicable |
ALL, acute Lymphoblastic leukemia; MLL, mixed lineage leukemia gene; MLL‐R, MLL rearranged; COG, Children's Oncology Group; CCG, Children's Cancer Study Group; HSCT, hematopoietic stem cell transplant. CMV, cytomegalovirus; HHV‐6, human herpesvirus 6.
Treated before induction amendments.
Treated after induction amendments (elimination of cyclophosphamide 1 g/m2).
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