Table 3:
Patients with B-cell ALL | Patients with T-cell ALL | |
---|---|---|
Clinical | ||
Favourable | Age 1–10 years and leucocyte count <50 × 109/L, Caucasian or Asian, CNS1 disease status | CNS1 disease status |
Intermediate | Age ≥10 years, leucocyte count 50–100 × 109/L, black race, CNS2 disease status, testicular leukaemia | CNS2 or CNS3 disease status, testicular leukaemia |
Unfavourable | Age <1 year, leucocyte count >100 × 109/L, native American or Hispanic race, CNS3 disease status | Leucocyte count >200 × 109/L* |
Biological | ||
Favourable | ETV6-RUNX1-type, hyperdiploidy (51–67 chromosomes; DNA index ≥1·16) | NOTCH1 mutation, FBXW7 mutation |
Intermediate | ETV6-RUNX1-like, TCF3-PBX1, DUX4-ERG, PAX5, ZNF384-rearranged, iAMP21 | Early T-cell precursor ALL |
Unfavourable | BCR-ABL1-type, BCR-ABL1-like, KMT2A-rearranged, MEF2D-rearranged, hypodiploid (<44 chromosomes) | RAS mutation, PTEN mutation, lack of biallelic TRG rearrangements |
Response to chemotherapy (minimal residual disease) | ||
Favourable | Day 8 blood minimal residual disease <10−4, day 15 or day 19 bone marrow minimal residual disease <10−2, end of induction bone marrow minimal residual disease <10−4 | End of induction bone marrow minimal residual disease <10−4 |
Intermediate | End of induction bone marrow minimal residual disease from 10−4 to 10−2 | End of induction bone marrow minimal residual disease ≥10−4 and end of consolidation minimal residual disease ≥10−4 and <10−3 |
Unfavourable | End of induction bone marrow >1% blasts | End of consolidation bone marrow minimal residual disease ≥10−3 |
ALL=acute lymphoblastic leukaemia.
Not consistent.