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. Author manuscript; available in PMC: 2022 Jun 25.
Published in final edited form as: Lancet Oncol. 2019 Mar;20(3):e142–e154. doi: 10.1016/S1470-2045(19)30031-2

Table 3:

Prognostic indicators for patients with B-cell ALL and T-cell ALL

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.