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Childhood Acute Lymphoblastic Leukemia Treatment (PDQ®)

  • Updated: 12/15/2011

Table 1. COG B-Cell ALL Relapse Risk Stratificationa and Clinical Trials

 Isolated CNS or Testicular Relapse [Clinical Trial] Bone Marrow or Combined Relapse [Clinical Trial] 
<18 months from diagnosisIntermediate risk [COG-AALL0433]b
18–36 months from diagnosis
>36 months from diagnosisIntermediate risk [COG-AALL0433]b

ALL = acute lymphoblastic leukemia; CNS = central nervous system; COG = Children's Oncology Group.
aAll relapsed T-cell ALL is considered high risk—COG-AALL07P1.
bAll intermediate-risk patients with matched siblings choosing allogeneic transplant, and all high-risk patients undergoing related or unrelated transplantation are encouraged to enroll in COG-ASCT0431 (see below) after completion of the three induction blocks associated with these protocols.