Consensus opinion from an international group of experts on measurable residual disease in hairy cell leukemia Review


Authors: Ravandi, F.; Kreitman, R. J.; Tiacci, E.; Andritsos, L.; Banerji, V.; Barrientos, J. C.; Bhat, S. A.; Blachly, J. S.; Broccoli, A.; Call, T.; Chihara, D.; Dearden, C.; Demeter, J.; Dietrich, S.; Else, M.; Epperla, N.; Falini, B.; Forconi, F.; Gladstone, D. E.; Gozzetti, A.; Iyengar, S.; Johnston, J. B.; Jorgensen, J.; Juliusson, G.; Lauria, F.; Lozanski, G.; Parikh, S. A.; Park, J. H.; Polliack, A.; Quest, G.; Robak, T.; Rogers, K. A.; Saven, A.; Seymour, J. F.; Tadmor, T.; Tallman, M. S.; Tam, C. S.; Thompson, P. A.; Troussard, X.; Zent, C. S.; Zenz, T.; Zinzani, P. L.; Wörmann, B.; Rai, K.; Grever, M.
Review Title: Consensus opinion from an international group of experts on measurable residual disease in hairy cell leukemia
Abstract: A significant body of literature has been generated related to the detection of measurable residual disease (MRD) at the time of achieving complete remission (CR) in patients with hairy cell leukemia (HCL). However, due to the indolent nature of the disease as well as reports suggesting long-term survival in patients treated with a single course of a nucleoside analog albeit without evidence of cure, the merits of detection of MRD and attempts to eradicate it have been debated. Studies utilizing novel strategies in the relapse setting have demonstrated the utility of achieving CR with undetectable MRD (uMRD) in prolonging the duration of remission. Several assays including immunohistochemical analysis of bone marrow specimens, multi-parameter flow cytometry and molecular assays to detect the mutant BRAF V600E gene or the consensus primer for the immunoglobulin heavy chain gene (IGH) rearrangement have been utilized with few comparative studies. Here we provide a consensus report on the available data, the potential merits of MRD assessment in the front-line and relapse settings and recommendations on future role of MRD assessment in HCL. © 2022, The Author(s).
Keywords: immunohistochemistry; genetics; review; comparative study; rituximab; flow cytometry; consensus; bone marrow; clinical assessment; relapse; immunoglobulin heavy chain; gene rearrangement; bone marrow biopsy; minimal residual disease; neoplasm, residual; remission; remission induction; molecular biology; b raf kinase; medical expert; cladribine; leukemia remission; hairy cell leukemia; randomized controlled trial (topic); clinical trial (topic); phase 2 clinical trial (topic); chronic leukemia; vemurafenib; immunoglobulin heavy chain gene; genes, immunoglobulin heavy chain; long term survival; moxetumomab pasudotox; leukemia, hairy cell; humans; human
Journal Title: Blood Cancer Journal
Volume: 12
Issue: 12
ISSN: 2044-5385
Publisher: Nature Publishing Group  
Date Published: 2022-01-01
Start Page: 165
Language: English
DOI: 10.1038/s41408-022-00760-z
PUBMED: 36509740
PROVIDER: scopus
PMCID: PMC9744664
DOI/URL:
Notes: Review -- Export Date: 3 January 2023 -- Source: Scopus
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  1. Jae Hong Park
    356 Park