Early negative minimal residual disease in bone marrow after immunotherapy is less predictive of late or non-marrow relapse among patients with high-risk stage 4 neuroblastoma Journal Article


Authors: Cheung, I. Y.; Feng, Y.; Cheung, N. K. V.
Article Title: Early negative minimal residual disease in bone marrow after immunotherapy is less predictive of late or non-marrow relapse among patients with high-risk stage 4 neuroblastoma
Abstract: Molecular detection of minimal residual disease (MRD) measured by quantitative reverse transcription-polymerase chain reaction using a four-marker panel in the bone marrow (BM) after only two treatment cycles of anti-GD2 immunotherapy was a strong independent outcome predictor among high-risk patients with stage 4 neuroblastoma in first remission. While 32 of 46 MRD-negative patients relapsed within 2 years from immunotherapy, only four had marrow relapse; in three of these four patients, MRD turned positive in the subsequent BM. We conclude that negative MRD in the post-cycle two BM was rarely associated with BM relapse, but it did not exclude recurrences at other sites. Pediatr Blood Cancer 2013; 60: E32-E34. © 2013 Wiley Periodicals, Inc.
Keywords: cancer survival; controlled study; unclassified drug; major clinical study; cancer staging; cancer immunotherapy; reverse transcription polymerase chain reaction; granulocyte macrophage colony stimulating factor; relapse; high risk patient; monoclonal antibody; immunotherapy; neuroblastoma; minimal residual disease; isotretinoin; bone marrow disease; late relapse; marrow mrd; pfs; monoclonal antibody gd2
Journal Title: Pediatric Blood and Cancer
Volume: 60
Issue: 7
ISSN: 1545-5009
Publisher: Wiley Periodicals, Inc  
Date Published: 2013-07-01
Start Page: E32
End Page: E34
Language: English
DOI: 10.1002/pbc.24469
PROVIDER: scopus
PUBMED: 23335404
DOI/URL:
Notes: --- - "Export Date: 1 July 2013" - "CODEN: PBCEA" - "Source: Scopus"
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  1. Nai-Kong Cheung
    648 Cheung
  2. Irene Y Cheung
    96 Cheung
  3. Yi Feng
    15 Feng