May 4, 2026 · Blood · DOI: 10.1182/blood.2025032645

Genetics and MRD for therapy allocation in adults with Philadelphia chromosome-negative acute lymphoblastic leukemia

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This study investigates how the combination of genetic risk factors and measurable residual disease (MRD) can inform therapy allocation in adults with Philadelphia chromosome-negative acute lymphoblastic leukemia (ALL). The authors aim to determine the efficacy of using centrally assessed MRD and genetic profiles to identify patients suitable for allogeneic hematopoietic stem cell transplant (alloHSCT) versus those who can be treated with chemotherapy. Results indicate that this combined approach enhances the precision of treatment decisions and improves overall survival outcomes for patients.

Josep-Maria Ribera, Anna Torrent, Mireia Morgades, Susana Barrena, Jordi Ribera, Eulalia Genesca, José González-Campos, Nuria Martínez-Cibrian, Pau Montesinos, Alberto Hernández Sánchez, Pere Barba, Edgar Zapico, Ricardo Sánchez, Andrés Novo, Marta Sitges, Clara Maluquer Artigal, Esperanza Such, Carmen Botella, Maria Paz Queipo de Llano, Monica Cabrero, Ana Vicent, Paula Lopez de Ugarriza, Mar Tormo, Bernardo-Javier González-González, Irene Garcia-Cadenas, Carlos Rodríguez-Medina, Pilar Martinez Sanchez, Arancha Bermúdez, Ignacio Gómez-Centurión, Maria Herrero-Garcia, Juana Ciudad, Josgrey Navas-Acosta, Lourdes Hermosín, Josefina Serrano, José-Ángel Raposo-Puglia, Laura Solan, Verónica Roldán-Galiacho, Almudena de Laiglesia, Lucía Gómez-Pérez, María Solé-Rodríguez, María-Soledad Casado, Laura Llorente Gonzalez, Daniel Barrios Decoud, Ferrán Vall-Llovera, Jesús-Lorenzo Algarra, Lourdes Amador, Raimundo García-Boyero, Antònia Cladera, Juan Miguel Bergua Burgues, Maria J José Calasanz, Isabel Granada, Evarist Feliu, Jesús-María Hernández-Rivas, Alberto Orfao

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