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New Developments in the Treatment of Pediatric Acute Lymphoblastic Leukemia

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Update in Pediatrics
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Abstract

Acute lymphoblastic leukemia (ALL) is the most common pediatric cancer, affecting approximately 2800 children and adolescents in the United States each year (Siegel et al. Cancer J Clin 73(1), 17–48, 2023). Survival has improved from less than 10% a half century ago to nearly 90% today. From the first introduction of single-agent chemotherapy in the 1940s, combination chemotherapy and intensification of post-induction therapy have largely been responsible for advances in the treatment of ALL, as has therapy directed at the central nervous system (CNS). Over time, the stratification of patients by their risk of relapse, such that therapy intensity is tailored to this risk, has been a major contributor to both improvements in survival rates and reductions in toxicity from therapy. Clinical features, leukemia biology, and early response to therapy have emerged as important components of risk stratification. The biology of ALL, key prognostic factors, and treatment approaches will be discussed, with an emphasis on new developments in the treatment of pediatric ALL.

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Correspondence to David T. Teachey .

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David T. Teachey serves on advisory boards for Jazz, Sobi, and BEAM Therapeutics. He receives research funding from BEAM Therapeutics, NeoImmune Tech, Jazz, and Servier. He has patents pending on CAR-T.

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Newman, H., Teachey, D.T. (2023). New Developments in the Treatment of Pediatric Acute Lymphoblastic Leukemia. In: Beckwith, S. (eds) Update in Pediatrics. Springer, Cham. https://doi.org/10.1007/978-3-031-41542-5_24

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  • DOI: https://doi.org/10.1007/978-3-031-41542-5_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-41541-8

  • Online ISBN: 978-3-031-41542-5

  • eBook Packages: MedicineMedicine (R0)

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