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ABSTRACT Secondary acute lymphoblastic leukemia (s-ALL) comprises up to 10% of ALL patients. However, data regarding s-ALL outcomes is limited. To answer what is the role of allogeneic
hematopoietic cell transplantation (HCT) in s-ALL, a matched-pair analysis in a 1:2 ratio was conducted to compare outcomes between s-ALL and de novo ALL (_dn_-ALL) patients reported between
2000–2021 to the European Society for Blood and Marrow Transplantation registry. Among 9720 ALL patients, 351 (3.6%) were s-ALL, of which 80 were in first complete remission (CR1) with a
known precedent primary diagnosis 58.8% solid tumor (ST), 41.2% hematological diseases (HD). The estimated 2-year relapse incidence (RI) was 19.1% (95%CI: 11–28.9), leukemia-free survival
(LFS) 52.1% (95%CI: 39.6–63.2), non-relapse mortality (NRM) 28.8% (95%CI: 18.4–40), GvHD-free, relapse-free survival (GRFS) 39.4% (95%CI: 27.8–50.7), and overall survival (OS) 60.8% (95%CI:
47.9–71.4), and did not differ between ST and HD patients. In a matched-pair analysis, there was no difference in RI, GRFS, NRM, LFS, or OS between s-ALL and _dn_-ALL except for a higher
incidence of chronic GvHD (51.9% vs. 31.4%) in s-ALL. To conclude, patients with s-ALL who received HCT in CR1 have comparable outcomes to patients with _dn_-ALL. Access through your
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BEING VIEWED BY OTHERS CONTINUOUSLY IMPROVING OUTCOME OVER TIME AFTER SECOND ALLOGENEIC STEM CELL TRANSPLANTATION IN RELAPSED ACUTE MYELOID LEUKEMIA: AN EBMT REGISTRY ANALYSIS OF 1540
PATIENTS Article Open access 02 May 2024 ALLOGENEIC HEMATOPOIETIC CELL TRANSPLANTATION FOR PATIENTS WITH ACUTE MYELOID LEUKEMIA NOT IN REMISSION Article 21 December 2023 RELAPSE OF ACUTE
MYELOID LEUKEMIA AFTER ALLOGENEIC HEMATOPOIETIC CELL TRANSPLANTATION: CLINICAL FEATURES AND OUTCOMES Article 02 December 2020 DATA AVAILABILITY ASK, JMZ, ML, and MM had full access to all
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2022;97:E171–3. Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Hematology and Transplantology, Medical University of Gdańsk, Gdańsk, Poland A. Sadowska-Klasa
& J. M. Zaucha * Department of Hematology, Sorbonne University, Hopital Saint Antoine, Paris, France M. Labopin & M. Mohty * Department of Hematology, Gustave Roussy Cancer Campus,
BMT Service, Villejuif, France J. H. Bourhis * Programme de Transplantation & Therapie Cellulaire, Centre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille,
France D. Blaise * CHU de Lille, LIRIC, INSERM U995, Université de Lille, Lille, France I. Yakoub-Agha * HUCH Comprehensive Cancer Center, Stem Cell Transplantation Unit, Helsinki, Finland
U. Salmenniemi * University Hospital, Hematology, Basel, Switzerland J. Passweg * CHU Lapeyronie, Département d’Hématologie Clinique, Montpellier, France N. Fegueux * Department of Bone
Marrow Transplantation, University Hospital, Essen, Germany T. Schroeder * Department of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska-Curie National Research Institute
of Oncology, Gliwice Branch, Gliwice, Poland S. Giebel * Service d’Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, AP-HP, Sorbonne University, and INSERM UMRs 938, Paris,
France E. Brissot * Ospedale San Raffaele, Haematology and BMT, Milan, Italy F. Ciceri Authors * A. Sadowska-Klasa View author publications You can also search for this author inPubMed
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author inPubMed Google Scholar * I. Yakoub-Agha View author publications You can also search for this author inPubMed Google Scholar * U. Salmenniemi View author publications You can also
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You can also search for this author inPubMed Google Scholar * E. Brissot View author publications You can also search for this author inPubMed Google Scholar * F. Ciceri View author
publications You can also search for this author inPubMed Google Scholar * M. Mohty View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS ASK
wrote the manuscript, designed the study, and interpreted the data. JMZ and MM designed the study, interpreted the data, and edited the manuscript. ML designed the study, performed the
statistical analyses, interpreted the data, and edited the manuscript. JHB, DB, IYA, US, JP, NF, TS, SG, EB, and FC reviewed the manuscript and provided clinical data. All authors approved
the final version of the manuscript. CORRESPONDING AUTHORS Correspondence to A. Sadowska-Klasa or J. M. Zaucha. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing
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ARTICLE CITE THIS ARTICLE Sadowska-Klasa, A., Zaucha, J.M., Labopin, M. _et al._ Allogeneic hematopoietic cell transplantation is equally effective in secondary acute lymphoblastic leukemia
(ALL) compared to de-novo ALL—a report from the EBMT registry. _Bone Marrow Transplant_ 59, 387–394 (2024). https://doi.org/10.1038/s41409-023-02192-0 Download citation * Received: 10
October 2023 * Revised: 16 December 2023 * Accepted: 20 December 2023 * Published: 09 January 2024 * Issue Date: March 2024 * DOI: https://doi.org/10.1038/s41409-023-02192-0 SHARE THIS
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