Proposed guidelines for MRD follow-up using CBFB-MYH11, RUNX1-RUNX1T1, PML-RARA, NPM1c, or WT1 as molecular markers
. | Sampling interval, mo . | RDF, % . | tm, d . |
---|---|---|---|
CBFB-MYH11 | |||
PB | 6* | 90 | 180 |
BM | Avoid | ||
RUNX1-RUNX1T1 | |||
PB | 3 | 85 | 65 |
BM | 4 | 95 | 85 |
PML-RARA | |||
PB | 1 | 75 | 35 |
BM | 2 | 90 | 60 |
NPM1c/FLT3-ITD− | |||
PB | 4 | 90 | 60 |
BM | 6 | 90 | 120 |
NPM1c/FLT3-ITD+ | |||
PB | 3 | 90 | 65 |
BM | 4 | 90 | 105 |
WT1 | |||
PB | 2 | 85 | 45 |
BM | 4 | 95 | 75 |
. | Sampling interval, mo . | RDF, % . | tm, d . |
---|---|---|---|
CBFB-MYH11 | |||
PB | 6* | 90 | 180 |
BM | Avoid | ||
RUNX1-RUNX1T1 | |||
PB | 3 | 85 | 65 |
BM | 4 | 95 | 85 |
PML-RARA | |||
PB | 1 | 75 | 35 |
BM | 2 | 90 | 60 |
NPM1c/FLT3-ITD− | |||
PB | 4 | 90 | 60 |
BM | 6 | 90 | 120 |
NPM1c/FLT3-ITD+ | |||
PB | 3 | 90 | 65 |
BM | 4 | 90 | 105 |
WT1 | |||
PB | 2 | 85 | 45 |
BM | 4 | 95 | 75 |
RDF indicates relapse detection frequency; and tm, median time from molecular to hematologic relapse.
One additional MRD sampling recommended 3 months after end of chemotherapy to detect early relapses.