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maintenance-Gruppo Italiano Malattie EMatologiche dell'Adulto-acute lymphoblastic leukemia-lymphoblastic lymphoma
- Development stage
- Unknown
- Lead developer
- GIMEMA
- Modality
- Small Molecules
- Administration
- Intravenous, Intramuscular, Oral
01
Overview
This refers to the maintenance chemotherapy phase of the GIMEMA LAL1913 clinical trial protocol, a Phase 2 pediatric-inspired treatment regimen developed by the Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA). The protocol is designed for adult patients (aged 18-65) with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) or lymphoblastic lymphoma (LBL). While the overall protocol features pegaspargase (a pegylated form of the enzyme L-asparaginase) during induction and consolidation to achieve early minimal residual disease (MRD) negativity, the maintenance phase is specifically administered to patients who achieve a complete response and are classified as standard risk or MRD-negative. The regimen aims to improve long-term outcomes, with the trial reporting a 3-year overall survival rate of 66.7% and disease-free survival of 63.3%.
- Other names
- GIMEMA LAL1913 Maintenance PhaseMaintenance therapy (GIMEMA LAL1913)
02
Targets
DHFR (Dihydrofolate reductase)
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