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1 MRD assessment can provide real-time information about t
2 MRD at the end of induction therapy of 10(-2) cells or m
3 MRD at the end of induction therapy was high (>=10(-2) c
4 MRD evaluation by next-generation sequencing (NGS) has a
5 MRD is an important predictor of survival in ALL, and re
6 MRD measurements, available for 146 of the 204 patients,
7 MRD negativity should be considered as one of the most r
8 MRD tests included blood and bone marrow (BM) flow cytom
9 MRD was assessed in 1,100 bone marrow samples from 397 p
10 MRD was evaluated by polymerase chain reaction analysis
11 MRD was measured by using standardized real-time quantit
12 MRD was measured in peripheral blood (PB) from treatment
13 MRD, identified as a new prognostic factor for ML-DS pat
14 MRD-negative status was strongly associated with prolong
15 py, CR rates were 100% versus 88% (P = .11), MRD-free CR rates 97% versus 24% (P < .0001, primary end
18 ma, the response rate was 70%, including 50% MRD-negative complete responses, at 400 mug/d, the MTD f
19 io of event-free survival in patients with a MRD of >=10(-2)vs those with a MRD of <10(-2) 3.33 [95%
24 ficantly better in the patients who achieved MRD-negative CR compared with those who did not (median
28 multivariable modeling in patients achieving MRD-negative CR showed that lower prelymphodepletion lac
30 ion, the fully standardized EuroFlow BCP-ALL MRD strategy is applicable in >98% of patients with sens
36 ingle threshold for assigning patients to an MRD risk group does not reflect the response kinetics of
39 count >/=200 x 10(9)/L, gHiR classifier, and MRD >/=10(-4) demonstrated a 5-year CIR of 46%, whereas
40 C count <200 x 10(9)/L, gLoR classifier, and MRD <10(-4) had a very low risk of relapse, with a 5-yea
42 KRd with ASCT achieved high rates of sCR and MRD-negative disease at the end of KRd consolidation.
46 rug using an intermediate end point, such as MRD, would require confirmation using traditional effica
47 ptive Biotechnologies Corporation) to assess MRD in 62 patients, all of whom had BM U-MRD by multicol
51 valuable patients, 40 (89%) were found to be MRD negative, and the MRD-positive patients experienced
52 ative to <=10-5, which is concerning because MRD-negative status predicts significantly longer surviv
53 apy, roughly 75% of MM patients never become MRD-negative to <=10-5, which is concerning because MRD-
54 There was no evidence of interaction between MRD status and conditioning regimen intensity for relaps
55 re precise quantitative relationship between MRD and PFS, and to support general applicability of MRD
56 4% (P < .0001, primary end point), and blood MRD-free rates 100% versus 50% (P < .0001), respectively
57 a 4-log reduction in NPM1m peripheral blood-MRD (PB-MRD) had a higher cumulative incidence of relaps
58 pharmacologic immunosuppression for the BuCy MRD, BuFlu MRD, BuCy MUD, and BuFlu MUD groups all were
59 ic immunosuppression for the BuCy MRD, BuFlu MRD, BuCy MUD, and BuFlu MUD groups all were 4.5 to 5 mo
60 disease model designed to reflect low-burden MRD, 3 studies demonstrated that single-dose 211At-CD38
64 assessment (postinduction or consolidation), MRD detection method, phenotype/genotype (B cell, T cell
65 T-cell expansion were superior in the HD-Cy/MRD cohorts, as compared with the LD-Cy/morphologic coho
66 be critical to determine how best to deploy MRD testing in routine practice and whether MRD assessme
68 e (MRD) before HCT and those with detectable MRD after HCT derive the strongest benefit from sorafeni
70 describe the methods available for detecting MRD in patients with lymphoma and their relative advanta
76 eradication of measurable residual disease (MRD) and usually are taken indefinitely or until progres
77 the presence of measurable residual disease (MRD) assessed by flow cytometry before alloSCT as a stro
78 of-induction (EOI) minimal residual disease (MRD) assessment in the identification and stratification
80 s and the level of minimal residual disease (MRD) at day 22 of initial remission induction determined
82 ve was to evaluate minimal residual disease (MRD) at the end of induction treatment with chemoimmunot
83 with undetectable minimal residual disease (MRD) before HCT and those with detectable MRD after HCT
84 ence of minimal/measurable residual disease (MRD) by molecular genetic and/or flow cytometric techniq
85 nse rate (ORR) and minimal residual disease (MRD) by next-generation sequencing were secondary end po
86 d be evaluated for minimal residual disease (MRD) had MRD-negative status (<=10(-4) nucleated cells).
90 ased monitoring of minimal residual disease (MRD) in 48 patients with childhood acute lymphoblastic l
91 esigned to measure minimal residual disease (MRD) in B-cell precursor (BCP) acute lymphoblastic leuke
92 chniques to detect minimal residual disease (MRD) inside and outside the bone marrow, helping to iden
93 ability to detect minimal residual disease (MRD) is increasingly influencing treatment paradigms.
95 al significance of minimal residual disease (MRD) levels as measured by flow cytometry on day 28 of i
97 erformed serial measurable residual disease (MRD) monitoring in bone marrow (BM) and peripheral blood
98 P = .0177), as did minimal residual disease (MRD) negativity (10-5 threshold) rates in the intent-to-
100 with end-induction minimal residual disease (MRD) of 0.01% to < 0.1% had an inferior outcome compared
102 Monitoring of measurable residual disease (MRD) provides prognostic information in patients with Nu
107 echnique to define minimal residual disease (MRD) status outside the bone marrow (BM) in patients wit
108 redictive value of minimal residual disease (MRD) status, durability of response, fixed treatment dur
109 , peripheral-blood minimal residual disease (MRD) status, genomic complexity (GC), and gene mutations
111 Pretransplant measurable residual disease (MRD) was monitored by flow cytometry (MFC-MRD) and corre
112 t was detection of minimal residual disease (MRD) within 1 yr after ASCT at the previously validated
113 R T cell achieving minimal residual disease (MRD)(-) status, consolidative allogeneic transplant lead
116 evaluate rates of minimal residual disease (MRD)-negative status and progression-free survival (PFS)
120 s had pretreatment minimal residual disease (MRD; <5% blasts in bone marrow), and 10 patients had pre
121 l in patients with minimal residual disease (MRD; enhancing tumour <2 cm(2) post-chemoradiation by ce
123 e excellent following matched-related donor (MRD) HCT, leading to significantly expanded application
125 pared its efficacy on a background of either MRD or normal methionine intake [regular diet (REG)] to
128 ition of c-FOS, DUSP1 and BCR-ABL eradicated MRD in multiple in vivo models, as well as in mice xenot
132 he applicability and sensitivity of the flow MRD-negative criterion defined by the International Myel
133 ve patients (n = 125) was 92.7% vs 76.2% for MRD-positive patients (n = 21) (log-rank P = .011).
134 es were 72% and 84% for ITT, 85% and 91% for MRD-negative patients, and 57% and 72% for patients with
135 ts supporting the potential applications for MRD testing in the care of patients with lymphoma and st
136 se-negative rate of HTS improves upon FC for MRD detection in pediatric B-ALL by identifying a novel
138 and FC showed similar 5-year EFS and OS for MRD-positive and -negative patients using an MRD thresho
139 n in patients with AML who test positive for MRD can prevent relapse and improve survival is unknown.
141 nt outcome; 5-year disease-free survival for MRD-negative patients (n = 125) was 92.7% vs 76.2% for M
145 ologic remission 2.3% (61 of 2,633) had high MRD (>/= 5%) and 5-year EFS of 47.0% (95% CI, 32.9 to 61
147 rove CCR or OS, even in patients with higher MRD, in whom it might have been predicted to provide mor
148 d using current chemotherapy and identifying MRD at 0.01% in up to one-third of patients who are miss
151 sed recommendations on how to best implement MRD testing and MRD-directed therapy after allo-HCT are
152 -OS, 56% vs 96%; HR, 3.24; P = .0005) and in MRD-positive patients (2y-OS, 34% vs 100%; HR, 3.78; P =
153 n in NPM1mut TLs after 2 treatment cycles in MRD positive patients by the addition of GO led to a sig
158 andidates; 150 (44%) to AuSCT (115 FR, 35 IR MRD-negative) plus 27 IR patients (8%) with no leukemia-
159 located: 165 (48%) to AlloSCT (122 PR, 43 IR MRD-positive) plus 23 rescued after salvage therapy, for
161 5% in the PR category, 79% and 61% in the IR MRD-negative category, and 70% and 67% in the IR MRD-pos
166 Among those with detectable MRD, low-level MRD (10(-4) to less than 10(-2)) predicted improved PFS
169 sociated with superior PFS compared with low MRD positivity (HR, 0.50) and high MRD positivity (HR, 0
170 erior outcome compared with those with lower MRD and no improvement with IC (6-year CCR: SC, 77.5% +/
174 and predictive markers along with monitoring MRD can guide the development of individualized, better-
175 ecular to morphologic relapse, necessitating MRD assessment at short intervals during this time perio
177 -to-treat minimal residual disease-negative (MRD(-)) remission rate for this phase 1 study was 89%.
178 mpressive minimal residual disease-negative (MRD-negative) complete remission (CR) rates in patients
181 d evaluated the prognostic impact of NPM1mut MRD and the effect of gemtuzumab ozogamicin (GO) on NPM1
184 of complete remission (CR) in the absence of MRD negativity was not associated with prolonged progres
186 t TL log10 reduction >= 3 and achievement of MRD negativity in BM and PB were significantly associate
187 After completion of therapy, achievement of MRD- in both BM and PB was an independent, favorable pro
188 d recent studies suggest that achievement of MRD-negativity with blinatumomab improves outcomes in pa
189 PFS, and to support general applicability of MRD surrogacy for PFS across diverse patient characteris
190 any subtypes of lymphoma, the application of MRD assessment techniques, like flow cytometry or polyme
193 tations and translocations, determination of MRD is complicated by the fact that many treated patient
197 n patients with AML with genomic evidence of MRD before alloHCT can result in improved survival.
198 ment methods, including the incorporation of MRD assessment into clinical trials in patients with lym
199 ative evidence to support the integration of MRD assessment as an end point in clinical trials of MM.
200 he bone marrow aspirate), and high levels of MRD had an estimated 2-year overall survival (2y-OS) of
202 ith many tumors, but the clinical meaning of MRD in multiple myeloma (MM) remains uncertain, particul
203 f our study was to exploit the full power of MRD by examining it as a continuous variable and to inte
206 cytogenetics, with prognostic superiority of MRD negativity versus CR particularly evident in patient
209 nt across therapies, methods of and times of MRD assessment, cutoff levels, and disease subtypes.
210 size, patient age, follow-up time, timing of MRD assessment (postinduction or consolidation), MRD det
214 include morphologic induction failure and/or MRD >/= 5% identified 3.9% (120 of 3,133 patients) of th
218 nger PFS, which establishes the impact of PB MRD on the benefit of fixed-duration, venetoclax-contain
221 icant interaction between ASCT effect and PB-MRD response ( P = .024 and .027 for disease-free surviv
222 ication (ITD), and a < 4-log reduction in PB-MRD were significantly associated with a higher relapse
223 lood cell count, and < 4-log reduction in PB-MRD, but not FLT3-ITD allelic ratio, remained of signifi
224 rved in those with a > 4-log reduction in PB-MRD, with a significant interaction between ASCT effect
226 reduction in NPM1m peripheral blood-MRD (PB-MRD) had a higher cumulative incidence of relapse (subha
228 ng prognostic significance of early NPM1m PB-MRD, independent of the cytogenetic and molecular contex
233 ional Staging System III status and positive MRD had dismal progression-free and overall survivals (m
234 significant differences in postconsolidation MRD-negative (<10(-6); 76% vs 75%; P = .9) and 2-year PF
235 al approach to MRD monitoring for preemptive MRD-triggered intervention, using patient scenarios to i
236 io [OR], 1.76; P = .04), better preoperative MRD (adjusted OR, 2.21; P < .001), and absence of Marcus
239 is after myeloablative, HLA-matched related (MRD), or HLA-matched unrelated (MUD) donor T-cell-replet
241 ess, 12 patients in the delayed arm remained MRD free when restaged 6-104 (median, 78) months after l
244 pse rate that was associated with a specific MRD value or category varied significantly by genetic su
245 Integration of genetic subtype-specific MRD values allowed more refined risk group stratificatio
248 8 subjects who achieved an initial sustained MRD-neg remission, remission durability correlated with
249 Conclusion Our results demonstrate that MRD-negative status surpasses the prognostic value of CR
250 of lymphoma subtypes, fueling the hope that MRD detection may soon be applicable in clinical practic
253 (89%) were found to be MRD negative, and the MRD-positive patients experienced early subsequent relap
256 of relapse was directly proportional to the MRD level within each genetic risk group, absolute relap
257 r induction had reduced EFS (56%), and their MRD persisted until allo-HSCT more frequently than it di
258 re, I describe our institutional approach to MRD monitoring for preemptive MRD-triggered intervention
259 ation on patient characteristics, treatment, MRD assessment, and outcomes were extracted using a stan
261 a French Association 0702 (ALFA-0702) trial, MRD evaluation was available in 152 patients in first re
263 ess MRD in 62 patients, all of whom had BM U-MRD by multicolor flow cytometry (sensitivity 10-4) at e
264 BM) undetectable minimal residual disease (U-MRD) status after first-line fludarabine, cyclophosphami
265 and undetectable minimal residual disease (U-MRD) were analyzed for all patients (n = 436) and for th
267 with mutated IGHV were more likely to have U-MRD by NGS at the end of treatment (EOT; 41% vs 13%, P =
274 , 205 (45%) of 458 patients had undetectable MRD after consolidation, and only 14 of them (7%) have e
277 ab achieved a higher rate of PB undetectable MRD (uMRD; less than 10(-4)) at EOCT (62% v 13%) with su
278 pendent analysis, patients with undetectable MRD had an 82% reduction in the risk of progression or d
279 fter 12 months of ibrutinib plus venetoclax, MRD negativity (fewer than one CLL cell in 10,000 leukoc
280 tients with U-MRD at EOT had superior PFS vs MRD+ patients, regardless of sample type assessed (BM, P
283 with a complete response or better, 29% were MRD negative at a threshold of 10(-5) Among the 62 respo
285 MRD testing in routine practice and whether MRD assessment can ultimately bring us closer to the goa
286 , 2014, 745 patients were enrolled (405 with MRD, 338 with significant residual disease [SRD], and tw
288 The risk of relapse was correlated with MRD kinetics, and each log reduction in disease level re
289 Importantly, among the 60% of patients with MRD <10(-4), 5-year CIR was 29% for gHiR patients and 4%
290 w for different proportions of patients with MRD in different studies, and analyzed using the Peto me
296 more frequently than it did in patients with MRD of 10(-3) or greater to less than 10(-2) (P = .037).
297 erence in overall survival for patients with MRD: median overall survival was 20.1 months (95% CI 18.
299 entification of 19.9% of SR patients without MRD at any detectable level who had excellent 5-year EFS
300 s from 397 patients; the 61 patients without MRD data discontinued treatment during induction and wer