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December 8, 2025BloodOpen Access

Outcomes of concomitant Philadelphia chromosome-positive and CRLF2-rearranged B-cell ALL

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Authors

NSNicholas J. ShortNDNaval DaverMRMichael Roth

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Overview

Retrospective analysis reveals poor outcomes in Ph+/CRLF2+ B-ALL, despite treatment with ruxolitinib and immunotherapy.

Key Points

  • To evaluate the clinical outcomes of patients with concomitant Philadelphia positive and CRLF2 rearranged B-cell acute lymphoblastic leukemia.
  • Retrospective review of patients with B-ALL who had Ph+ and CRLF2 rearrangement at MD Anderson Cancer Center from 2014-2022.
  • Analysis of treatment regimens including ABL1 kinase inhibitors, chemotherapy, and immunotherapy.
  • Assessment of remission status and molecular response using flow-cytometry and next-generation sequencing.
  • Out of 8 identified patients, 6 were newly diagnosed and experienced a 50% rate of complete remission.
  • One patient with relapsed disease died from disease complications despite aggressive treatment.
  • After 1 year, event-free survival was 66% and overall survival was 83% for newly diagnosed patients.

Cite This Study

Short et al. (2025) studied this question.

synapsesocial.com/papers/69362f364fa91c937236d2cahttps://doi.org/10.1182/blood-2025-6834
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