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← Childhood Acute Lymphoblastic Leukemia

HEALTH PROFESSIONAL · SOURCE READING

Response to initial treatment

Source: Childhood Acute Lymphoblastic Leukemia Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: April 21, 2025 · Captured 2026-09-09.

Selected source text with whitespace normalised. This Triangle page is not an NCI PDQ summary.

Context: Risk-Based Treatment Assignment / Prognostic Factors Affecting Risk-Based Treatment

The rapidity with which leukemia cells are eliminated after initiation of treatment and the level of residual disease at the end of induction are associated with long-term outcome. Because treatment response is influenced by the drug sensitivity of leukemic cells and host pharmacodynamics and pharmacogenomics,[129] early response has strong prognostic significance. Various ways of evaluating the leukemia cell response to treatment have been used, including the following:

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MRD determination in bone marrow at the end of induction (EOI) and end of consolidation (EOC).

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Day 7 and day 14 bone marrow responses.

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Peripheral blood response to steroid prophase.

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Peripheral blood response to multiagent induction therapy.

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Peripheral blood MRD before end of induction (day 8, day 15).

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Persistent leukemia at the end of induction (induction failure).

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