Association of clinical trial enrollment and survival using contemporary therapy for pediatric acute lymphoblastic leukemia
Clinical trial enrollment did not affect pediatric B‑ALL survival.
We investigated the association between enrollment on contemporary trials and event‑free survival (EFS) in pediatric B‑cell acute lymphoblastic leukemia (B‑ALL). In a retrospective cohort of 274 children (1‑21 years) treated for B‑ALL from 2008 to 2015, 55.5 % enrolled with no disparity in enrollment by age, sex, or ethnicity. Three‑year EFS was similar for enrolled and not enrolled patients (90.1 % vs 86.5 %). Clinical trial enrollment did not affect pediatric B‑ALL survival.
The results suggest that trial participation does not improve survival in the modern minimal residual disease‑based treatment era.
Evidence level: Sejtvonalas. Laboratóriumi sejtekben vizsgálták.
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