Nitin Jain, MD, University of Texas MD Anderson Cancer Center, Houston, TX, outlines results from a retrospective analysis of patients with B-cell acute lymphoblastic leukemia (B-ALL) with concomitant BCR-ABL1 and CRLF2 rearrangements. The analysis found that treating this subgroup of patients with immunotherapy plus tyrosine kinase inhibitors (TKI) cleared the Ph+clone but the CRLF2-rearranged clone still persisted, which likely causes relapse of the disease. Overall, patients who harbor concomitant Ph+ and CRLF2 rearrangement represent a rare but high-risk subgroup of B-ALL, thus more tailored management and earlier transplant should be considered for this patient population. This interview took place at the 64th ASH Annual Meeting and Exposition congress in New Orleans, LA.
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