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Evaluation of MRD Testing in ALL

Background

The standard-of-care for monitoring treatment response in acute lymphoblastic leukemia (ALL) is minimal/measurable residual disease (MRD) testing. Several testing methodologies, including immunophenotypic (flow cytometric) and molecular (polymerase chain reaction and next-generation sequencing) assays, are currently utilized. Moreover, optimal treatment time points, sample types and quality, assay protocols, and interpretative strategies are not established. The goal of this guideline is to establish evidence-based standards and expert recommendations in the application, interpretation, and actionability of MRD for ALL (B-ALL and T-ALL, pediatric and adult).

Scope

The primary goal of this guideline is to address clinical evaluation of MRD in ALL. The evidence-based recommendations will focus on optimal MRD testing methods.

Guideline information

  • Guideline status: Determine Scope & Form Panel

Expert Panel Members

Genevieve Crane, MD, PhD, FCAP, Co-chair

Alexandra Kovach, MD, FCAP, Co-chair

Daniel Boyer, MD, PhD, FCAP

Sindhu Cherian, MD, FCAP

Yi Ding, MD, FCAP

Mark Ewalt, MD, FCAP

Benjamin Hedley, PhD

Yen-Chun Liu, MD, PhD, FCAP

Lori Muffly, MD

Rachel Rau, MD

Julie Rosser, DO, FCAP

Julie Donovan, MLS(ASCP)

Lindsy Frazer-Green, PhD

Marisol Hernandez, MLS, MA

Tanja Kalicanin, MLS (ASCP) CM

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