Optimization of treatment protocols and improved risk stratification have enhanced event-free survival rates in pediatric precursor-B acute lymphoblastic leukemia (BCP-ALL) up to 80%-90%.1 Remarkably, these results are obtained without changing the core chemotherapeutic drugs that have been used for decades, including prednisolone, L-asparaginase and vincristine. To cure the remaining 20% of patients and to reduce long-term side-