P-051 Flow cytometry in myelodysplastic syndromes: A report from an international consortium and the European LeukemiaNet Working Group

Westers, T.M.; Kern, Winfried V.; Ireland, Rebecca; Béné, Marie C.; Porta, Matteo Giovanni Della; Ogata, Kentaro; Loosdrecht, Arjan A. van de

doi:10.1016/s0145-2126(13)70100-0

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“…18 Similarly, flow cytometric changes associated with antecedent MDS may complicate post-therapeutic MRD assessment in such patients. [20][21][22] Here, we explore the potential role of MRD testing in the context of lower-intensity therapy, discuss the potential pitfalls, and suggest a number of technical and clinical considerations to guide such future efforts.…”

Section: Introductionmentioning

confidence: 99%

Measurable residual disease monitoring in patients with acute myeloid leukemia treated with lower‐intensity therapy: Roadmap from an ELN‐DAVID expert panel

Ravandi,

Cloos,

Buccisano

et al. 2023

American J Hematol

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With the availability of effective targeted agents, significant changes have occurred in the management of patients with acute myeloid leukemia (AML) over the past several years, particularly for those considered unfit for intensive chemotherapy. While testing for measurable residual disease (MRD) is now routinely performed in patients treated with intensive chemotherapy to refine prognosis and, possibly, inform treatment decision‐making, its value in the context of lower‐intensity regimens is unclear. As such regimens have gained in popularity and can be associated with higher response rates, the need to better define the role of MRD assessment and the appropriate time points and assays used for this purpose has increased. This report outlines a roadmap for MRD testing in patients with AML treated with lower‐intensity regimens. Experts from the European LeukemiaNet (ELN)–DAVID AML MRD working group reviewed all available data to propose a framework for MRD testing in future trials and clinical practice. A Delphi poll served to optimize consensus. Establishment of uniform standards for MRD assessments in lower‐intensity regimens used in treating patients with AML is clinically relevant and important for optimizing testing and, ultimately, improving treatment outcomes of these patients.

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