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Multicenter Study for Adult ALL – GMALL 07/2003 Overview Total ...

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<strong>Overview</strong><br />

17-Dec-04<br />

KI<br />

Induction<br />

CNS<br />

SZ collection<br />

� � � �<br />

BM/MRD<br />

Stratification I<br />

according to risk factors<br />

SR<br />

HR<br />

VHR<br />

No Donor<br />

Donor<br />

HD-MTX<br />

ASP<br />

6 MP<br />

T-Lin:<br />

CLAEG<br />

B-Lin:<br />

FLAG-IDA<br />

Allo SCT*<br />

i.th. MTX i.th. triple prophylaxis<br />

(HR/VHR)<br />

<strong>Study</strong> Protocol – Short Version<br />

Reind.<br />

6MP/MTX<br />

Auto SCT*<br />

VM26<br />

ARAC<br />

1 4 8 12 16 20 24 28 32 36 40 44<br />

* If donor or autologous stem cells available<br />

<strong>Multicenter</strong> <strong>Study</strong> <strong>for</strong> <strong>Adult</strong> <strong>ALL</strong> – GM<strong>ALL</strong> <strong>07</strong>/<strong>2003</strong><br />

<strong>Overview</strong> <strong>Total</strong> Therapy<br />

HD-MTX<br />

ASP<br />

MRD-HR<br />

CYCLO<br />

ARAC<br />

HD-MTX<br />

ASP<br />

6MP/MTX<br />

Stratification II<br />

according to MRD<br />

48 52<br />

weeks<br />

MRD<br />

HR<br />

MRD<br />

NR<br />

MRD<br />

IMR<br />

End of Therapy<br />

©2004 European LeukemiaNet; www.leukemia-net.org<br />

SCT (allo sibling, MUD or auto)*<br />

CYCLO<br />

ARAC<br />

VM26<br />

ARAC<br />

Intensified Maintenance<br />

HD-MTX<br />

ASP<br />

CYCLO<br />

ARAC<br />

VM26<br />

ARAC<br />

HD-MTX<br />

ASP<br />

58 66 74 82 90 98 104<br />

4

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