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Translating Guidelines and Clinical Trial Data to and ... - Amazon S3

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The Right StuffThe Right DrugThe Right TargetThe Right DiseaseThe Right ContextThe Right ScheduleThe Right DoseThe Right PopulationGaynon P, et al. Br J Haema<strong>to</strong>l. 2005;131(5):579-587.Conclusions• Substantial numbers of young people <strong>and</strong> adults are cured withcurrent risk-adapted strategies– Various post-induction intensification schemes yield similar outcomeswith similar prognostic fac<strong>to</strong>rs– Allogeneic BMT remains important for adults– AVN in adolescents <strong>and</strong> TRM in adults• Relapse remains the major barrier <strong>to</strong> cure– BMT is not the complete answer <strong>to</strong> the challenge of relapse• Targeted therapy requires identification of ‘molecularly’homogenous subpopulationsAVN = avascular necrosis; TRM = treatment-related mortality.

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