In acute lymphoblastic leukemia, many groups set an upper age limit of 55 years for unmodified pediatric-based protocols. Patients above this threshold are managed under a distinct treatment approach.
Many groups set an upper age limit for unmodified pediatric-based protocols at the age of 55 years. Patients above 55 fall outside the standard intensive regimen and require a treatment strategy specifically tailored to this population.
For patients in this age group, a transplantation-based strategy is among the approaches considered, with conditioning intensity calibrated to patient tolerance — preferably within clinical trials.
DOI: 10.1182/blood.2023023568
Many groups set an upper age limit for unmodified pediatric-based protocols at the age of 55 years.
For older patients reduced-intensity conditioning (RIC) should be considered preferably within clinical trials.
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