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Table 2 Registry-based algorithm based on treatment protocol name and details of each treatment protocol

From: Validation of a registry-derived risk algorithm based on treatment protocol as a proxy for disease risk in childhood acute lymphoblastic leukemia

Protocol

Lineage

Age (years)

WBC (x109/L)

Genetics

Other

Risk assignment

AALL02P2

T

≥10 (or)*

≥50 (or)

  

HR

AALL0031

   

t(9;22) or hypodiploidy or MLL with slow response (or)

Induction failure (or)

HR

AALL0232

B

≥10 (or)

≥50 (or)

 

Steroid pre treatment (or)

HR

AALL0331

B

1-9

<50

  

SR

AALL0434

T

>1

   

HR

AALL0622

 

>1

 

t(9;22)

 

HR

AALL0631

 

<1

   

HR

AALL0932

B

1-9

<50

No t(9;22), MLL, iAMP21, hypodiploidy

 

SR

CCG1991

B

1-9

<50

  

SR

POG9201

B

1-9

<50

Trisomy 4,10, DI>1.16 or t(12;21); No t(9;22), 1;19, MLL

 

SR

POG9407

 

<1

   

HR

POG9605

B

1-9

<50

No trisomy 4,10, DI>1.16, MLL, t(1;19), t(9;22)

 

SR

 

B

≥10

<50

Trisomy 4,10 or DI>1.16; No MLL, t(1;19), t(9;22)

 

SR

 

B

>1

≥50

Trisomy 4,10 or DI>1.16; No MLL, t(1;19), t(9;22)

 

SR

POG9904

B

1-9

<50

Trisomy 4,10, DI>1.16 or t(12;21); No MLL, t(1;19), t(9;22)

 

SR

POG9905

    

Neither 9904, 9906 nor AALL0031

SR

POG9906

B

M>12; F>16 (or)

>100 (or)

MLL (or)

 

HR

 

B

Sliding scale of WBC criteria for M age 8–11 and F age 12-15

 

HR

Protocol C

 

<1 or >10 (or)

>20 (or)

t(9;22) or MLL (or)

L2 morphology, mediastinal mass, or massive LN/HSM

HR

  1. DI DNA index, F Female, HR High risk, HSM Hepatosplenomegaly, iAMP Intra-amplification, LN – Lymphadenopathy, M Male, SR Standard risk, WBC White blood cell.
  2. *(or) indicates factors for which any one was sufficient for inclusion into the protocol.