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May 30, 2026HaematologicaOpen Access

Next generation sequencing-based measurable residual disease detection predicts outcomes in patients with acute myeloid leukemia undergoing allogeneic stem cell transplantation

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Authors

SKSimon M. KraußTHTara HollowayAWAnne Weigert

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Overview

Randomized trial shows that NGS-based MRD detection predicts outcomes in AML patients undergoing allo-SCT, indicating clinical relevance.

Key Points

  • This research aims to evaluate the effectiveness of an affordable NGS-based MRD assay for predicting patient outcomes in AML post-transplantation.
  • Developed a cost-efficient NGS MRD assay using single-molecule molecular inversion probes targeting 92 genomic loci in 33 AML driver genes.
  • Applied the assay to 93 AML patients in remission before allo-SCT.
  • Defined MRD positivity as ≥ 1 non-DTA gene variant with ≥ 0.5% variant allele frequency.
  • MRD positivity was associated with significantly shorter post-transplant overall survival (OS; p < 0.001).
  • NGS-based MRD detection was an independent predictor of inferior OS (hazard ratio 4.58; p = 0.002).
  • Conditioning intensity did not impact outcomes for MRD-positive patients.

Cite This Study

Krauß et al. (2026) studied this question.

synapsesocial.com/papers/6a1a827f0307b785094341c1https://doi.org/10.3324/haematol.2025.300432
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