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December 8, 2025Blood

Prognostic significance of IKZF1 deletion subtypes in ph-negative BCP-ALL: Biallelic-null deletion predicts the worst survival in TP53-wild type patients

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Authors

SLSeung‐Hwan LeeDKDaehun KwagSPSung Soo Park

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Overview

Retrospective analysis shows IKZF1 deletions impact survival in Ph-negative BCP-ALL, suggesting targeted therapies needed.

Key Points

  • This research aims to evaluate the prognostic impact of different IKZF1 deletion subtypes in patients with BCP-ALL undergoing allo-HCT, especially those that are Ph-negative and TP53-wild type.
  • Retrospective analysis of 389 adult BCP-ALL patients
  • Identified IKZF1 deletions and alterations in genes via multiplex ligation-dependent probe amplification
  • Performed targeted next-generation sequencing of 73 genes
  • Conducted MRD monitoring using NGS-based IGH/IGK rearrangement and multiparameter flow cytometry
  • Assessed survival outcomes using Kaplan-Meier and competing risk models.
  • Observed 210 patients with IKZF1 deletions, with 52 being Ph-negative
  • In Ph-negative BCP-ALL, IKZF1 deletion correlated with worse 3-year disease-free survival (36.8%)
  • Biallelic-null IKZF1 deletions led to the lowest 3-year overall survival (33.3%) in TP53-wild type patients

Cite This Study

Lee et al. (2025) studied this question.

synapsesocial.com/papers/69362f4e4fa91c937236d888https://doi.org/10.1182/blood-2025-5149
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