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December 8, 2025BloodOpen Access

Enhanced outcomes for pediatric patients with de novo chronic myeloid leukemia in blast Phase through early allogeneic stem cell transplantation and tyrosine kinase inhibitor

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Authors

YWYang WanYGYe Guo

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Overview

Retrospective analysis shows allogeneic HSCT and tyrosine kinase inhibitors enhance outcomes in pediatric CML patients, suggesting a new approach to care.

Key Points

  • To evaluate the outcomes of pediatric patients with de novo chronic myeloid leukemia in blast phase receiving early stem cell transplantation and tyrosine kinase inhibitors.
  • Retrospective analysis of pediatric CML-BP patients receiving HSCT from May 2023 to March 2025.
  • Patients diagnosed according to WHO 2022 criteria; treatment included dasatinib or olverembatinib alongside HSCT.
  • Monitoring for minimal residual disease and bone marrow assessments post-transplant.
  • Seven patients underwent HSCT, achieving complete donor chimerism within 20 days.
  • Four patients reached complete cytogenetic response and one achieved major molecular response.
  • Post-HSCT treatment with TKIs resulted in BCR::ABL1 negativity in several cases, indicating effective disease management.

Cite This Study

Wan et al. (2025) studied this question.

synapsesocial.com/papers/69362f604fa91c937236dd0ahttps://doi.org/10.1182/blood-2025-7833
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