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The test for c-kit was not set up and replaced by NGS MRD
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C-Kit is involved in an essential pathway of disease occurrence and is closely related to the poor prognosis of patients. However, the clinical significance of c-Kit mutation as molecular MRD monitoring is still unclear. What are the differences and advantages of using c-Kit mutation as MRD in prognostic assessment compared with other MRDs (MFC or RUNX1::RUNX1T1) widely used today? Existing data suggest that patients with one positive and one negative MRD results obtained by two different techniques have a higher risk of recurrence than patients with two negative MRD results but a lower risk of recurrence than patients with two positive MRD results. Therefore, can combining multiple MRD markers, including c-Kit mutations, overcome the shortcomings of a single molecular marker as MRD monitoring? Therefore, this project intends to confirm the clinical significance of quantitative detection of c-Kit mutation as MRD in acute myeloid leukemia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MRD negative | c-Kit mutation tested negative | ||
| MRD L1 | MRD detection at low level-1:<0.001% | ||
| MRD L2 | MRD detection at low level-2:0.001%≤c-Kit MRD<0.01% | ||
| MRD L3 | detection at low level-3:0.01%≤c-Kit MRD<0.1% | ||
| MRD positive | MRD positive:c-Kit MRD≥0.1% |
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| Measure | Description | Time Frame |
|---|---|---|
| CIR | cumulative incidence of recurrence | Within 5 years after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall Survival Rate | Within 5 years after treatment |
| RFS | Relapse-free survival | Within 5 years after treatment |
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Inclusion Criteria:
Patients who meet the diagnostic criteria(WHO 2016 criteria) of AML and have c-Kit D816 mutation. And receive treatment.
Exclusion Criteria:
Patients with other factors which were considered unsuitable to participate in the study by the investigators
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Patients with acute myeloid leukemia confirmed by bone marrow cell morphology, immunology, and genetics. And c-Kit D816 mutation was positive.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Hematology & Blood Diseases Hospital | Tianjin | China |
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| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |