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<gallery mode="traditional" widths=160px heights=160px>
  <h2>PML::RARA – Low Risk APL</h2>
File:Possible primitive cells PR.jpg</gallery>
  <table>
    <tr>
      <th>Gene</th>
      <th>Timepoints – on treatment</th>
      <th>Duration</th>
      <th>Follow-up post therapy</th>
      <th>Notes</th>
    </tr>
    <tr>
      <td>PML::RARA</td>
      <td>Bone marrow MRD – post each cycle of treatment</td>
      <td>Stop performing MRD once CRMRD</td>
      <td></td>
      <td>Recommended by both ELN and Dillon et al</td>
    </tr>
  </table>
 
  <h2>PML::RARA – High Risk APL</h2>
  <table>
    <tr>
      <th>Gene</th>
      <th>Timepoints – on treatment</th>
      <th>Duration</th>
      <th>Follow-up post therapy</th>
      <th>Notes</th>
    </tr>
    <tr>
      <td>PML::RARA</td>
      <td>Bone marrow MRD – post each cycle of treatment</td>
      <td></td>
      <td>BM MRD every 3 months for 2–3 years</td>
      <td>
        Recommended by both ELN and Dillon et al<br>
        ELN recommend 2 years
      </td>
    </tr>
  </table>
 
  <h2>NPM1</h2>
  <table>
    <tr>
      <th>Gene</th>
      <th>Timepoints – on treatment</th>
      <th>Additional tests</th>
      <th>Follow-up post therapy</th>
      <th>Notes</th>
    </tr>
    <tr>
      <td>NPM1</td>
      <td>Bone marrow MRD – post each cycle of treatment</td>
      <td>PB MRD sample post cycle 2</td>
      <td>
        BM 3 monthly for 2 years<br>
        PB 2 monthly for 2 years
      </td>
      <td>
        Post #2 PB sample based on AML 17 and Dillon et al<br>
        *Recommendations based on Dillon et al.<br>
        ELN recommends PB monitoring 4–6 weekly
      </td>
    </tr>
  </table>

Revision as of 10:21, 31 July 2025

PML::RARA – Low Risk APL

Gene Timepoints – on treatment Duration Follow-up post therapy Notes
PML::RARA Bone marrow MRD – post each cycle of treatment Stop performing MRD once CRMRD Recommended by both ELN and Dillon et al

PML::RARA – High Risk APL

Gene Timepoints – on treatment Duration Follow-up post therapy Notes
PML::RARA Bone marrow MRD – post each cycle of treatment BM MRD every 3 months for 2–3 years
       Recommended by both ELN and Dillon et al
ELN recommend 2 years

NPM1

Gene Timepoints – on treatment Additional tests Follow-up post therapy Notes
NPM1 Bone marrow MRD – post each cycle of treatment PB MRD sample post cycle 2
       BM 3 monthly for 2 years
PB 2 monthly for 2 years
       Post #2 PB sample based on AML 17 and Dillon et al
*Recommendations based on Dillon et al.
ELN recommends PB monitoring 4–6 weekly