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6MP adherence in a multiracial cohort of children with acute lymphoblastic leukemia: a Children's Oncology Group study.

Identifieur interne : 004158 ( PubMed/Checkpoint ); précédent : 004157; suivant : 004159

6MP adherence in a multiracial cohort of children with acute lymphoblastic leukemia: a Children's Oncology Group study.

Auteurs : Smita Bhatia [États-Unis] ; Wendy Landier [États-Unis] ; Lindsey Hageman [États-Unis] ; Heeyoung Kim [États-Unis] ; Yanjun Chen [États-Unis] ; Kristine R. Crews [États-Unis] ; William E. Evans [États-Unis] ; Bruce Bostrom [États-Unis] ; Jacqueline Casillas [États-Unis] ; David S. Dickens [États-Unis] ; Kelly W. Maloney [États-Unis] ; Joseph P. Neglia [États-Unis] ; Yaddanapudi Ravindranath ; A Kim Ritchey [États-Unis] ; F Lennie Wong [États-Unis] ; Mary V. Relling [États-Unis]

Source :

RBID : pubmed:24829202

Descripteurs français

English descriptors

Abstract

Durable remissions in children with acute lymphoblastic leukemia (ALL) require a 2-year maintenance phase that includes daily oral 6-mercaptopurine (6MP). Adherence to oral 6MP among Asian-American and African-American children with ALL is unknown. We enrolled 298 children with ALL (71 Asian Americans, 68 African Americans, and 159 non-Hispanic whites) receiving oral 6MP for the maintenance phase. Adherence was measured electronically for 39 803 person-days. Adherence declined from 95.0% (month 1) to 91.8% (month 5, P < .0001). Adherence rates were significantly (P < .0001) lower in Asian Americans (90.0% ± 4.9%) and African Americans (87.1% ± 4.4%), as compared with non-Hispanic whites (95.2% ± 1.3%). Race-specific sociodemographic characteristics helped explain poor adherence (African Americans: low maternal education [less than a college degree: 78.9%, vs at least college degree: 94.6%; P < .0001]; Asian Americans: low-income households [<$50 000: 84.5%, vs ≥$50 000: 96.7%; P = .04]; households without mothers as full-time caregivers [85.6%] vs households with mothers as full-time caregivers [97.2%; P = .05]). Adherence rate below 90% was associated with increased relapse risk (hazard ratio, 3.9; P = .01). Using an adherence rate <90% to define nonadherence, 20.5% of the participants were nonadherers. We identify race-specific determinants of adherence, and define a clinically relevant level of adherence needed to minimize relapse risk in a multiracial cohort of children with ALL. This trial was registered at www.clinicaltrials.gov as #NCT00268528.

DOI: 10.1182/blood-2014-01-552166
PubMed: 24829202


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Le document en format XML

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<region type="state">Tennessee</region>
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<nlm:affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Tennessee</region>
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<name sortKey="Bostrom, Bruce" sort="Bostrom, Bruce" uniqKey="Bostrom B" first="Bruce" last="Bostrom">Bruce Bostrom</name>
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<nlm:affiliation>Department of Hematology/Oncology, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Minnesota</region>
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<wicri:cityArea>Department of Hematology/Oncology, Children's Hospitals and Clinics of Minnesota, Minneapolis</wicri:cityArea>
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<name sortKey="Casillas, Jacqueline" sort="Casillas, Jacqueline" uniqKey="Casillas J" first="Jacqueline" last="Casillas">Jacqueline Casillas</name>
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<nlm:affiliation>Department of Pediatrics and Division of Hematology/Oncology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA;</nlm:affiliation>
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<region type="state">Californie</region>
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<name sortKey="Dickens, David S" sort="Dickens, David S" uniqKey="Dickens D" first="David S" last="Dickens">David S. Dickens</name>
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<nlm:affiliation>Division of Pediatric Hematology/Oncology, Helen DeVos Children's Hospital at Spectrum Health/Spectrum Health at Butterworth Campus, Grand Rapids, MI;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Michigan</region>
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<name sortKey="Maloney, Kelly W" sort="Maloney, Kelly W" uniqKey="Maloney K" first="Kelly W" last="Maloney">Kelly W. Maloney</name>
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<nlm:affiliation>Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO;</nlm:affiliation>
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<placeName>
<region type="state">Colorado</region>
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<wicri:cityArea>Department of Pediatrics, University of Colorado School of Medicine, Aurora</wicri:cityArea>
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<name sortKey="Neglia, Joseph P" sort="Neglia, Joseph P" uniqKey="Neglia J" first="Joseph P" last="Neglia">Joseph P. Neglia</name>
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<nlm:affiliation>Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Minnesota Medical School, Minneapolis, MN;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Minnesota Medical School, Minneapolis</wicri:cityArea>
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<name sortKey="Ravindranath, Yaddanapudi" sort="Ravindranath, Yaddanapudi" uniqKey="Ravindranath Y" first="Yaddanapudi" last="Ravindranath">Yaddanapudi Ravindranath</name>
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<name sortKey="Wong, F Lennie" sort="Wong, F Lennie" uniqKey="Wong F" first="F Lennie" last="Wong">F Lennie Wong</name>
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<name sortKey="Relling, Mary V" sort="Relling, Mary V" uniqKey="Relling M" first="Mary V" last="Relling">Mary V. Relling</name>
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<term>6-Mercaptopurine (administration & dosage)</term>
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<term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Continental Population Groups (ethnology)</term>
<term>Demography</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Medication Adherence (ethnology)</term>
<term>Multivariate Analysis</term>
<term>Precursor Cell Lymphoblastic Leukemia-Lymphoma (drug therapy)</term>
<term>Precursor Cell Lymphoblastic Leukemia-Lymphoma (ethnology)</term>
<term>Recurrence</term>
<term>Regression Analysis</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Administration par voie orale</term>
<term>Adolescent</term>
<term>Analyse de régression</term>
<term>Analyse multivariée</term>
<term>Démographie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Leucémie-lymphome lymphoblastique à précurseurs B et T (ethnologie)</term>
<term>Leucémie-lymphome lymphoblastique à précurseurs B et T (traitement médicamenteux)</term>
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</keywords>
<keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr">
<term>Leucémie-lymphome lymphoblastique à précurseurs B et T</term>
<term>Observance du traitement médicamenteux</term>
<term>Populations d'origine continentale</term>
</keywords>
<keywords scheme="MESH" qualifier="ethnology" xml:lang="en">
<term>Continental Population Groups</term>
<term>Medication Adherence</term>
<term>Precursor Cell Lymphoblastic Leukemia-Lymphoma</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Leucémie-lymphome lymphoblastique à précurseurs B et T</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Mercaptopurine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Administration, Oral</term>
<term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Demography</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Recurrence</term>
<term>Regression Analysis</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Administration par voie orale</term>
<term>Adolescent</term>
<term>Analyse de régression</term>
<term>Analyse multivariée</term>
<term>Démographie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Récidive</term>
<term>Études de cohortes</term>
</keywords>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">Durable remissions in children with acute lymphoblastic leukemia (ALL) require a 2-year maintenance phase that includes daily oral 6-mercaptopurine (6MP). Adherence to oral 6MP among Asian-American and African-American children with ALL is unknown. We enrolled 298 children with ALL (71 Asian Americans, 68 African Americans, and 159 non-Hispanic whites) receiving oral 6MP for the maintenance phase. Adherence was measured electronically for 39 803 person-days. Adherence declined from 95.0% (month 1) to 91.8% (month 5, P < .0001). Adherence rates were significantly (P < .0001) lower in Asian Americans (90.0% ± 4.9%) and African Americans (87.1% ± 4.4%), as compared with non-Hispanic whites (95.2% ± 1.3%). Race-specific sociodemographic characteristics helped explain poor adherence (African Americans: low maternal education [less than a college degree: 78.9%, vs at least college degree: 94.6%; P < .0001]; Asian Americans: low-income households [<$50 000: 84.5%, vs ≥$50 000: 96.7%; P = .04]; households without mothers as full-time caregivers [85.6%] vs households with mothers as full-time caregivers [97.2%; P = .05]). Adherence rate below 90% was associated with increased relapse risk (hazard ratio, 3.9; P = .01). Using an adherence rate <90% to define nonadherence, 20.5% of the participants were nonadherers. We identify race-specific determinants of adherence, and define a clinically relevant level of adherence needed to minimize relapse risk in a multiracial cohort of children with ALL. This trial was registered at www.clinicaltrials.gov as #NCT00268528.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24829202</PMID>
<DateCreated>
<Year>2014</Year>
<Month>10</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>03</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1528-0020</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>124</Volume>
<Issue>15</Issue>
<PubDate>
<Year>2014</Year>
<Month>Oct</Month>
<Day>09</Day>
</PubDate>
</JournalIssue>
<Title>Blood</Title>
<ISOAbbreviation>Blood</ISOAbbreviation>
</Journal>
<ArticleTitle>6MP adherence in a multiracial cohort of children with acute lymphoblastic leukemia: a Children's Oncology Group study.</ArticleTitle>
<Pagination>
<MedlinePgn>2345-53</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1182/blood-2014-01-552166</ELocationID>
<Abstract>
<AbstractText>Durable remissions in children with acute lymphoblastic leukemia (ALL) require a 2-year maintenance phase that includes daily oral 6-mercaptopurine (6MP). Adherence to oral 6MP among Asian-American and African-American children with ALL is unknown. We enrolled 298 children with ALL (71 Asian Americans, 68 African Americans, and 159 non-Hispanic whites) receiving oral 6MP for the maintenance phase. Adherence was measured electronically for 39 803 person-days. Adherence declined from 95.0% (month 1) to 91.8% (month 5, P < .0001). Adherence rates were significantly (P < .0001) lower in Asian Americans (90.0% ± 4.9%) and African Americans (87.1% ± 4.4%), as compared with non-Hispanic whites (95.2% ± 1.3%). Race-specific sociodemographic characteristics helped explain poor adherence (African Americans: low maternal education [less than a college degree: 78.9%, vs at least college degree: 94.6%; P < .0001]; Asian Americans: low-income households [<$50 000: 84.5%, vs ≥$50 000: 96.7%; P = .04]; households without mothers as full-time caregivers [85.6%] vs households with mothers as full-time caregivers [97.2%; P = .05]). Adherence rate below 90% was associated with increased relapse risk (hazard ratio, 3.9; P = .01). Using an adherence rate <90% to define nonadherence, 20.5% of the participants were nonadherers. We identify race-specific determinants of adherence, and define a clinically relevant level of adherence needed to minimize relapse risk in a multiracial cohort of children with ALL. This trial was registered at www.clinicaltrials.gov as #NCT00268528.</AbstractText>
<CopyrightInformation>© 2014 by The American Society of Hematology.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Bhatia</LastName>
<ForeName>Smita</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Landier</LastName>
<ForeName>Wendy</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Hageman</LastName>
<ForeName>Lindsey</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
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<ForeName>Heeyoung</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
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<LastName>Chen</LastName>
<ForeName>Yanjun</ForeName>
<Initials>Y</Initials>
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<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
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<ForeName>Kristine R</ForeName>
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<Affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</Affiliation>
</AffiliationInfo>
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<LastName>Evans</LastName>
<ForeName>William E</ForeName>
<Initials>WE</Initials>
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<Affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Bostrom</LastName>
<ForeName>Bruce</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Hematology/Oncology, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Casillas</LastName>
<ForeName>Jacqueline</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics and Division of Hematology/Oncology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dickens</LastName>
<ForeName>David S</ForeName>
<Initials>DS</Initials>
<AffiliationInfo>
<Affiliation>Division of Pediatric Hematology/Oncology, Helen DeVos Children's Hospital at Spectrum Health/Spectrum Health at Butterworth Campus, Grand Rapids, MI;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Maloney</LastName>
<ForeName>Kelly W</ForeName>
<Initials>KW</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Neglia</LastName>
<ForeName>Joseph P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Minnesota Medical School, Minneapolis, MN;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ravindranath</LastName>
<ForeName>Yaddanapudi</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Division of Hematology/Oncology, Children's Hospital of Michigan, Detroit, MI; and.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ritchey</LastName>
<ForeName>A Kim</ForeName>
<Initials>AK</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Division of Hematology/Oncology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wong</LastName>
<ForeName>F Lennie</ForeName>
<Initials>FL</Initials>
<AffiliationInfo>
<Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Relling</LastName>
<ForeName>Mary V</ForeName>
<Initials>MV</Initials>
<AffiliationInfo>
<Affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<DataBank>
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<AccessionNumber>NCT00268528</AccessionNumber>
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<Grant>
<GrantID>R37 CA36401</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>CA 156449</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>R01 CA096670</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>R37 CA036401</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>U10 CA095861</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>RC4 CA156449</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>UG1 CA189955</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>P30 CA021765</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>M01 RR000043</GrantID>
<Acronym>RR</Acronym>
<Agency>NCRR NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>U10 CA098543</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>P30 CA033572</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>GM 92666</GrantID>
<Acronym>GM</Acronym>
<Agency>NIGMS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>M01-RR00043</GrantID>
<Acronym>RR</Acronym>
<Agency>NCRR NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>CA 21765</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>U10 CA180886</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant>
<GrantID>U01 GM092666</GrantID>
<Acronym>GM</Acronym>
<Agency>NIGMS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
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<PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>05</Month>
<Day>14</Day>
</ArticleDate>
</Article>
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<Country>United States</Country>
<MedlineTA>Blood</MedlineTA>
<NlmUniqueID>7603509</NlmUniqueID>
<ISSNLinking>0006-4971</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>E7WED276I5</RegistryNumber>
<NameOfSubstance UI="D015122">6-Mercaptopurine</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
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<DescriptorName UI="D015122" MajorTopicYN="N">6-Mercaptopurine</DescriptorName>
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<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
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<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
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<DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
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<DescriptorName UI="D054198" MajorTopicYN="N">Precursor Cell Lymphoblastic Leukemia-Lymphoma</DescriptorName>
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<Year>2015</Year>
<Month>3</Month>
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<ArticleId IdType="pii">blood-2014-01-552166</ArticleId>
<ArticleId IdType="doi">10.1182/blood-2014-01-552166</ArticleId>
<ArticleId IdType="pmc">PMC4192748</ArticleId>
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<li>États-Unis</li>
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<region>
<li>Californie</li>
<li>Colorado</li>
<li>Michigan</li>
<li>Minnesota</li>
<li>Pennsylvanie</li>
<li>Tennessee</li>
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<name sortKey="Ravindranath, Yaddanapudi" sort="Ravindranath, Yaddanapudi" uniqKey="Ravindranath Y" first="Yaddanapudi" last="Ravindranath">Yaddanapudi Ravindranath</name>
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<country name="États-Unis">
<region name="Californie">
<name sortKey="Bhatia, Smita" sort="Bhatia, Smita" uniqKey="Bhatia S" first="Smita" last="Bhatia">Smita Bhatia</name>
</region>
<name sortKey="Bostrom, Bruce" sort="Bostrom, Bruce" uniqKey="Bostrom B" first="Bruce" last="Bostrom">Bruce Bostrom</name>
<name sortKey="Casillas, Jacqueline" sort="Casillas, Jacqueline" uniqKey="Casillas J" first="Jacqueline" last="Casillas">Jacqueline Casillas</name>
<name sortKey="Chen, Yanjun" sort="Chen, Yanjun" uniqKey="Chen Y" first="Yanjun" last="Chen">Yanjun Chen</name>
<name sortKey="Crews, Kristine R" sort="Crews, Kristine R" uniqKey="Crews K" first="Kristine R" last="Crews">Kristine R. Crews</name>
<name sortKey="Dickens, David S" sort="Dickens, David S" uniqKey="Dickens D" first="David S" last="Dickens">David S. Dickens</name>
<name sortKey="Evans, William E" sort="Evans, William E" uniqKey="Evans W" first="William E" last="Evans">William E. Evans</name>
<name sortKey="Hageman, Lindsey" sort="Hageman, Lindsey" uniqKey="Hageman L" first="Lindsey" last="Hageman">Lindsey Hageman</name>
<name sortKey="Kim, Heeyoung" sort="Kim, Heeyoung" uniqKey="Kim H" first="Heeyoung" last="Kim">Heeyoung Kim</name>
<name sortKey="Landier, Wendy" sort="Landier, Wendy" uniqKey="Landier W" first="Wendy" last="Landier">Wendy Landier</name>
<name sortKey="Maloney, Kelly W" sort="Maloney, Kelly W" uniqKey="Maloney K" first="Kelly W" last="Maloney">Kelly W. Maloney</name>
<name sortKey="Neglia, Joseph P" sort="Neglia, Joseph P" uniqKey="Neglia J" first="Joseph P" last="Neglia">Joseph P. Neglia</name>
<name sortKey="Relling, Mary V" sort="Relling, Mary V" uniqKey="Relling M" first="Mary V" last="Relling">Mary V. Relling</name>
<name sortKey="Ritchey, A Kim" sort="Ritchey, A Kim" uniqKey="Ritchey A" first="A Kim" last="Ritchey">A Kim Ritchey</name>
<name sortKey="Wong, F Lennie" sort="Wong, F Lennie" uniqKey="Wong F" first="F Lennie" last="Wong">F Lennie Wong</name>
</country>
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