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 : 0041596MP 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 :
- Blood [ 1528-0020 ] ; 2014.
Descripteurs français
- KwdFr :
- Administration par voie orale, Adolescent, Analyse de régression, Analyse multivariée, Démographie, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Leucémie-lymphome lymphoblastique à précurseurs B et T (ethnologie), Leucémie-lymphome lymphoblastique à précurseurs B et T (traitement médicamenteux), Mercaptopurine (administration et posologie), Mercaptopurine (usage thérapeutique), Mâle, Nourrisson, Observance du traitement médicamenteux (ethnologie), Populations d'origine continentale (ethnologie), Récidive, Études de cohortes.
- MESH :
- administration et posologie : Mercaptopurine.
- ethnologie : Leucémie-lymphome lymphoblastique à précurseurs B et T, Observance du traitement médicamenteux, Populations d'origine continentale.
- traitement médicamenteux : Leucémie-lymphome lymphoblastique à précurseurs B et T.
- usage thérapeutique : Mercaptopurine.
- Administration par voie orale, Adolescent, Analyse de régression, Analyse multivariée, Démographie, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Mâle, Nourrisson, Récidive, Études de cohortes.
English descriptors
- KwdEn :
- 6-Mercaptopurine (administration & dosage), 6-Mercaptopurine (therapeutic use), Administration, Oral, Adolescent, Child, Child, Preschool, Cohort Studies, Continental Population Groups (ethnology), Demography, Female, Humans, Infant, Male, Medication Adherence (ethnology), Multivariate Analysis, Precursor Cell Lymphoblastic Leukemia-Lymphoma (drug therapy), Precursor Cell Lymphoblastic Leukemia-Lymphoma (ethnology), Recurrence, Regression Analysis, Young Adult.
- MESH :
- chemical , administration & dosage : 6-Mercaptopurine.
- chemical , therapeutic use : 6-Mercaptopurine.
- drug therapy : Precursor Cell Lymphoblastic Leukemia-Lymphoma.
- ethnology : Continental Population Groups, Medication Adherence, Precursor Cell Lymphoblastic Leukemia-Lymphoma.
- Administration, Oral, Adolescent, Child, Child, Preschool, Cohort Studies, Demography, Female, Humans, Infant, Male, Multivariate Analysis, Recurrence, Regression Analysis, Young Adult.
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
Affiliations:
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<author><name sortKey="Evans, William E" sort="Evans, William E" uniqKey="Evans W" first="William E" last="Evans">William E. Evans</name>
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<author><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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<author><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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<author><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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<author><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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<sourceDesc><biblStruct><analytic><title xml:lang="en">6MP adherence in a multiracial cohort of children with acute lymphoblastic leukemia: a Children's Oncology Group study.</title>
<author><name sortKey="Bhatia, Smita" sort="Bhatia, Smita" uniqKey="Bhatia S" first="Smita" last="Bhatia">Smita Bhatia</name>
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<author><name sortKey="Kim, Heeyoung" sort="Kim, Heeyoung" uniqKey="Kim H" first="Heeyoung" last="Kim">Heeyoung Kim</name>
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<author><name sortKey="Chen, Yanjun" sort="Chen, Yanjun" uniqKey="Chen Y" first="Yanjun" last="Chen">Yanjun Chen</name>
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<author><name sortKey="Crews, Kristine R" sort="Crews, Kristine R" uniqKey="Crews K" first="Kristine R" last="Crews">Kristine R. Crews</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
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</affiliation>
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<author><name sortKey="Evans, William E" sort="Evans, William E" uniqKey="Evans W" first="William E" last="Evans">William E. Evans</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis</wicri:cityArea>
</affiliation>
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<author><name sortKey="Bostrom, Bruce" sort="Bostrom, Bruce" uniqKey="Bostrom B" first="Bruce" last="Bostrom">Bruce Bostrom</name>
<affiliation wicri:level="2"><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>
</placeName>
<wicri:cityArea>Department of Hematology/Oncology, Children's Hospitals and Clinics of Minnesota, Minneapolis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Casillas, Jacqueline" sort="Casillas, Jacqueline" uniqKey="Casillas J" first="Jacqueline" last="Casillas">Jacqueline Casillas</name>
<affiliation wicri:level="2"><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>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Department of Pediatrics and Division of Hematology/Oncology, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Dickens, David S" sort="Dickens, David S" uniqKey="Dickens D" first="David S" last="Dickens">David S. Dickens</name>
<affiliation wicri:level="2"><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>
<placeName><region type="state">Michigan</region>
</placeName>
<wicri:cityArea>Division of Pediatric Hematology/Oncology, Helen DeVos Children's Hospital at Spectrum Health/Spectrum Health at Butterworth Campus, Grand Rapids</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Maloney, Kelly W" sort="Maloney, Kelly W" uniqKey="Maloney K" first="Kelly W" last="Maloney">Kelly W. Maloney</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Colorado</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, University of Colorado School of Medicine, Aurora</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Neglia, Joseph P" sort="Neglia, Joseph P" uniqKey="Neglia J" first="Joseph P" last="Neglia">Joseph P. Neglia</name>
<affiliation wicri:level="2"><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>
</affiliation>
</author>
<author><name sortKey="Ravindranath, Yaddanapudi" sort="Ravindranath, Yaddanapudi" uniqKey="Ravindranath Y" first="Yaddanapudi" last="Ravindranath">Yaddanapudi Ravindranath</name>
<affiliation><nlm:affiliation>Division of Hematology/Oncology, Children's Hospital of Michigan, Detroit, MI; and.</nlm:affiliation>
<wicri:noCountry code="subField">MI; and</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ritchey, A Kim" sort="Ritchey, A Kim" uniqKey="Ritchey A" first="A Kim" last="Ritchey">A Kim Ritchey</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Division of Hematology/Oncology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, Division of Hematology/Oncology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Wong, F Lennie" sort="Wong, F Lennie" uniqKey="Wong F" first="F Lennie" last="Wong">F Lennie Wong</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><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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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
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</affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>6-Mercaptopurine (administration & dosage)</term>
<term>6-Mercaptopurine (therapeutic use)</term>
<term>Administration, Oral</term>
<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>
<term>Mercaptopurine (administration et posologie)</term>
<term>Mercaptopurine (usage thérapeutique)</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Observance du traitement médicamenteux (ethnologie)</term>
<term>Populations d'origine continentale (ethnologie)</term>
<term>Récidive</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>6-Mercaptopurine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>6-Mercaptopurine</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Mercaptopurine</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Precursor Cell Lymphoblastic Leukemia-Lymphoma</term>
</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>
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<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>
<Author ValidYN="Y"><LastName>Landier</LastName>
<ForeName>Wendy</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hageman</LastName>
<ForeName>Lindsey</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kim</LastName>
<ForeName>Heeyoung</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Yanjun</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Population Sciences, City of Hope, Duarte, CA;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Crews</LastName>
<ForeName>Kristine R</ForeName>
<Initials>KR</Initials>
<AffiliationInfo><Affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Evans</LastName>
<ForeName>William E</ForeName>
<Initials>WE</Initials>
<AffiliationInfo><Affiliation>Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><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>
<DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName>
<AccessionNumberList><AccessionNumber>NCT00268528</AccessionNumber>
</AccessionNumberList>
</DataBank>
</DataBankList>
<GrantList CompleteYN="Y"><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>
</GrantList>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>05</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><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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<MeshHeadingList><MeshHeading><DescriptorName UI="D015122" MajorTopicYN="N">6-Mercaptopurine</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000284" MajorTopicYN="N">Administration, Oral</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D044469" MajorTopicYN="N">Continental Population Groups</DescriptorName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003710" MajorTopicYN="N">Demography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055118" MajorTopicYN="N">Medication Adherence</DescriptorName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D054198" MajorTopicYN="N">Precursor Cell Lymphoblastic Leukemia-Lymphoma</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
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<Hour>6</Hour>
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<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Colorado</li>
<li>Michigan</li>
<li>Minnesota</li>
<li>Pennsylvanie</li>
<li>Tennessee</li>
</region>
</list>
<tree><noCountry><name sortKey="Ravindranath, Yaddanapudi" sort="Ravindranath, Yaddanapudi" uniqKey="Ravindranath Y" first="Yaddanapudi" last="Ravindranath">Yaddanapudi Ravindranath</name>
</noCountry>
<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>
</tree>
</affiliations>
</record>
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