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‹ Fri · 8 May 2026
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Toward a chemotherapy and allo-HSCT free future: the evolution of treatment for Philadelphia chromosome-positive acute lymphoblastic leukemia

Philadelphia-positive leukemia treatment is gradually moving away from harsh chemotherapy toward targeted drugs and cellular therapies with fewer side effects.

This review traces the evolution of Ph+ ALL management from imatinib through 2nd/3rd-generation TKIs to chemotherapy-free combinations with blinatumomab and CAR-T cells, with increasing evidence supporting MRD-guided decisions on allo-HSCT necessity. Future progress involves asciminib, venetoclax, and genomic precision medicine integration.

What the study was

Study design
Narrative review
Population
Ph+ ALL patients across treatment eras
Category
Treatment Innovation
Maturity
Validated
Journal
Frontiers in Immunology

Why it surfaced

Single-author review summarizing Ph+ ALL landscape; highly relevant to hematologic malignancies and CAR-T watchlist topics; score of 7 (solid STANDARD, design limited by review format).

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