PMID- 28353016 OWN - NLM STAT- MEDLINE DCOM- 20171019 LR - 20220408 IS - 1558-822X (Electronic) IS - 1558-8211 (Linking) VI - 12 IP - 3 DP - 2017 Jun TI - New Therapeutic Strategies in Acute Lymphocytic Leukemia. PG - 197-206 LID - 10.1007/s11899-017-0380-3 [doi] AB - Most drugs used in standard regimens for acute lymphoblastic leukemia (ALL) were developed more than 30 years ago. Since that time, several new drugs have been developed and incorporated into ALL treatment. In spite of this, novel therapeutic approaches are still needed to improve outcomes for high-risk or relapsed ALL. This manuscript discusses newer treatment strategies, including purine nucleoside analogs, monoclonal antibodies, antibody drug conjugates, mammalian target of rapamycin (mTOR) inhibitors, proteasome inhibitors, histone deacetylase (HDAC) inhibitors, hypomethylating agents, spleen tyrosine kinase inhibitors, Bruton's tyrosine kinase (BTK) inhibitors, Janus kinase-signal transducer and activator of transcription (JAK-STAT) inhibitors, anti-programmed cell death protein (anti-PD-1) antibodies, mitogen-activated protein kinase (MEK) inhibitors, CXCR4 antagonists, poly (ADP-ribose) polymerase (PARP) inhibitors, and FMS-like tyrosine kinase 3 (FLT3) inhibitors. Additionally, this manuscript discusses the impact of diagnostic approaches on management of ALL. Specifically, minimal residual disease is increasingly felt to be important and will likely dramatically impact the care of ALL patients in the near future. FAU - Man, Louise M AU - Man LM AD - Division of Hematology/Oncology, University of Virginia Health System, 1300 Jefferson Park Avenue, Room 6023, PO Box 800716, Charlottesville, VA, 22903, USA. FAU - Morris, Amy L AU - Morris AL AD - Department of Pharmacy Services, University of Virginia Medical Center, Charlottesville, VA, 22903, USA. FAU - Keng, Michael AU - Keng M AD - Division of Hematology/Oncology, University of Virginia Health System, 1300 Jefferson Park Avenue, Room 6023, PO Box 800716, Charlottesville, VA, 22903, USA. MK2PV@hscmail.mcc.virginia.edu. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Hematol Malig Rep JT - Current hematologic malignancy reports JID - 101262565 RN - 0 (Antibodies, Monoclonal) RN - 0 (Biomarkers, Tumor) RN - 0 (Histone Deacetylase Inhibitors) RN - 0 (Immunoconjugates) RN - 0 (Proteasome Inhibitors) RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Antibodies, Monoclonal/pharmacology/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Biomarkers, Tumor MH - Clinical Trials as Topic MH - Epigenesis, Genetic/drug effects MH - Histone Deacetylase Inhibitors/pharmacology/therapeutic use MH - Humans MH - Immunoconjugates/pharmacology/therapeutic use MH - *Molecular Targeted Therapy MH - Neoplasm, Residual/pathology MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy/etiology/metabolism/pathology MH - Proteasome Inhibitors/pharmacology/therapeutic use MH - Protein Kinase Inhibitors/pharmacology/therapeutic use MH - Signal Transduction/drug effects MH - Treatment Outcome OTO - NOTNLM OT - Acute lymphoblastic leukemia OT - Acute lymphocytic leukemias OT - Antibody drug conjugates OT - Monoclonal antibodies OT - Purine nucleoside analogs OT - Therapeutic approaches EDAT- 2017/03/30 06:00 MHDA- 2017/10/20 06:00 CRDT- 2017/03/30 06:00 PHST- 2017/03/30 06:00 [pubmed] PHST- 2017/10/20 06:00 [medline] PHST- 2017/03/30 06:00 [entrez] AID - 10.1007/s11899-017-0380-3 [pii] AID - 10.1007/s11899-017-0380-3 [doi] PST - ppublish SO - Curr Hematol Malig Rep. 2017 Jun;12(3):197-206. doi: 10.1007/s11899-017-0380-3.