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Failure to achieve CR after 12 weeks alemtuzumab IV OR rapid relapse — alloSCT urgently;...

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDRF-T-PLL-TRANSFORMATION-PROGRESSION
TypeRed flag
Statusreviewed 2026-04-25 | pending_clinical_signoff
DiseasesDIS-T-PLL
SourcesSRC-ESMO-PTCL-2024 SRC-NCCN-BCELL-2025

Red Flag Origin

DefinitionFailure to achieve CR after 12 weeks alemtuzumab IV OR rapid relapse — alloSCT urgently; venetoclax + ibrutinib or pentostatin/cladribine salvage as bridge.
Clinical directioninvestigate
Categorytransformation-progression

Trigger Logic

{
  "any_of": [
    {
      "finding": "t_pll_no_cr_after_alemtuzumab",
      "value": true
    },
    {
      "finding": "t_pll_rapid_relapse",
      "value": true
    }
  ],
  "type": "composite_clinical"
}

Notes

T-PLL median OS without alloSCT ~7-12 months even with alemtuzumab CR. Refractory disease essentially requires transplant or palliative intent.

Used By

Algorithms