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.
| ID | RF-T-PLL-TRANSFORMATION-PROGRESSION |
|---|---|
| Type | Red flag |
| Status | reviewed 2026-04-25 | pending_clinical_signoff |
| Diseases | DIS-T-PLL |
| Sources | SRC-ESMO-PTCL-2024 SRC-NCCN-BCELL-2025 |
Red Flag Origin
| Definition | Failure to achieve CR after 12 weeks alemtuzumab IV OR rapid relapse — alloSCT urgently; venetoclax + ibrutinib or pentostatin/cladribine salvage as bridge. |
|---|---|
| Clinical direction | investigate |
| Category | transformation-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
ALGO-T-PLL-2L- ALGO-T-PLL-2L