Patient and disease status
Item
patients age 0-18 with juvenile myelomonocytic leukemia (jmml) who have relapsed or have residual disease after allogeneic hct. residual disease is defined as failure to eradicate original disease without prior documentation of remission. relapse is defined as reappearance of i) leukocytosis with absolute monocytosis >1 x 10^8/l, ii) presence of immature myeloid cells in the peripheral circulation in two consecutive bone marrow specimens taken at least one month apart, or iii) presence of clonal cytogenetic abnormality. the diagnosis of relapse will be supported by the return of an abnormal cytogenetic marker (if present at diagnosis) or the presence of host cells by rflp or other method.
boolean
C0001779 (UMLS CUI [1])
C0349639 (UMLS CUI [2])
C1704632 (UMLS CUI [3])
C2242529 (UMLS CUI [4])
C0023508 (UMLS CUI [5])
C0200637 (UMLS CUI [6])
C3826992 (UMLS CUI [7])
C1704387 (UMLS CUI [8,1])
C0010802 (UMLS CUI [8,2])
C0035268 (UMLS CUI [9])
Hematopoietic cell transplant: date of procedure
Item
patients should be at least 6 months from first hematopoietic cell transplant (hct) if clinically stable. (if jmml is rapidly progressive, second hct may be performed earlier).
boolean
C0472699 (UMLS CUI [1,1])
C2584899 (UMLS CUI [1,2])
Organ function
Item
adequate major organ function including:
boolean
C0678852 (UMLS CUI [1])
Ejection fraction
Item
cardiac: ejection fraction ≥45%
boolean
C0232174 (UMLS CUI [1])
Fev and dlco
Item
pulmonary: fev >50%, dlco >50%
boolean
C0748133 (UMLS CUI [1])
C1516251 (UMLS CUI [2])
Creatinine clearance
Item
renal: creatinine clearance ≥40 ml/min
boolean
C0373595 (UMLS CUI [1])
Liver function
Item
hepatic: no clinical evidence of hepatic failure (e.g. coagulopathy, ascites)
boolean
C0232741 (UMLS CUI [1])
Performance status
Item
karnofsky performance status ≥70% or lansky score ≥50%
boolean
C0206065 (UMLS CUI [1])
C1522275 (UMLS CUI [2])
Informed consent
Item
written informed consent.
boolean
C0021430 (UMLS CUI [1])
Infection: date of diagnosis
Item
active uncontrolled infection within one week of hct.
boolean
C0009450 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])