ORAL MERCAPTOPURINE ADHERENCE IN PEDIATRIC ALL: A SURVEY STUDY FROM THE
DFCI ALL CONSORTIUM
Abstract
Poor adherence to 6-mercaptopurine during acute lymphoblastic leukemia
(ALL) therapy increases relapse risk. Clinically-significant
non-adherence has been documented in up to 30% of children treated for
ALL on Children’s Oncology Group trials. Whether non-adherence rates
vary across regimens with different chemotherapy schedules and modes of
administration is not known. In a cross-sectional survey study of N= 61
children treated on, or as per Dana-Farber Cancer Institute (DFCI) ALL
Consortium Protocol 11-001, 25% (95% CI 14 – 37%) of respondents
self-reported non-adherence to 6MP, suggesting that the frequency of
non-adherence may be similar across different Consortia regimens.