From the ALFA group
27/02/2026
SAVE THE DATE : February 27 – March 1, 2026 – Mandelieu-La Napoule, France
Chairs: Hervé Dombret, Christoph Röllig, Wendy Stock
#ESHAL2026
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27/01/2026
17th edition of the Monegasque Cancer Research Biennial, to be held from January 27 to 30, 2026, at the Grimaldi Forum in Monaco
Read more08/12/2025

Applauding the new findings presented by @NicolasDuployez, member of Institut Carnot OPALE,
#ASH2025.
This study evaluated the prevalence and prognostic value of FLT3-ITD microclones in the French BIG-1 trial conducted by ALFA - Acute Leukemia French Association and FILO (FRENCH INNOVATIVE LEUKEMIA ORGANIZATION) (Paper No : 0456).
Te results show that FLT3-ITD microclones (AR<0.05) significantly increase relapse risk in AML treated with Intensive chemotherapy, predict higher MRD positivity in NPM1-mutated AML, and are associated with poorer outcomes—reinforcing the need for high-sensitivity molecular techniques and wider use of FLT3-targeted strategies.
We are ready to partner with pharma : characterized cohorts and databases, advanced molecular profiling, and strong translational capabilities are available to accelerate your programs.
#AML
#partnerships
#drugdevelopment
08/12/2025

#ASH2025 Oral presentation , French study by the Leukemia Intergroup on treatment-related acute myeloid leukemia (CBF-AML), conducted under the supervision of Loïc Vasseur and Jean Baptiste Micol
Analysis of the basic clinical and molecular characteristics of 749 patients, including 78 with treatment-related AML (t-CBF AML).
• Treatment-related cases had molecular and cytogenetic profiles comparable to those of de novo AML, with the notable exception of a lower frequency of FLT3 mutations in t-CBF AML (10% vs. 24%, p = 0.03).
• Within a homogeneous cohort of patients without active cancer who had received intensive chemotherapy, we observed no significant differences between treatment-related and de novo cases in terms of CR/pCR rates, relapse incidence, or relapse-free mortality.
• Outcomes after relapse were particularly poor in treatment-related AML cases, which appears to be due more to patient-related factors than to baseline molecular characteristics.
• Contrary to previous reports, overall survival did not differ significantly after multivariate adjustment for age, white blood cell count, and CBF subtype.
ALFA - French Association for Acute Leukemia FILO (FRENCH INNOVATIVE LEUKEMIA ORGANIZATION) Gustave Roussy Leukemia Institute
08/12/2025

Jean-Eudes Fahrner reported at #ASH25 the first study to date investigating the contribution of recurrent gene mutations to the risk of invasive fungal infection during intensive induction chemotherapy for AML.
He found that stringently-defined secondary-type AML have twice the risk of IFI of other AMLs, irrespective of baseline neutropenia, azole prophylaxis and time to neutrophil recovery.
Transcriptomic analyses uncovered a possible mechanism for such increased IFI, through chronic type I or type II IFN pathway activation.
Kudos for a first oral presentation as first year hematology resident at Institut de la Leucémie Paris Saint-Louis thanks to all involved ALFA - Acute Leukemia French Association investigators !
07/12/2025

Lin-Pierre Zhao presented at #ash25 the real-world ALFA-PPP cohort of 652 older patients with newly diagnosed AML. Both intensive chemotherapy and venetoclax-based low-intensity therapy were widely used, with treatment decisions driven by age, comorbidities, and adverse genetics.
In patients receiving LIT, three prognostic models were compared, and the refined ELN-2024 classification showed the best ability to predict survival, identifying a subgroup with markedly prolonged outcomes.
Institut de la Leucémie ALFA - Acute Leukemia French Association Hôpital Saint-Louis
07/12/2025

Thorsten Braun presented at #ash25 Real Life Treatments and Outcomes of Older Patients Aged More Than 60 Years with FLT3-Mutated Acute Myeloid Leukemia: Report From the Multicentric French Observational ALFA-PPP Study
19/11/2025
24th Annual SFGM-TC Congress on 19, 20 and 21 November 2025 in Geneva, Switzerland.
As every year, several major sessions will punctuate the event:
Patient, donor and caregiver session
GFIC-GM Nursing Day
TEC/data managers day
Educational session
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13/11/2025

On 13 November 2025, the Pierre Mendès Conference Centre in Paris will host the second edition of LEUKEMIA 360, a unique event bringing together more than 40 research organisations involved in leukaemia and related diseases.
The OPALE Carnot Institute has brought together French haematology experts and international specialists to discuss recent developments in therapeutic and diagnostic solutions for leukaemia. As last year, the event is supported by the National Cancer Institute, joined this year by the ARC Foundation for Cancer Research.
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17/07/2025
Laboratory of Hematology and Flow cytometry, Lyon-Sud Hospital, HCL-CHU Lyon; CRCL INSERM 1052/CNRS 5286, University of Lyon, Hospices Civils de Lyon, Lyon
Haematologica Early view Jul 17, 2025 https://doi.org/10.3324/haematol.2025.288003
03/04/2025
13/01/2025
07/12/2024
The 66th ASH Annual Meeting and Exposition will take place December 7-10, 2024, in San Diego, California,
66th ASH Annual Meeting & Exposition - Hematology.org
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07/12/2024
Flow MRD Monitoring Combining LAIP/Dfn and CD34+ CD38 LSCs Is a Strong Predictor of Outcome in Adult AML Independently of the ELN 2022 risk
First Results from the Multicentric Acute Leukemia French Intergroup MRD Flow Network (BIG 1 Study)
20/11/2024
13/11/2024
On 13 November, the Pierre Mendès Conference Centre in Paris will host LEUKEMIA 360, a unique event dedicated to public-private collaborations in the research and development of therapeutic and diagnostic solutions for leukaemia and related diseases.
The OPALE Carnot Institute brought together French haematology experts and international specialists to discuss recent developments in therapeutic and diagnostic solutions for leukaemia. Stéphanie Fugain, President of France's leading patient organisation, will also bring the perspective of leukaemia patients.
All the information and the programme are available on the Home - Leukemia 360 event Home - Leukemia 360
13/06/2024
15/09/2023

- Congress site : https://www.sfgmtc-congres.fr/
- program : https://www.sfgmtc-congres.fr/congres-de-la-sfgm-tc
- Inscription : https://www.sfgmtc-congres.fr/inscriptions
10/12/2022
AML MRD by multiparameter flow cytometry using LAIP/Dfn and LSC: Methodological aspects in a multicentric study of the French-Flow MRD AML ALFA Network
Read more02/03/2022

02/03/2022

02/03/2022
17/03/2021

In two recent studies conducted in older and younger AML patients, respectively, and through the integration of more patient/disease-related annotations in the decision-making (including the mutational profiles), the ALFA group proposes significant refinements in the indications of allogeneic HSCT in first remission.
Currently, HSCT indications are based on the European LeukemiaNet (ELN) risk classification, which includes conventional cytogenetics and mutations in the six following genes: NPM1, CEBPA, FLT3, ASXL1, RUNX1 et TP53. In the favorable AML subtypes, like core binding factor (CBF) AML or AML with NPM1 gene mutation, measurable residual disease (MRD) levels after induction and/or consolidation might also be taken into account for this important clinical decision: transplant or not transplant?
Older AML
In a first paper published in May 2020 in Blood Advances, C. Gardin and coll. studied the incidence and prognostic impact of so-called “secondary AML-like (sAML-like)” mutations, as described by R. Coleman Lindsley and coll. These mutations include not only the ASXL1 gene, but also SRSF2, SF3B1, U2AF1, ZRSR2, EZH2, BCOR et STAG2. Interestingly, this molecular definition allowed classifying as "having a secondary AML” almost half of older AML patients aged 60 years old or more included in the prospective ALFA-1200 study (48% of the entire cohort, 38% of intermediate ELN-risk AML patients), even if only 15% had prior clinically identified hematological disorders. In the intermediate ELN-risk group, the presence of sAML-like gene mutations allowed discriminating a subset of patients almost similar to adverse-risk AML patients in terms of outcome, while those without these mutations had an event-free survival close to that observed in favorable-risk AML patients (Figure A). In terms of overall survival, allogeneic transplantation in first remission benefited to the former subgroup (adverse + intermediate sAML+), while not to the latter subgroup (favorable + intermediate sAML-).
Younger AML
In a more recent publication (Blood Jan 2021) based on the younger AML ALFA-0702 study, L. Fenwarth, R. Itzykson and coll. enriched the ELN-2017 classification through the integration of items from a Knowledge Bank (KB), as published by M. Gerstund and coll. in 2017, as well as NPM1-MRD levels in the subset of patients with NPM1-mutated AML. The important result of this study was that this integration allowed substantially improving the prognostic value of the ELN-2017 classification. The combination of these two scores (ELN-2017 + KB) was associated with an impressive prediction of the effect of allogeneic HSCT in first remission. Even if this new approach requires validation in other future prospective studies, it is amazing to see how transplantation might benefit to 50% of the patients, while being detrimental in the other 50% (Figure B).
04/11/2020
10/01/2020

The newly created institute Carnot OPALE gathers the most important research and development French teams working in the field of leukemia and related disorders. This makes OPALE the reference partner for all companies developing innovate diagnostic, therapeutic and follow-up tools for patients with these diseases.
Leukemias and related disorders are the more devastating blood cancers. Their incidence is increasing, with 2.3 million people currently suffering from these diseases. They also represent the most frequent childhood cancers.
The institute Carnot OPALE (Organization for Partnership Research in Leukemia) structures all the preclinical and clinical French research forces, with the aim to present a comprehensive R&D offer to industrial companies interested in this medical field. OPALE belongs to the 39 institutes Carnot labeled in February 2020 by the French Ministry for Higher Education, Research and Innovation for a 4-year period of time.
The institute, member of the Institute Carnot Association and the FINDMED consortium, a research partner for medicinal product SME, gathers 17 research teams, 7 cooperative groups and 4 R&D platforms,1 covering the entire R&D chain as well as the medical and industrial valorization processes.
Basic, translational and clinical research fields of OPALE include:
• New therapeutic target discovery
• Innovative drug development, including cell and gene therapies
• Hospital diagnosis and care
• Clinical trials
• Real-world and long-term follow-up
• Startup incubation
With approximately 700 full-time equivalent employees and an annual 7.2 M€ budget of partnership research, the ultimate goal of OPALE is to define new curative, ambulatory, less toxic and financially sustainable treatment options for all patients with leukemia and related disorders during the next 10-year period.
Website: https://www.opale.org
OPALE entities:
- Cooperative groups for clinical research:
• The Organization for Partnerships in Leukemia (OPALE)
• Acute Leukemia French Association (ALFA),
• Group for Research on Adult Acute Lymphoblastic Leukemia (GRAALL),
• French Innovative Leukemia Organization, (FILO),
• Groupe Francophone des Myélodysplasies (GFM),
• French Intergroup Myeloproliferative Disorders (FIM),
• Société Française de Lutte contre les Cancers et Leucémies de l’Enfant et de l'Adolescent (SFCE),
- Research teams:
• Centre National de Médecine de Précision sur les Leucémies THEMA (UMR-944, UMR-1131, UMR-1160, UMR-976, EA-3518, Institut de Recherche Saint-Louis, Université de Paris),
• Centre de Recherche en Cancérologie de Marseille (UMR-1068 ; Institut Paoli-Calmettes, Université Aix-Marseille),
• Centre de Recherche en Cancérologie de Toulouse (UMR-1037 ; Oncopôle, Université de Toulouse III),
• Université de Bourgogne Franche-Comté (UMR-1098 ; Besançon),
• Institut de Radiobiologie Cellulaire et Moléculaire (UMR-1274, CEA Fontenay-aux-Roses),
• Institut IDMIT (UMR-1184 ; CEA Fontenay-aux-Roses),
• Institut Cochin (UMR-1016 ; Université de Paris),
• Gustave Roussy (UMR-1170 ; Université Paris Saclay)
• Centre de Recherche Saint-Antoine (UMR-938 ; Sorbonne Université),
• Centre de Recherche Jean-Pierre Aubert (UMR-1172 ; Université de Lille),
• Centre Méditérranéen de Médecine Moléculaire (INSERM-1065 ; Université Nice Cote d’Azur),
• Université de Bordeaux (UMR-1035),
• Université de Tours (ERL7501 LNOX),
- R&D platforms:
• Plateforme Meary de Thérapie Cellulaire et Génique / CIC-BT (Paris Saint-Louis),
• Plateforme de Thérapie Cellulaire et Génique / CIC-BT (Marseille IPC),
• Plateforme Meary de R&D Génomique et Bioinformatique (Paris Saint-Louis),
Contacts:
Hervé Dombret, M.D./ Professor of Hematology, Institut de Recherche Saint-Louis, Hôpital Saint-Louis (AP-HP), OPALE Chairman
Pascal Deschaseaux, M.D./ OPALE General Director / pascal.deschaseaux@opale.org