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Haematology · Oncology

BALL Score for Relapsed/Refractory CLL calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Result

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0

BALL low risk (0–1)

Band: BALL low risk (0–1)

Interpretation. BALL low risk (0–1)

Suggested management. 0–1 adverse factors: the low-risk group, with the best overall survival in the derivation cohort on targeted agents.

BALL Score for Relapsed/Refractory CLL: 0 — BALL low risk (0–1). Interpretation: BALL low risk (0–1) What to do: 0–1 adverse factors: the low-risk group, with the best overall survival in the derivation cohort on targeted agents. Inputs: Beta-2 microglobulin (β2M): false; Lactate dehydrogenase (LDH): false; Anemia: false; Time since last therapy: false Source: Soumerai JD et al. Risk model for relapsed chronic lymphocytic leukaemia treated with targeted agents (BALL). Lancet Haematol. DOI: 10.1016/S2352-3026(19)30052-2. PMID: 31109827. One point each: serum β2-microglobulin ≥5 mg/dL (unit as printed in the abstract and Table 2), haemoglobin <110 g/L in women or <120 g/L in men, LDH above the upper limit of normal, and less than 24 months from the start of the last therapy. Risk groups: 0–1 low, 2–3 intermediate, 4 high. Validated with ibrutinib by Molica S et al. Leuk Res 2020 (PMID 32562875). (2019)

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Clinical inputs

  • Beta-2 microglobulin (β2M)
  • Lactate dehydrogenase (LDH)
  • Anemia
  • Time since last therapy

Primary source

Soumerai JD et al. Risk model for relapsed chronic lymphocytic leukaemia treated with targeted agents (BALL). Lancet Haematol. DOI: 10.1016/S2352-3026(19)30052-2. PMID: 31109827. One point each: serum β2-microglobulin ≥5 mg/dL (unit as printed in the abstract and Table 2), haemoglobin <110 g/L in women or <120 g/L in men, LDH above the upper limit of normal, and less than 24 months from the start of the last therapy. Risk groups: 0–1 low, 2–3 intermediate, 4 high. Validated with ibrutinib by Molica S et al. Leuk Res 2020 (PMID 32562875). (2019)

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