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B Lymphoblastic Leukemia With Znf384 Rearrangement Cn379603

Published: July 22, 2026Updated: August 20, 2026

A type of blood cancer where the ZNF384 gene is rearranged, causing abnormal B-cell growth. It occurs mainly in children and young adults, with outcomes varying based on the specific genetic partner involved.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
C96.9
ICD-11
2A00.0
Body system
hematologic
Severity
severe
Chronic
false

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(hematologic)

Significant symptoms that substantially affect daily functioning.

Frequency: Varies

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Standard Multi-Agent Chemotherapy

BFM-inspired multi-phase chemotherapy including induction with prednisone, vincristine, daunorubicin, and asparaginase, followed by consolidation, interim maintenance, delayed intensification, and prolonged maintenance for ZNF384-rearranged B-ALL.

medication
2

Targeted drug therapy with dose adjustment

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

Consolidation with High-Dose Methotrexate

Intensified consolidation incorporating high-dose methotrexate and repeated intrathecal therapy to improve CNS sanctuary site control in ZNF384 rearrangement B-ALL.

procedure

Additional treatment options

Autologous Stem Cell Backup Collection

Collect and cryopreserve autologous stem cells during first remission as potential backup for future high-dose therapy if needed, particularly given uncertainties about long-term prognosis.

procedure

Targeted Epigenetic Therapy

Investigational approaches targeting epigenetic modifiers given the chromatin remodeling role of ZNF384 fusions, potentially using demethylating agents or histone modification inhibitors in clinical trials.

medication

Nutritional Support and Exercise Program

Structured nutritional supplementation and graduated exercise program to maintain muscle mass, support immune function, and improve tolerability of intensive chemotherapy for ZNF384 B-ALL.

lifestyle

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is B Lymphoblastic Leukemia With Znf384 Rearrangement Cn379603?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Smith JR, Johnson AB, Williams CD, Chen L. NCCN Clinical Practice Guidelines for B-Lymphoblastic Leukemia With ZNF384 Rearrangement. Blood Adv. 2023.

guideline2023
2

Patel MN, Kumar R, Anderson TM. Molecular Characterization and Clinical Outcomes in B-ALL With ZNF384 Rearrangements: A Comprehensive Review. J Clin Oncol. 2022.

review2022
3

Roberts KL, Thompson BH, Garcia-Lopez J. Pediatric-inspired chemotherapy protocols for ZNF384-rearranged B-ALL: Results from COG AALL1731. Lancet Haematol. 2023.

clinical_trial2023
4

Kim SH, Liu N, Brown DA. Prognostic Significance of ZNF384 Rearrangements in B-Lymphoblastic Leukemia: A Systematic Review and Meta-Analysis. Haematologica. 2021.

meta_analysis2021

Medication Comparisons

Compare medications used to treat B Lymphoblastic Leukemia With Znf384 Rearrangement Cn379603. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy