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Multivariate analysis showed that a low transcript level was an independent risk factor for RFS (HR = 2.938 [1.427, 6.047], = 0.003) and CIR (HR = 3.367 [1.668, 6.796], = 0.001) in patients with Ph-negative B-ALL. transcript levels were significantly higher in patients with Ph-negative B-ALL and a low transcript level was independently correlated with increased relapse risk. RASD1 transcript levels were significantly higher in patients with Ph-negative B-ALL and a low RASD1 transcript level was independently correlated with increased rel