Since CD19Neg relapses also occur in patients treated with other CD19-directed immunotherapies, like blinatumomab...Moreover, after CD19 loss, there are also increases in levels of phosphorylated proteins pSYK, pSRC and pSTAT5, involved in IL7 receptor and pre-BCR signaling pathways, essential for B cell development....exploration and validation of these therapeutic targets could significantly improve clinical outcome and care of patients with CD19Neg B-ALL