This partially randomized phase III trial studies the side effects of different combinations of risk-adapted chemotherapy regimens and how well they work in treating younger patients with newly diagnosed standard-risk acute lymphoblastic leukemia or B-lineage lymphoblastic lymphoma that is found only in the tissue or organ where it began (localized). Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving more than one drug (combination chemotherapy), giving the drugs in different doses, and giving the drugs in different combinations may kill more cancer cells.
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Disease Free Survival (DFS) in Average Risk (AR) Patients Based on the Methotrexate Dose Randomization
Timeframe: 5.7 years
DFS in Average Risk (AR) Patients Based on the Pulse Frequency Randomization
Timeframe: 5.7 years
DFS in Low Risk (LR) Patients Based on Randomization to 1 of 2 Low-intensity Regimens
Timeframe: 5.1 years
DFS for SR Down Syndrome Patients With Standardized Treatment and Enhanced Supportive Care
Timeframe: 5.1 years
Sample Collection of Central Path Review Slides in B-LLy Patients
Timeframe: Up to 1 month
Event Free Survival (EFS) for B-LLy Patients
Timeframe: 5 years
Overall Survival (OS) for B-LLy Patients
Timeframe: 5 years