Table 1.
No Laboratory TLS (N = 89) |
Laboratory TLS (N = 59) |
|
---|---|---|
Age (years) | 72 (56 - 86) | 72 (49 – 86) |
Male | 50 (56.2) | 31 (52.5) |
AML Etiology | ||
Newly Diagnosed | 56 (62.9) | 35 (59.3) |
Secondary AML with No Prior Treatment | 7 (7.9) | 5 (8.5) |
Secondary AML with Prior Treatment | 12 (13.5) | 14 (23.7) |
Therapy-Related AML | 14 (15.7) | 5 (8.5) |
Myelomonocytic AML | 9 (10.1) | 2 (3.4) |
Tumor Burden | ||
Baseline WBC Count (x 109/L) | 3.7 (0.3 – 52.6) | 4.4 (0.4 – 25.5) |
Baseline LDH Level (U/L) | 479 (108 – 3594) | 689 (167 – 7770) |
Genetic Mutations | ||
NPM1 | 14 (15.7) | 13 (22.0) |
CEBPA | 3 (3.4) | 3 (5.1) |
FLT3 | 13 (14.6) | 6 (10.2) |
IDH1 | 9 (10.1) | 5 (8.5) |
IDH2 | 6 (6.7) | 11 (18.6) |
TP53 | 28 (31.5) | 15 (25.4) |
RUNX1 | 13 (14.6) | 13 (22.0) |
ASXL1 | 19 (21.3) | 12 (20.3) |
KMT2A | 1 (1.1) | 1 (1.7) |
GATA2 | 5 (5.6) | 2 (3.4) |
Baseline Organ Function | ||
LVEF (%) | 60 (45 – 70) | 59 (30 – 70) |
Serum Creatinine (mg/dL) | 0.92 (0.42 – 1.80) | 0.90 (0.46 – 3.23) |
Total Bilirubin (mg/dL) | 0.6 (0.2 – 2.4) | 0.7 (0.2 – 2.5) |
Induction Regimen | ||
Decitabine 20 mg/m2 x 5 Days | 21 (23.6) | 15 (25.4) |
Decitabine 20 mg/m2 x 10 Days | 59 (66.3) | 39 (66.1) |
Azacitidine 75 mg/m2 x 7 Days | 8 (9.0) | 3 (5.1) |
Cytarabine 20 mg BID x 10 Days | 0 (0.0) | 1 (1.7) |
Other* | 1 (1.1) | 1 (1.7) |
Concomitant Interacting Agents | ||
Posaconazole | 29 (32.6) | 13 (22.0) |
Voriconazole | 12 (13.5) | 12 (20.3) |
Isavuconazole | 15 (16.9) | 13 (22.0) |
Fluconazole | 1 (1.1) | 1 (1.7) |
Data presented as mean (range) or N (%), as appropriate
TLS = tumor lysis syndrome; AML = acute myeloid leukemia; WBC = white blood cell
LDH = lactate dehydrogenase; LVEF = left ventricular ejection fraction; BID = twice daily
Includes Decitabine 10 mg/m2 x 5 Days (no TLS) and Decitabine 20 mg/m2 x 7 Days (laboratory TLS)