Table 1.
Clinical and Molecular Characteristics According to CEBPA Mutational Status in Cytogenetically Normal Acute Myeloid Leukemia Patients
Characteristic | Mutated CEBPA (n = 32)
|
Wild-Type CEBPA (n = 143)
|
P | ||
---|---|---|---|---|---|
No. of Patients | % | No. of Patients | % | ||
Age, years | .69 | ||||
Median | 44 | 46 | |||
Range | 19-59 | 18-59 | |||
Male | 18 | 56 | 67 | 47 | .43 |
Race | 1.00 | ||||
White | 29 | 91 | 126 | 89 | |
Nonwhite | 3 | 9 | 16 | 11 | |
Hemoglobin, g/dL | .02 | ||||
Median | 10.1 | 9.4 | |||
Range | 4.9-13.4 | 4.8-13.6 | |||
Platelet count, × 109/L | .009 | ||||
Median | 38 | 61 | |||
Range | 7-232 | 11-445 | |||
WBC, × 109/L | .17 | ||||
Median | 19.1 | 30.2 | |||
Range | 4.9-295.0 | 1.4-273.0 | |||
% of blood blasts | .07 | ||||
Median | 64.5 | 58 | |||
Range | 10-97 | 0-95 | |||
% of bone marrow blasts | .15 | ||||
Median | 61.5 | 70 | |||
Range | 26-98 | 10-99 | |||
Extramedullary disease | 5 | 16 | 50 | 35 | .03 |
FLT3-ITD | .07 | ||||
Negative | 24 | 75 | 81 | 57 | |
Positive | 8 | 25 | 62 | 43 | |
NPM1 | < .0001 | ||||
Wild type | 26 | 81 | 32 | 22 | |
Mutated | 6 | 19 | 111 | 78 | |
Molecular risk group* | < .001 | ||||
Low risk | 3 | 9 | 57 | 40 | |
High risk | 29 | 91 | 86 | 60 | |
FLT3-TKD | .20 | ||||
Negative | 31 | 97 | 125 | 88 | |
Positive | 1 | 3 | 17 | 12 | |
MLL-PTD | .26 | ||||
Negative | 28 | 88 | 134 | 94 | |
Positive | 4 | 12 | 9 | 6 | |
WT1 | .25 | ||||
Wild type | 26 | 81 | 119 | 89 | |
Mutated | 6 | 19 | 15 | 11 | |
BAALC expression† | .003 | ||||
Low | 7 | 24 | 58 | 55 | |
High | 22 | 76 | 47 | 45 | |
Unkown | 3 | 38 | |||
ERG expression‡ | .26 | ||||
Low | 19 | 73 | 62 | 59 | |
High | 7 | 27 | 43 | 41 | |
Unknown | 6 | 38 |
Abbreviations: FLT3-ITD, internal tandem duplication of the FLT3 gene; FLT3-TKD, tyrosine kinase domain mutations of the FLT3 gene; MLL-PTD, partial tandem duplication of the MLL gene.
Molecular low-risk group is defined by the absence of FLT3-ITD and presence of NPM1 mutation. Molecular high-risk group is defined by the presence of FLT3-ITD and/or the lack of NPM1 mutation.
BAALC expression values were dichotomized at the median to define high and low expressers.