Table 1.
Characteristic | Treatment-naive at enrollment, no. (%) | Relapsed at enrollment, no. (%) |
---|---|---|
Sample size (N = 109) | 90 (83) | 19 (17) |
Age, y | ||
Median | 62 | 60 |
Range | 20-85 | 24-79 |
Sex | ||
Male | 53 (59) | 11 (58) |
Female | 37 (41) | 8 (42) |
Pathogenesis | ||
De novo | 60 (66) | 15 (80) |
Prior myelodysplasia | 14 (16) | 2 (10) |
Treatment-related | 16 (18) | 2 (10) |
WHO classification | ||
AML with recurrent genetic abnormalities | 10 (11) | 0 (0) |
t(8;21)(q22;q22) | 2 (3) | 0 (0) |
inv(16)(p13q22) or t(16;16)(p13;q22) | 4 (4) | 0 (0) |
11q23 abnormalities | 4 (4) | 0 (0) |
AML with multilineage dysplasia | 16 (18) | 2 (11) |
Antecedent MDS | 14 (15) | 2 (100) |
Without antecedent MDS | 2 (3) | 0 (0) |
AML, therapy related | 16 (18) | 2 (11) |
AML, not otherwise specified* | 48 (53) | 15 (78) |
AML, minimally differentiated | 7 (8) | 0 (0) |
AML without maturation | 7 (8) | 4 (21) |
AML with maturation | 7 (8) | 1 (5) |
Acute myelomonocytic leukemia | 20 (21) | 6 (32) |
Acute monoblastic leukemia | 3 (3) | 3 (16) |
Acute erythroid leukemia | 0 (0) | 0 (0) |
Acute megakaryoblastic leukemia | 0 (0) | 0 (0) |
Acute basophilic leukemia | 0 (0) | 0 (0) |
FAB classification† | ||
M0 | 10 (11) | 0 (0) |
M1 | 13 (14) | 4 (21) |
M2 | 14 (16) | 2 (11) |
M3 | 0 (0) | 0 (0) |
M4 | 32 (36) | 6 (32) |
M5 | 6 (7) | 3 (16) |
M6 | 0 (0) | 0 (0) |
M7 | 0 (0) | 0 (0) |
Cytogenetic class‡ | ||
Favorable | 6 (7) | 0 (0) |
Intermediate | 48 (53) | 17 (90) |
Unfavorable | 36 (40) | 2 (10) |
No. of karyotypic abnormalities | ||
3 or more | 19 (21) | 0 (0) |
Fewer than 3 | 71 (79) | 19 (100) |
5q− status | ||
Present | 17 (19) | 0 (0) |
Absent | 73 (81) | 19 (100) |
7q− status | ||
Present | 6 (7) | 2 (10) |
Absent | 84 (93) | 17 (90) |
p53 exons 5 to 9 status | ||
Mutated | 12 (13) | 0 (0) |
Wild-type | 78 (87) | 19 (100) |
Flt3 ITD status | ||
ITD present | 12 (13) | 7 (37) |
TK-835 mutation present | 2 (3) | 0 (0) |
Wild-type | 76 (84) | 12 (63) |
NPM1 status§ | ||
Mutated | 12 (13) | 11 (58) |
Wild-type | 78 (87) | 8 (42) |
Induction type at diagnosis | ||
Intensive therapy | 0 | 19 (100) |
Anthracycline plus cytarabine only | 17 (90) | |
Amonafide plus cytarabine | 1 (5) | |
Other | 1 (5) |
MDS indicates myleodysplastic syndrome; and FAB, French-American-British.
The subtype of AML, not otherwise specified was unavailable in 5 cases.
The FAB classification was unspecified in 17 cases.
Based on the SWOG S0106 classification.
The NPM1 mutation frequency in normal karyotype AML was 40%