Table 1.
Patient | Sex | Age (years) | Disease status at Aza beginning | Karyotype | MDAPS | BM blasts (%) | ECOG | TD | Response | Aza cycles at response | Loss of response (months of response duration) | FU (months) | Status | Cause of death | Disease status at FU | Total Aza cycles at FU |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | M | 83 | AML | Normal | NA | 30 | 2 | Yes | NE | NA | NA | 2 | Death | MOF | NE | 2 |
2 | M | 76 | CMML-2 (MPR)* | Normal | Int-2 | 19 | 1 | No | PR°° | 6 | No | 19 | Alive | NA | PR | 13 |
3 | M | 72 | CMML-1 (MPR) ** | Normal | Low | 3 | 1 | No | SD°° | 6 | No | 12 | Death | Sudden cardiac death | SD | 12 |
4 | F | 72 | CMML-2 (MD) *** | Normal | Int-1 | 11 | 1 | No | SD | 4 | No | 27 | Alive | NA | SD | 20 |
5 | M | 80 | CMML-1 (MD) | Normal | Int-1 | 8 | 0 | Yes | PR | 6 | No | 18 | Alive | NA | PR | 14 |
6 | M | 86 | CMML-2 (MPR) * | Normal | Int-2 | 18 | 1 | No | PR°° | 6 | No | 16 | Alive | NA | PR | 12 |
7 | M | 75 | AML | 46, XY, Inv12 | NA | 30 | 1 | Yes | CR | 6 | Yes (5) | 13 | Death | AML | AML | 14 |
8 | M | 62 | CMML-2 (MD) | Normal | High | 16 | 1 | No | CR | 4 | Yes (1) | 8 | Death | AML | AML | 6 |
9 | F | 62 | CMML-2 (MPR) * | Normal | Int-2 | 16 | 0 | No | CR°° | 6 | No | 10 | Alive | NA | CR | 9 |
10 | M | 82 | CMML-2 (MD) | 45, X, -Y | Int-2 | 12 | 1 | Yes | CR | 4 | No | 10 | Alive | NA | CR | 10 |
Aza: azacitidine; AML: acute myeloid leukemia; CMML: chronic myelomonocytic leukemia; MPR: myeloproliferative; MD: myelodysplastic; ECOG: Eastern Cooperative Oncology score, TD: transfusion dependence; NA: not applicable; NE: not evaluated; PR: partial response; SD: stable disease; CR: complete response; FU: follow-up; MOF: multi-organ failure.
Indication for treatment was high bone marrow blasts count (16–19%);
Indication for treatment was severe symptomatic thrombocytopenia;
Indication for treatment was severe symptomatic neutropenia;
°Response criteria: Responses were classified according to the modified IWG response criteria in myelodysplasia9 for MD-CMML and IWG consensus criteria for treatment response in myelofibrosis10 for MPR-CMML;
°°In MPR-CMML patients, ongoing cytoreductive treatment was discontinued at the moment of azacitidine start; no cytoreduction was added during treatment and at response assessment.