Table 2. Differences in outcome in patients with CNS relapse, allocated either transplantation or chemoradiotherapy according to whether they received Idarubicin or Mitoxantrone.
c-CNS | i-CNS | |||
n | 43 | 80 | ||
Ida | Mito | Ida | Mito | |
Induction | ||||
n | 15 | 28 | 29 | 51 |
TRM | 2 | 1 | 1 | 3 |
Failure | 1 | 2 | 0 | 1 |
Withdrawn | 0 | 1 | 0 | 1 |
Allocated Treatment* | ||||
n | 12 | 24 | 28 | 46 |
SCT | 9 | 21 | 25 | 36 |
No SCT | 3 | 3 | 3 | 10 |
Post Induction | ||||
n | 12 | 24 | 28 | 46 |
TRM | 0 | 0 | 2 | 2 |
Relapse | 1 | 3 | 2 | 1 |
Withdrawn | 0 | 2 | 0 | 2 |
SCT Time point | ||||
Not Reached | 0 | 0 | 0 | 3 |
Reached | 11 | 19 | 24 | 38 |
Outcome | ||||
SCT Group | 8 | 16 | 21 | 30 |
Actual SCT | 8 | 15 | 13 | 21 |
CR2 | 3 | 12 | 5 | 16 |
TRM | 3 | 1 | 1 | 2 |
Relapse | 2 | 2 | 6 | 3 |
Accidental Death | 0 | 0 | 1 | 0 |
No-SCT | 0 | 1 | 8 | 9 |
CR2 | 0 | 0 | 0 | 4 |
TRM | 0 | 1 | 0 | 0 |
Relapse | 0 | 0 | 8 | 5 |
Non-SCT Group | 3 | 3 | 3 | 8 |
Actual non-SCT | 3 | 2 | 3 | 6 |
CR2 | 1 | 1 | 3 | 5 |
TRM | 1 | 0 | 0 | 0 |
Relapse | 1 | 1 | 0 | 1 |
SCT | 0 | 1 | 0 | 2 |
CR2 | 0 | 1 | 0 | 1 |
Second Malignancy | 0 | 0 | 0 | 1 |
c-CNS = combined CNS relapse; i-CNS = isolated CNS relapse; TRM = Therapy related mortality; SCT = allogeneic transplantation; CR2 = second remission; Ida = Idarubicin; Mito = Mitoxantrone. *Patients allocated SCT were, all those with very early relapse; early i-CNS relapses and early and late c-CNS relapses with MRD ≥10−4 at the end of induction. Where MRD was not evaluable, decision to transplant was based on duration of CR1. All other patients were allocated chemoradiotherapy.