Table 1. Patient characteristics and event rate in relation to thiopurine methyltransferase activity.
High activity | Intermediate activity | P | |
---|---|---|---|
Patient distribution | |||
No. of patients | 362 | 49 | |
Male/female | 192/170 | 28/21 | 0.59 |
Standard risk/Intermediate risk | 200/162 | 24/25 | 0.41 |
Pharmacologyb/control groupc | 176/186 | 27/22 | 0.39 |
Median (50 % range) | |||
Age at diagnosis, years | 4.0 (2.9-6.0) | 4.5 (3.2-6.4) | 0.11 |
WBC at diagnosis, × 109/L | 6.0 (3.0-13.0) | 5.0 (2.0-11.5) | 0.46 |
Survival outcomes | |||
Dead in CR1 | 2 | 0 | |
SMN | 2 | 2 | |
Relapse | 54 | 4 | |
pEFS at 15 years (± SE) | 83.8 (2.0) | 87.4 (4.8) | 0.47 |
Patients were classified as TPMT high activity if TPMT was >14 IU/ml and TPMT intermediate activity if TPMT was <14 IU/ml. Patients with TPMT deficiency (n=2) were excluded from the study.
Pharmacology group had dose adjustments by red blood cell levels of MTX and 6MP metabolites in addition to dose adjustments by toxicity.
Control group, see text and Schmiegelow et al., 2003.
Dead in CR1, dead in first complete remission; SMN, second malignant neoplasm; pEFS, probability of event-free survival; SE, standard error.