Table 3. Response, Remission Duration, and Survival After Modified Hyper-CVAD by Pretreatment Characteristics.
Characteristic | No. CR/Total | % CR | P | % 5-Year CRD | P | % 5-Year Survival | P |
---|---|---|---|---|---|---|---|
Age, y | .42 | .82 | .01 | ||||
<40 | 31/34 | 91 | 55 | 59 | |||
40-59 | 16/18 | 89 | 41 | 44 | |||
≥60 | 16/16 | 100 | 34 | 13 | |||
Zubrod performance score | .92 | .16 | .06 | ||||
0-1 | 46/50 | 92 | 53 | 50 | |||
2 | 16/17 | 94 | 25 | 24 | |||
3 | 1/1 | 100 | 100 | 100 | |||
Hepatomegaly | .52 | .53 | .37 | ||||
No | 58/63 | 92 | 46 | 42 | |||
Yes | 5/5 | 100 | 60 | 60 | |||
WBC, ×109/L | .13 | .12 | .62 | ||||
≤5 | 30/31 | 97 | 53 | 47 | |||
5.1-49.9 | 22/26 | 85 | 42 | 42 | |||
≥50 | 11/11 | 100 | 42 | 36 | |||
Platelet count, ×109/L | .59 | .06 | .08 | ||||
<20 | 8/8 | 100 | 15 | 25 | |||
20-80 | 29/31 | 94 | 36 | 37 | |||
>80 | 26/29 | 90 | 69 | 55 | |||
Albumin level, gm/dL | .42 | .23 | .44 | ||||
<3 | 15/17 | 88 | 27 | 41 | |||
≥3 | 48/51 | 94 | 55 | 45 | |||
Bilirubin level, mg/dL | .52 | .37 | .52 | ||||
<1.3 | 58/63 | 92 | 45 | 42 | |||
>1.3 | 5/5 | 100 | 75 | 60 | |||
FAB classification | .17 | .60 | .72 | ||||
L1 | 16/17 | 94 | 29 | 29 | |||
L2 | 32/32 | 100 | 48 | 46 | |||
ND | 15/19 | 79 | 62 | 53 | |||
Immunophenotype | .65 | .35 | .21 | ||||
T lineage | 12/13 | 92 | 43 | 31 | |||
B lineage | 47/49 | 96 | 48 | 48 | |||
Precursor | 12/12 | 100 | 35 | 33 | |||
CALLA | 35/37 | 95 | 53 | 51 | |||
Karyotype | .69 | .54 | .34 | ||||
Diploid | 32/35 | 91 | 50 | 49 | |||
Other | 31/33 | 94 | 47 | 38 | |||
Myeloid markers | .10 | .71 | .89 | ||||
Positive | 23/25 | 92 | 41 | 44 | |||
Negative | 32/32 | 100 | 50 | 43 | |||
CD20 expression ≥20% | .23 | .10 | .04 | ||||
Positive | 25/25 | 100 | 51 | 51 | |||
Negative | 32/34 | 94 | 39 | 35 | |||
Systemic risk classification | .82 | .62 | .26 | ||||
Low | 10/11 | 91 | 47 | 63 | |||
High | 53/57 | 93 | 47 | 40 |
Hyper-CVAD indicates fractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone; CR, complete response; CRD, CR duration; WBC, white blood cell count; FAB, French-American-British; ND, not done; CALLA, common acute lymphoblastic leukemia antigen.