Table 2. Summary evolved clonotypes in pre-treatment clonal IGH CDR3 sequences.
Clonal IGH CDR3 sequences were identified in nearly all patients as either complete V-DJ or incomplete D-J rearrangements. Among the 91 patients in which a complete V-DJ rearrangement was observed, the number of clones due to ongoing IGH evolution by VH replacement at diagnosis is indicated, as well as the proportion of total clone size (major clone plus all evolved clonotypes) accounted for by these VH-replaced clones. We used the definition of an evolved IGH clonotype initially proposed by Gawad et al. (12).
| N (percentage) | Mean, median (range) | |
|---|---|---|
| No VDJ clone | 7/98 (7.1%) | - | 
|  | ||
| Pre-treatment VDJ clone identified | 91/98 (92.9%) | - | 
|  | ||
| No evidence of evolved clonotypes | 6/91 (6.6%) | - | 
|  | ||
| Evidence of evolved clonotypes | 85/91 (93.4%) | - | 
|  | ||
| Number of evolved clonotypes | Mean 195, median 22, (range 1 to 1,953) | |
|  | ||
| Proportion of evolved clonotypes of total clone | Mean 3.4%, median 0.4%, (range 0.0010% to 59.8%) | |