Table 1.
Patient | Age | Sex | Karyotype and molecular findings | % Marrow blasts at diagnosis | Day 14 bone marrow | Induction outcome | Postinduction therapy and outcome |
---|---|---|---|---|---|---|---|
1002 | 63 | M | +8, t(9:11), FLT3 TKD | 93 | <5% cellularity; NED | CR | Three cycles of IDAC consolidation off study followed by allogeneic stem cell transplant in CR1. |
1003 | 46 | M | t(12,13) | 6.4 | <5% cellularity; NED | Failure | Allogeneic transplant after salvage therapy. |
1004 | 74 | M | add(8) t(8,19) FLT3 TKD | 64 | Suboptimal; NED | CR | Two cycles of IDAC consolidation and relapse 6 mo after diagnosis. |
Postrelapse therapy on an experimental protocol and died of cerebral hemorrhage. | |||||||
1005 | 46 | M | XY (SNP array) | 26 | Suboptimal; serous atrophy; NED | CR | Four cycles of HiDAC + CX-01 consolidation on study. |
Relapse 16 mo after diagnosis. Underwent salvage therapy and allogeneic transplant. Had extramedullary relapse posttransplant and underwent salvage therapy and donor lymphocyte infusion. | |||||||
1006 | 71 | F | inv(3) FLT3 ITD | 59 | <5% cellularity; serous atrophy; NED | CR MRD | Two cycles of IDAC consolidation off study followed by allogeneic stem cell transplant in CR1. |
Relapse 9 mo after diagnosis, received further therapy on an experimental protocol and died of infectious complications. | |||||||
1007 | 58 | M | inv(16) +8, +22, +21 | 51 | <5% cellularity serous atrophy; NED | CR MRD | Four cycles of HiDAC consolidation off study because of incomplete induction cycle. |
1009 | 54 | M | XY - NPM1+ | 37 | 10% cellularity; NED | CR | Three cycles of consolidation with HiDAC + CX-01 on study |
One cycle of consolidation with HiDAC alone after withdrawing from study. | |||||||
1010 | 52 | M | XY - FLT3 ITD | 30 | <5% cellularity serous atrophy; NED | CR | Developed line-associated deep vein thrombosis and went off study after induction. – |
Two cycles of HiDAC consolidation off study followed by allogeneic stem cell transplant in CR1. | |||||||
2001 | 54 | M | t(6,9) - FLT3 ITD | 70 | Not done | CR | Received 2 d of induction and relapsed 7 wk after diagnosis. |
Underwent salvage therapy and allogeneic stem cell transplant. Subsequently died of transplant-related complications. | |||||||
3001 | 22 | F | XX - NPM1 + | 21 | <10% cellularity; NED | CR | One cycle of HiDAC + CX-01 consolidation on study and was lost to follow-up after withdrawing study. |
Relapsed 13.5 mo after diagnosis, received salvage therapy and underwent allogeneic stem cell transplant in second remission. | |||||||
3002 | 67 | M | del(20) (q11.2) - FLT3 ITD (tested at relapse) | 50 | Hypocellular; NED | CR | Three cycles of consolidation therapy off study. |
Relapsed 11.5 mo after diagnosis. Underwent salvage therapy with transient response and relapse followed by allogeneic stem cell transplant. | |||||||
3003 | 25 | F | XX | 69 | <20% cellularity; NED | CR | Two cycles of HiDAC + CX-01 consolidation on study. |
Relapsed 6 mo after diagnosis and underwent salvage therapy and allogeneic stem cell transplant. Subsequently relapsed again and underwent salvage and second allogeneic stem cell transplant and died of transplant-related complications. |
HiDAC, high-dose cytarabine; IDAC, intermediate-dose cytarabine; MRD, minimal residual disease; NED, no evidence of disease.