Table 1.
Patient characteristics, treatment, outcomes, and karyotype changes
Patient | Age,Sex | Diagnosis karyotypea | FLT3 status at diagnosis | Therapy | RFS, OSb | Subsequent karyotype | AML status when new karyotype emerged | FLT3 status when new karyotype emerged |
---|---|---|---|---|---|---|---|---|
1 | 53, F | 46,XX | ITD | AraC, Ida: HIDAC, topotecan: sorafenib; alloSCT | 163, 197 | 46,XX,t(1;5) (q25;q13)[5]/46,XX[15] | Relapse 1 | ITD and D835 |
2 | 56, F | 46,XX | ITD | AraC, DNR; HIDAC | 408, 966 | 46,XX,t(2;4) (p24;q13)[5]/46,XX,del(16) (q12)[2]/dup(1) (q21q32)[1]/46, XX[12] nucish(1p32×2) (1q21×3)[38/200] |
CR2; Relapse 2 | ITD |
3 | 74, F | 46,XX | ITD | AraC, Ida, sorafenib; HIDAC | 183, 394 | 46,XX,t(4;4) (q21;q35)[7]/46,XX[13] | Relapse 1. after chemotherapy | ITD |
4 | 58, F | 46,XX | ITD | AraC, Ida: HIDAC | 783, 989 | 46,XX,t(5;13) (q31;q12)[20] | Relapse 1 | ITD |
5 | 64, M | 46,XY | ITD | AraC, Ida: HIDAC | 229, 434 | 46,XY,t(9;22) (q34:q11.2)[4]/46,XY[8] | Relapse 1, after chemotherapy | ITD |
6 | 48, M | 46,XY | ITD | AraC, DNR. VP16; alloSCT | 227, 243 | 46,XY,inv(10) (p11.2q21.2)[12]/46,XY[8] | Relapse 1 | ITD |
7 | 64, M | 46,XY | ITD | AraC, Ida, sorafenib; alloSCT | 177, 726+ | 46,XY,t(10;13) (p11.1q11)[9]/46,XY[9]// 46,XX[2] |
Relapse 1 | ITD |
8 | 53, F | 46,XX | ITD | AraC, DNR. VP16; vorinostat, AraC, VP16; alloSCT | 330, 435 | 46,X,t(X;10) (q13;q24),t(3;14) (p21;q11.2), t( 12:17) (p12;q12) [15]//46,XY[5] |
Relapse 1 | ITD |
9 | 43, F | 46,XX | ITD | AraC, DNR. VP16; HIDAC | 179, 413 | 46,XX,der(2)t(2;?) (q21;?),del(3) (q12), der(6)t(6;?) (p22;?), der(7)t(7;?) (p15;?), ?del(11) (p12p15), −17,−22,−2mar(19]/46,XX[1] |
Relapse 1 | ITD |
10 | 49, F | 46,XX | ITD | AraC, Ida; HIDAC | 175, 567+ | 49,XX,+6,+8, +13[2]/46,XX[18] | Relapse 1 | ITD |
Abbreviations: M, male; F, female; AraC, cytarabine; Ida, idarubicin; DNR, daunorubidn; VP16, etoposide; HIDAC, high dose cytarabine
20 metaphases.
Days.