TABLE 3.
N (%) | 5-yr DFS%* [95% CI] |
p-value | 5-yr EFS% [95% CI] |
p-value | 5-yr OS% [95% CI] |
p-value | |
---|---|---|---|---|---|---|---|
No. Pts. | 123 | 81 [73-87] | 90 [83-94] | ||||
Age | |||||||
<10 yrs. | 67 (54) | 83 [72-90] | 0.49 | 91 [80-96] | 0.75 | ||
≥10 yrs. | 56 (46) | 78 [64-87] | 89 [78-95] | ||||
WBC | |||||||
< 50K | 53 (43) | 79 [64-88] | 0.60 | 92 [81-97] | 0.48 | ||
≥ 50K | 70 (57) | 83 [72-90] | 88 [78-94] | ||||
Sex | |||||||
Male | 91 (74) | 81 [72-88] | 0.97 | 90 [81-95] | 0.99 | ||
Female | 32 (26) | 80 [60-90] | 91 [74-97] | ||||
CNS Status | |||||||
CNS 1 | 71 (58) | 87 [76-93] | 0.052 | 94 [85-98] | 0.17 | ||
CNS 2 | 42 (34) | 76 [60-86] | 86 [71-95] | ||||
CNS 3 | 10 (8) | 60 [25-83] | 80 [41-93] | ||||
Mediastinal Mass | |||||||
Yes | 55 (45) | 85 [73-92] | 0.27 | 89 [77-95] | 0.77 | ||
No | 68 (55) | 77 [65-86] | 91 [81-96] | ||||
ETP Phenotype | |||||||
Yes | 100 (81) | 54 [29-74] | 0.0006 | 85 [61-95] | 0.31 | ||
No | 21 (17) | 87 [79-92] | 92 [84-96] | ||||
Unknown | 2 (2) | --- | ---- | ||||
End-induction MRD | |||||||
<10−3 | 69 (75) | 94 [85-98] | 0.079 | --- | 94 [85-98] | 0.24 | |
≥10−3 | 23 (25) | 79 [51-92] | --- | 86 [65-96] | |||
<10−4 | 45 (49) | 98 [85-99] | 0.031 | --- | 98 [85-99] | 0.055 | |
≥10−4 | 47 (51) | 84 [69-92] | --- | 87 [73-94] | |||
Post-Induction Asparaginase† | |||||||
E.coli | 59 (48) | 93 [83-97] | 0.68 | 93 [82-97] | 0.81 | ||
Pegaspargase | 37 (30) | 88 [72-95] | 92 [76-97] | ||||
Erwinia | 2 (2) | 100 [NA] | 100 [NA] | ||||
Calaspargase pegol | 9 (7) | 100 [NA] | 100 [NA] | ||||
Gene/Pathway Mutations‡ | |||||||
NOTCH1 gene | |||||||
Present | 59 (51) | 92 [80-97] | 0.84 | 86 [73-93] | 0.26 | 95 [85-98] | 0.080 |
Absent | 56 (49) | 91 [79-97] | 78 [65-87] | 85 [72-92] | |||
Notch Pathway§ | |||||||
Present | 66 (57) | 90 [78-95] | 0.39 | 84 [72-91] | 0.43 | 92 [83-97] | 0.34 |
Absent | 49 43) | 95 [82-99] | 79 [65-88] | 87 [74-94] | |||
PI3K Pathway║ | |||||||
Present | 18 (16) | 81 [52-93] | 0.054 | 72 [46-87] | 0.19 | 77 [49-91] | 0.034 |
Absent | 97 (84) | 94 [86-97] | 84 [75-90] | 93 [85-96] | |||
Ras Pathway | |||||||
Present | 13 (11) | 90 [84-96] | 0.73 | 69 [37-87] | 0.15 | 85 [51-96] | 0.43 |
Absent | 103 (89) | 92 [84-96] | 84 [75-90] | 91 [83-95] |
DFS calculated for those who achieved CR and had evaluable MRD for outcome assessment by end-induction MRD or who achieved CR and had evaluable NGS for outcome assessment by genetic alterations
15 subjects did not achieve a CR and were not randomized; one participant withdrew from study therapy after achievement of CR, but before randomization
N=115 participants for whom diagnostic samples was available for NGS
Includes NOTCH1 and FBXW7 mutations
Includes PTEN, AKT, PIK3R1
Includes KRAS, NRAS, NF1, and PTPN11