Table 1.
Characteristics of the 39 patients enrolled in the observational study.
Characteristics | n (%) |
---|---|
Total Patients | 39 |
Sex | |
Male | 22 (56.4) |
Female | 17 (43.6) |
Age at initial diagnosis | |
Median, years (IQR) | 5.3 (0.2–20.4) |
<12 months | 3 (7.7) |
1–18 years | 35 (89.7) |
>18 years | 1 (2.6) |
Immunophenotype | |
pre-B (EGIL B-I) | 8 (20.5) |
Common (EGIL B-II) | 27 (69.2) |
pro-B (EGIL B-III) | 4 (10.3) |
Karyotype | |
Hyperdiploid | 7 (17.9) |
t (12; 21) | 1 (2.6) |
t (3; 9) | 1 (2.6) |
Other chromosomal aberrations | 3 (7.7) |
Normal karyotype | 9 (23.1) |
Unknown cytogenetic status | 18 (46.1) |
Molecular abnormalities | |
iAMP21 | 1 (2.6) |
Ph-like | 2 (5.1) |
KMT2A-rearrangement | 4 (10.3) |
Absence of mutations | 24 (61.5) |
Unknown mutational status | 8 (20.5) |
First-line risk stratification | |
Standard Risk | 4 (10.3) |
Medium Risk | 13 (33.3) |
High risk | 15 (38.5) |
Unknown | 7 (17.9) |
Months from diagnosis to blinatumomab treatment | |
Median (IQR) | 6 (0.7–20.1) |
<18 months | 9 (23.1) |
18 months–30 months | 8 (20.5) |
>30 months | 22 (56.4) |
Age at treatment | |
Median, years (IQR) | 9.2 (2.3–21.5) |
<12 months | 0 (0) |
1–18 years | 36 (92.3) |
>18 years | 3 (7.7) |
Therapeutic line | |
Front line | 4 (10.2) |
First relapse | 23 (59) |
Second or greater relapse | 12 (30.8) |
Refractory | 4 (10.2) |
Relapses | 35 (89.7) |
Site of relapse | |
Bone Marrow | 24(68.5) |
Molecular relapse | 3(8.6) |
Combined relapse | 8 (22.9) |
HSCT pre blinatumomab | |
Yes | 10 (25.6) |
No | 29 (74.4) |
Blinatumomab courses | |
1 | 17 (43.6) |
2 | 18 (46.2) |
>2 | 4 (10.2) |
Bone marrow blasts before blinatumomab <5% | 26 (66.7) |
After debulking chemotherapy | 18 (46.2) |
PCR-MRD positive | 5 (12.8) |
FC-MRD positive | 3 (7.7) |
Bone marrow blasts before blinatumomab ≥5% | 13 (33.3) |
>5–25% blasts | 6 (15.4) |
>25% blasts | 7 (17.9) |
IQR: Interquartile Range; EGIL: European Group for the Immunological Characterization of Leukemias; iAMP21: intrachromosomal amplification of chromosome 21; HSCT: Hematopoietic Stem Cell Transplantation.