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. 2022 Aug 18;292(6):925–940. doi: 10.1111/joim.13553

Table 1.

Patient characteristics and outcome

Patient Karyotype Mutations, fusions ELN category SAMHD1 IHC CR cycle 1/2 MRD after cycle 2, flow cytometry/RT‐qPCR/deep sequencing Allo‐HSCT Time to relapse (months) Overall survival (months)

1101

Female

26 years

47,XX,t(8;19)(p21;p10),+der(8)t(8;19) [14] /46,idem,‐7 [3] /48,idem,+21 [2] /46,XX [1] RUNX1 Adverse 25%–75% Yes/Yes 0.02%/NA/RUNX1 8.9% Yes NA 20.5+

1102

Female

27 years

46,XX [20] NRAS, U2AF1 Intermediate <25% Yes/Yes 0.07%/NA/U2AF1 0.4%, NRAS <0.02% Yes NA 20.1+

1103

Male

26 years

46,XY [20] FLT3‐TKD, RUNX1, IKZF1 Adverse 25%–75% Yes/Yes 0.09%/NA/RUNX1 0.74%, FLT3‐TKD 0.049% Yes NA 19.2+

1104

Female

26 years

46,XX,t(6;9)(p22;q34) [17] /46,XX [3] DEK::NUP214 Adverse <25% Yes/Yes NA/<0.01%/NA Yes NA 18.6+

1105

Female

48 years

46,XX [20] NPM1, FLT3‐TKD, IDH2, DNMT3A Favourable >75% Yes/Yes NA/<0.001%/NA No NA 18.0+

1106

Male

76 years

46,XY [20] RUNX1, BCORL1, BCOR, FLT3‐TKD Adverse 25%–75% No a /Yes 0.004%/NA/RUNX1 10.5%, FLT3‐TKD 0.004% No 11.9 16.8+

1107

Male

52 years

46,XY [20] NPM1, FLT3‐ITD low ratio, IDH2 Favourable <25% Yes/Yes NA/0.0017/NA No NA b 16.7+

1108

Female

61 years

45,X,‐X [10]/46,XX [10] RUNX1, SF3B1, CBL Adverse <25% Yes/Yes NA c /NA/RUNX1 0.79%, CBL 0.77% Yes NA 16.0+

1109

Female

61 years

46,XX t(5;6)(q31;q25) [6] /46,XX [16] NPM1, FLT3‐ITD low ratio, TET2 Favourable d <25% Yes/Yes NA/0.017%/NA Yes NA 14.9+

Abbreviations: Allo‐HSCT, allogeneic haematopoietic stem cell transplantation; BCOR, BCL6 Corepressor; BCORL1, BCL6 Corepressor Like 1; CBL, Cbl Proto‐Oncogene; CR, complete remission; DEK::NUP214, fusion of DEK Proto‐Oncogene and Nucleoporin 214; DNMT3A, DNA Methyltransferase 3α; ELN, European LeukemiaNet; FLT3‐ITD, Fms Related Receptor Tyrosine Kinase 3 internal tandem duplication; FLT3‐TKD, Fms Related Receptor Tyrosine Kinase 3 tyrosine kinase domain; IDH2, Isocitrate Dehydrogenase 2; IHC, immunohistochemistry; IKZF1, IKAROS Family Zinc Finger 1; MRD, measurable residual disease; NA, not available; NPM1, Nucleophosmin 1; NRAS, Neuroblastoma RAS viral oncogene homolog; RUNX1, Runt‐related transcription factor 1; SF3B1, Splicing Factor 3b Subunit 1; TET2, Tet Methylcytosine Dioxygenase 2; U2AF1, U2 Small Nuclear RNA Auxiliary Factor 1.

a

Blasts 5.5%; Granulocyte colony‐stimulating factor use prior to sampling may have increased the morphologic blast count.

b

At 9 months, MRD NPM1 switched from negative to positive at 0.00024%, when double‐checked then negative. Prior to receiving the confirmatory MRD result, the patient was put on AZA‐VEN and received three cycles.

c

Patient 1108 lacked a leukaemia‐specific phenotype for flow cytometry.

d

This patient had a prior history of myeloproliferative neoplasia with osteosclerosis and extramedullary haematopoiesis, and therefore better resembled a higher‐risk secondary AML.