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. 2022 Nov 24;14(23):5799. doi: 10.3390/cancers14235799

Table 1.

Description of the characteristics and outcome of the patients with AML based on the levels of FLT3–ITD. A total of 2901 adult patients who enrolled in the consecutive multicenter AML PETHEMA trials and were included in the PETHEMA registry were evaluated. We separated FLT3–ITD ARs into 4 increasing intervals according to a previous study in order to facilitate the understanding of the results. Abbreviations: ECOG, Eastern Cooperative Oncology Group status performance; WBC, white blood cell; cytogenetic risk based on MRC classification; OS, overall survival; RFS, relapse-free survival.

Variable FLT3 DIT NO DETECTED FLT3 RATIO < 0.25 FLT3 RATIO 0.251–0.50 FLT3 RATIO 0.51–0.80 FLT3 RATIO > 0.80 Significance
Age at diagnosis
Mean 53.6 53.1 53.8 53.11 52.9 p = NS
Range 12.3–81.2 19.9–76.8 17.7–75.6 17.1–77.6 13.8–81
Sexo
Female 1043 36 44 56 90 p = 0.008
Male 1278 39 38 48 67
ECOG
0 833 26 37 41 35 p = 0.006
1 838 29 25 26 70
2 240 11 7 18 22
3 49 1 4 5 6
4 14 0 0 1 2
WBC count (×1000/mL)
Mean 28.28 48.86 49.46 92.5 101.06 p < 0.001
Range 0.6–340 0.7–365 0.31–298 1.7–347 1.4–434
Cytogenetic Risk
Low Risk 228 2 3 1 0 p < 0.001
Intermediate Risk 1314 59 61 76 130
High Risk 535 5 7 9 10
NPM1 mutation
Presence 509 44 45 63 102 p < 0.001
Absence 1592 29 33 34 49
OUTCOME FLT3 DIT NO
DETECTED
FLT3 RATIO < 0.25 FLT3 RATIO 0.251–0.50 FLT3 RATIO 0.51–0.80 FLT3 RATIO > 0.80 Significance
Complete Remission, % (n) 71 (1539) 69 (52) 75 (61) 55 (57) 63 (99) p = 0.057
Resistance Disease, % (n) 22 (240) 20 (15) 15 (12) 29 (29) 27 (43) p = NS
Early Death, % (n) 7 (64) 11 (8) 10 (8) 16 (17) 10 (15) p = NS
Relapse Disease, % (n) 35 (801) 27 (20) 37 (30) 27 (28) 40 (63) p = NS
OS (median, CI), months 20.4 (18.0–22.7) 18.6 (9.8–27.5) 14.8 (12.8–16.8) 13.5 (7.8–19.3) 11.0 (8.9–13.5) p < 0.001
RFS (median, CI), months 34.1 (22.3–45.9) 32.7 (13.1–52.2) 22.9 (0–46.3) 90.7 (5.3–176) 32.4 (24–40.7) p < 0.001