Table 1:
Characteristic | N (%) |
---|---|
N | 104 |
Men (%) | 51 (49%) |
Median age at transplant, years (range) | 58 (21–78) |
Number of patients with molecular and flow analysis | |
Molecular analysis at diagnosis | 58 (55.8) |
Molecular analysis pre-HCT | 83 (79.8) |
Paired molecular analysis at diagnosis and pre-HCT | 47 (45.2) |
Flow MRD analysis pre-HCT | 77 (74.0) |
Paired flow and molecular analysis pre-HCT | 62 (59.6) |
AML characteristics | |
Primary AML | 65 (62.5) |
Secondary AML, prior disease | 39 (37.5) |
Prior MDS | 21 |
Prior MPN | 7 |
Prior CMML | 0 |
Therapy related AML ^ | 15 |
CIBMTR Cytogenetics Grouping | |
Favorable | 2 (1.9) |
Intermediate | 88 (84.6) |
Adverse | 14 (13.5) |
Remission status at time of HCT | |
CR1 | 59 (56.7) |
CR2 | 9 (8.7) |
CR3 | 1 (1.0) |
CRi | 21 (20.2) |
Not in CR | 14 (13.5) |
DRI | |
Low | 2 (1.9) |
Intermediate | 71 (68.3) |
High | 30 (28.8) |
Very high | 1 (1.0) |
HCT-CI | |
<3 | 51 (49) |
≥3 | 53 (51) |
Stem cell source | |
Peripheral blood stem cells | 73 (70.2) |
Bone marrow derived stem cells | 12 (11.5) |
Cord blood | 19 (18.3) |
CD34+ selection | 29 (27.9) |
HLA match # | |
Fully matched | 72 (69.2) |
Mismatched | 32 (30.8) |
Conditioning intensity | |
Ablative | 59 (56.7) |
Reduced intensity | 45 (43.3) |
Transplant | |
First | 95 (91.3) |
Second | 9 (8.7) |
Outcomes | |
Relapse, N (%) | 22 (21.2) |
Deceased, N (%) | 36 (34.6) |
Cause of death | |
Relapse | 13 (12.5) |
Infection | 10 (9.6) |
GVHD | 6 (5.8) |
Toxicity | 2 (1.9) |
Organ failure | 4 (3.8) |
Unknown | 1 (0.8) |
2 patients developed therapy related AML after initial diagnosis with therapy related MDS
15 patients did not have available FLT3 mutation testing in the setting of a normal karyotype and thus could not be categorized by the NCCN AML classification.
Number of mismatches at high resolution at HLA class 1 (A, B, C) and class 2 (DR and DQ). All cord blood transplants were mismatched.