Patient characteristics
Characteristic . | Overall N = 1357 . | AML17 n = 888 . | AML19 n = 469 . |
---|---|---|---|
Median age (range), y | 53 (6-76) | 53 (6-76) | 53 (18-71) |
Age ≥60 y | 267 (20%) | 200 (23%) | 67 (14%) |
Female | 771 (57%) | 508 (57%) | 263 (56%) |
Previous hematological disorder | 61 (4.5%) | 44 (5.0%) | 17 (3.6%) |
Previous chemotherapy or radiotherapy | 24 (1.8%) | 16 (1.8%) | 8 (1.7%) |
WCC (IQR) | 21 (7-55) | 22 (7-54) | 20 (6-57) |
Hemoglobin (IQR) | 9.0 (7.7-10.3) | 9.1 (7.8-10.3) | 8.8 (7.7-10.5) |
Platelets (IQR) | 64 (39-110) | 64 (38-10) | 66 (40-109) |
BM blast, % (IQR) | 69 (41-86) | 70 (46-88) | 62 (38-81) |
Cytogenetic risk group | |||
Normal | 1168 (86%) | 771 (87%) | 397 (85%) |
Intermediate | 130 (9.6%) | 78 (8.8%) | 52 (11%) |
Adverse | 17 (1.3%) | 9 (1.0%) | 8 (1.7%) |
Not available | 42 (3.1%) | 30 (3.4%) | 12 (2.6%) |
NPM1mutation type | |||
Type A | 1020 (75%) | 680 (77%) | 340 (72%) |
Type B | 91 (6.7%) | 56 (6.3%) | 35 (7.5%) |
Type D | 97 (7.1%) | 50 (5.6%) | 47 (10%) |
Non-ABD | 149 (11%) | 102 (11%) | 47 (10%) |
FLT3-ITD | 525 (39%) | 347 (39%) | 178 (38%) |
Low allelic ratio | 298 (57%) | 181 (52%) | 117 (66%) |
High allelic ratio | 225 (43%) | 166 (48%) | 59 (34%) |
DNMT3A | 575 (52%) | 343 (51%) | 232 (54%) |
Combined DNMT3A and FLT3-ITD | |||
Neither mutated | 344 (31%) | 211 (32%) | 133 (31%) |
Both mutated | 255 (23%) | 154 (23%) | 101 (23%) |
DNMT3A only | 320 (29%) | 189 (28%) | 131 (30%) |
FLT3-ITD only | 179 (16%) | 113 (17%) | 66 (15%) |
FLT3-TKD | 206 (15%) | 123 (14%) | 83 (18%) |
PTPN11 | 210 (19%) | 110 (16%) | 100 (23%) |
NRAS | 194 (18%) | 113 (17%) | 81 (19%) |
KRAS | 62 (5.6%) | 29 (4.3%) | 33 (7.7%) |
TET2 | 179 (16%) | 121 (18%) | 58 (13%) |
IDH2 | 174 (16%) | 101 (15%) | 73 (17%) |
IDH1 | 151 (14%) | 81 (12%) | 70 (16%) |
WT1 | 127 (12%) | 62 (9.3%) | 65 (15%) |
RAD21 | 77 (7.0%) | 49 (7.3%) | 28 (6.5%) |
MYC | 64 (5.8%) | 39 (5.8%) | 25 (5.8%) |
CEBPA | 61 (5.6%) | 34 (5.1%) | 27 (6.3%) |
MDS-associated mutations | 132 (12%) | 67 (10%) | 65 (15%) |
SRSF2 | 56 (5.1%) | 27 (4.0%) | 29 (6.7%) |
STAG2 | 40 (3.6%) | 23 (3.4%) | 17 (3.9%) |
ASXL1 | 13 (1.2%) | 9 (1.3%) | 4 (0.9%) |
BCOR | 5 (0.5%) | 2 (0.3%) | 3 (0.7%) |
RUNX1 | 11 (1.0%) | 5 (0.7%) | 6 (1.4%) |
SF3B1 | 10 (0.9%) | 4 (0.6%) | 6 (1.4%) |
EZH2 | 9 (0.8%) | 4 (0.6%) | 5 (1.2%) |
U2AF1 | 5 (0.5%) | 3 (0.4%) | 2 (0.5%) |
ZRSR2 | 1 (<0.1%) | 1 (0.1%) | 0 (0%) |
SMC3 | 54 (4.9%) | 33 (4.9%) | 21 (4.9%) |
GATA2 | 44 (4.0%) | 21 (3.1%) | 23 (5.3%) |
SMC1A | 44 (4.0%) | 26 (3.9%) | 18 (4.2%) |
NF1 | 43 (3.9%) | 24 (3.6%) | 19 (4.4%) |
TP53 | 16 (1.5%) | 3 (0.4%) | 13 (3.0%) |
Induction chemotherapy | |||
Other (DA/ADE/CPX-351) | 1125 (83%) | 888 (100%) | 237 (51%) |
FLAG-Ida | 232 (17%) | 0 (0%) | 232 (49%) |
Gemtuzumab with induction | 526 (39%) | 216 (24%) | 310 (66%) |
Allogeneic transplant | |||
Transplant in CR1 | 304 (22%) | 179 (20%) | 125 (27%) |
Transplant at other stages | 235 (17%) | 170 (19%) | 65 (14%) |
No transplant | 818 (60%) | 539 (61%) | 279 (59%) |
Characteristic . | Overall N = 1357 . | AML17 n = 888 . | AML19 n = 469 . |
---|---|---|---|
Median age (range), y | 53 (6-76) | 53 (6-76) | 53 (18-71) |
Age ≥60 y | 267 (20%) | 200 (23%) | 67 (14%) |
Female | 771 (57%) | 508 (57%) | 263 (56%) |
Previous hematological disorder | 61 (4.5%) | 44 (5.0%) | 17 (3.6%) |
Previous chemotherapy or radiotherapy | 24 (1.8%) | 16 (1.8%) | 8 (1.7%) |
WCC (IQR) | 21 (7-55) | 22 (7-54) | 20 (6-57) |
Hemoglobin (IQR) | 9.0 (7.7-10.3) | 9.1 (7.8-10.3) | 8.8 (7.7-10.5) |
Platelets (IQR) | 64 (39-110) | 64 (38-10) | 66 (40-109) |
BM blast, % (IQR) | 69 (41-86) | 70 (46-88) | 62 (38-81) |
Cytogenetic risk group | |||
Normal | 1168 (86%) | 771 (87%) | 397 (85%) |
Intermediate | 130 (9.6%) | 78 (8.8%) | 52 (11%) |
Adverse | 17 (1.3%) | 9 (1.0%) | 8 (1.7%) |
Not available | 42 (3.1%) | 30 (3.4%) | 12 (2.6%) |
NPM1mutation type | |||
Type A | 1020 (75%) | 680 (77%) | 340 (72%) |
Type B | 91 (6.7%) | 56 (6.3%) | 35 (7.5%) |
Type D | 97 (7.1%) | 50 (5.6%) | 47 (10%) |
Non-ABD | 149 (11%) | 102 (11%) | 47 (10%) |
FLT3-ITD | 525 (39%) | 347 (39%) | 178 (38%) |
Low allelic ratio | 298 (57%) | 181 (52%) | 117 (66%) |
High allelic ratio | 225 (43%) | 166 (48%) | 59 (34%) |
DNMT3A | 575 (52%) | 343 (51%) | 232 (54%) |
Combined DNMT3A and FLT3-ITD | |||
Neither mutated | 344 (31%) | 211 (32%) | 133 (31%) |
Both mutated | 255 (23%) | 154 (23%) | 101 (23%) |
DNMT3A only | 320 (29%) | 189 (28%) | 131 (30%) |
FLT3-ITD only | 179 (16%) | 113 (17%) | 66 (15%) |
FLT3-TKD | 206 (15%) | 123 (14%) | 83 (18%) |
PTPN11 | 210 (19%) | 110 (16%) | 100 (23%) |
NRAS | 194 (18%) | 113 (17%) | 81 (19%) |
KRAS | 62 (5.6%) | 29 (4.3%) | 33 (7.7%) |
TET2 | 179 (16%) | 121 (18%) | 58 (13%) |
IDH2 | 174 (16%) | 101 (15%) | 73 (17%) |
IDH1 | 151 (14%) | 81 (12%) | 70 (16%) |
WT1 | 127 (12%) | 62 (9.3%) | 65 (15%) |
RAD21 | 77 (7.0%) | 49 (7.3%) | 28 (6.5%) |
MYC | 64 (5.8%) | 39 (5.8%) | 25 (5.8%) |
CEBPA | 61 (5.6%) | 34 (5.1%) | 27 (6.3%) |
MDS-associated mutations | 132 (12%) | 67 (10%) | 65 (15%) |
SRSF2 | 56 (5.1%) | 27 (4.0%) | 29 (6.7%) |
STAG2 | 40 (3.6%) | 23 (3.4%) | 17 (3.9%) |
ASXL1 | 13 (1.2%) | 9 (1.3%) | 4 (0.9%) |
BCOR | 5 (0.5%) | 2 (0.3%) | 3 (0.7%) |
RUNX1 | 11 (1.0%) | 5 (0.7%) | 6 (1.4%) |
SF3B1 | 10 (0.9%) | 4 (0.6%) | 6 (1.4%) |
EZH2 | 9 (0.8%) | 4 (0.6%) | 5 (1.2%) |
U2AF1 | 5 (0.5%) | 3 (0.4%) | 2 (0.5%) |
ZRSR2 | 1 (<0.1%) | 1 (0.1%) | 0 (0%) |
SMC3 | 54 (4.9%) | 33 (4.9%) | 21 (4.9%) |
GATA2 | 44 (4.0%) | 21 (3.1%) | 23 (5.3%) |
SMC1A | 44 (4.0%) | 26 (3.9%) | 18 (4.2%) |
NF1 | 43 (3.9%) | 24 (3.6%) | 19 (4.4%) |
TP53 | 16 (1.5%) | 3 (0.4%) | 13 (3.0%) |
Induction chemotherapy | |||
Other (DA/ADE/CPX-351) | 1125 (83%) | 888 (100%) | 237 (51%) |
FLAG-Ida | 232 (17%) | 0 (0%) | 232 (49%) |
Gemtuzumab with induction | 526 (39%) | 216 (24%) | 310 (66%) |
Allogeneic transplant | |||
Transplant in CR1 | 304 (22%) | 179 (20%) | 125 (27%) |
Transplant at other stages | 235 (17%) | 170 (19%) | 65 (14%) |
No transplant | 818 (60%) | 539 (61%) | 279 (59%) |
ADE, cytarabine, daunorubicin, etoposide; DA, daunorubicin, cytarabine; FLAG-Ida, fludarabine, cytarabine, granulocyte colony-stimulating factor (G-CSF), idarubucin.