Table 3.

Characteristics of patients surviving beyond 3 years compared with those who died within 1 year after transplant

Variables Died within 1 y (n = 58)Survived beyond 3 y (n = 21)P value
Age at diagnosis, y 62.0 (20.2-74.3) 62.9 (36.1-71.0) .93 
Age at alloHCT, y 63.7 (20.5-75.2) 64.3 (36.5-72.9) .79 
Gender, male (n = 79), n (%) 32 (55.2) 13 (61.9) .78 
Therapy-related MN (n = 79), n (%) 30 (51.7) 7 (33.3) .23 
Variables at diagnosis    
Hemoglobin, g/dL 8.50 (6.90-13.2) 9.50 (5.40-14.7) .33 
WBC, ×109/L 3.15 (0.600-192) 1.85 (0.600-6.30) .034 
Platelets, ×109/L 80.5 (6.00-445) 78.0 (11.0-596) .88 
Peripheral blood blasts, % 1.50 (0-96.0) 0 (0-30.0) .16 
Peripheral blood blasts >5% (n = 72), n (%) 21 (36.2) 3 (14.3) .15 
BM blasts, % 13.0 (0-92.0) 20.0 (0-89.0) .66 
BM blasts ≥10% (n = 78), n (%) 33 (57.9) 14 (66.7) .47 
Abnormal karyotype (n = 76), n (%) 53 (91.4) 18 (85.7) .65 
Chromosome 5 abnormality type (n = 73), (%)   .64 
Deletion 5q 28 (48.3) 11 (52.4)  
Deletion 5q and monosomy 5 3 (5.2) 1 (4.8)  
Monosomy 5 9 (15.5) 3 (14.3)  
Other 6 (10.3) 0 (0)  
No abnormality 8 (13.8) 4 (19.0)  
Chromosome 7 abnormality type (n = 73), n (%)   .94 
Deletion 7q or monosomy 7 22 (37.9) 7 (33.3)  
Other 9 (15.5) 3 (14.3)  
No abnormality 23 (39.7) 9 (42.9)  
Chromosome 17 abnormality type (n = 77), n (%)   .17 
Abnormal 17p or monosomy 17 22 (37.9) 4 (19.0)  
Other 6 (10.3) 1 (4.8)  
No abnormality 29 (50.0) 15 (71.4)  
CK at diagnosis (n = 78), n (%) 51 (87.9) 17 (81.0) .54 
Maximum TP53mut VAF 48.3 (6.00-96.0) 26.0 (5.00-70.8) .002 
TP53 VAF ≥10% (n = 74), n (%) 52 (89.7) 12 (57.1) .015 
TP53 VAF ≥50% (n = 72), n (%) 26 (44.8) 3 (14.3) .058 
Non-DBD TP53mut (n = 76), n (%) 7 (12.1) 3 (14.3) 
DNMT3A comutation present (n = 79), n (%) 4 (6.9) 1 (4.8) 
Phenotype (n = 79), n (%)   .003 
MDS, other 4 (6.9%) 3 (14.3%)  
AML, other 2 (3.4) 7 (33.3)  
MDS with TP53mut 21 (36.2) 5 (23.8)  
MDS/AML with TP53mut 9 (15.5) 1 (4.8)  
AML with TP53mut 22 (37.9) 5 (23.8)  
DMT pre-alloHCT (n = 79), n (%)    
Any 53 (91.4) 19 (90.5) 
Intensive therapy (vs nonintense therapy) 23 (43.4) 8 (42.1) 
Venetoclax 20 (34.5) 4 (19.0) .28 
Variables available at HCT, n (%)    
Deletion 17p (n = 62) 7 (12.1) 1 (4.8) .38 
Abnormal chromosome 17 (n = 64) 14 (24.1) 2 (9.5) .12 
CK (n = 64) 28 (48.3) 7 (33.3) .063 
MRD positive pre-alloHCT (n = 22) 10 (17.2) 1 (4.8) .31 
Residual disease present pre-alloHCT (n = 78) 41 (70.7) 11 (52.4) .18 
BM blasts ≥5% (n = 77) 9 (15.5) 0 (0) .12 
Melphalan (n = 79) 26 (44.8) 14 (66.7) .14 
Busulfan (n = 79) 25 (43.1) 6 (28.6) .36 
Cyclophosphamide (in conditioning, n = 79) 10 (17.2) 4 (19.0) 
Total body irradiation (n = 79) 8 (13.8) 1 (4.8) .47 
Myeloablative conditioning (n = 78) 14 (24.1) 5 (23.8) 
Variables Died within 1 y (n = 58)Survived beyond 3 y (n = 21)P value
Age at diagnosis, y 62.0 (20.2-74.3) 62.9 (36.1-71.0) .93 
Age at alloHCT, y 63.7 (20.5-75.2) 64.3 (36.5-72.9) .79 
Gender, male (n = 79), n (%) 32 (55.2) 13 (61.9) .78 
Therapy-related MN (n = 79), n (%) 30 (51.7) 7 (33.3) .23 
Variables at diagnosis    
Hemoglobin, g/dL 8.50 (6.90-13.2) 9.50 (5.40-14.7) .33 
WBC, ×109/L 3.15 (0.600-192) 1.85 (0.600-6.30) .034 
Platelets, ×109/L 80.5 (6.00-445) 78.0 (11.0-596) .88 
Peripheral blood blasts, % 1.50 (0-96.0) 0 (0-30.0) .16 
Peripheral blood blasts >5% (n = 72), n (%) 21 (36.2) 3 (14.3) .15 
BM blasts, % 13.0 (0-92.0) 20.0 (0-89.0) .66 
BM blasts ≥10% (n = 78), n (%) 33 (57.9) 14 (66.7) .47 
Abnormal karyotype (n = 76), n (%) 53 (91.4) 18 (85.7) .65 
Chromosome 5 abnormality type (n = 73), (%)   .64 
Deletion 5q 28 (48.3) 11 (52.4)  
Deletion 5q and monosomy 5 3 (5.2) 1 (4.8)  
Monosomy 5 9 (15.5) 3 (14.3)  
Other 6 (10.3) 0 (0)  
No abnormality 8 (13.8) 4 (19.0)  
Chromosome 7 abnormality type (n = 73), n (%)   .94 
Deletion 7q or monosomy 7 22 (37.9) 7 (33.3)  
Other 9 (15.5) 3 (14.3)  
No abnormality 23 (39.7) 9 (42.9)  
Chromosome 17 abnormality type (n = 77), n (%)   .17 
Abnormal 17p or monosomy 17 22 (37.9) 4 (19.0)  
Other 6 (10.3) 1 (4.8)  
No abnormality 29 (50.0) 15 (71.4)  
CK at diagnosis (n = 78), n (%) 51 (87.9) 17 (81.0) .54 
Maximum TP53mut VAF 48.3 (6.00-96.0) 26.0 (5.00-70.8) .002 
TP53 VAF ≥10% (n = 74), n (%) 52 (89.7) 12 (57.1) .015 
TP53 VAF ≥50% (n = 72), n (%) 26 (44.8) 3 (14.3) .058 
Non-DBD TP53mut (n = 76), n (%) 7 (12.1) 3 (14.3) 
DNMT3A comutation present (n = 79), n (%) 4 (6.9) 1 (4.8) 
Phenotype (n = 79), n (%)   .003 
MDS, other 4 (6.9%) 3 (14.3%)  
AML, other 2 (3.4) 7 (33.3)  
MDS with TP53mut 21 (36.2) 5 (23.8)  
MDS/AML with TP53mut 9 (15.5) 1 (4.8)  
AML with TP53mut 22 (37.9) 5 (23.8)  
DMT pre-alloHCT (n = 79), n (%)    
Any 53 (91.4) 19 (90.5) 
Intensive therapy (vs nonintense therapy) 23 (43.4) 8 (42.1) 
Venetoclax 20 (34.5) 4 (19.0) .28 
Variables available at HCT, n (%)    
Deletion 17p (n = 62) 7 (12.1) 1 (4.8) .38 
Abnormal chromosome 17 (n = 64) 14 (24.1) 2 (9.5) .12 
CK (n = 64) 28 (48.3) 7 (33.3) .063 
MRD positive pre-alloHCT (n = 22) 10 (17.2) 1 (4.8) .31 
Residual disease present pre-alloHCT (n = 78) 41 (70.7) 11 (52.4) .18 
BM blasts ≥5% (n = 77) 9 (15.5) 0 (0) .12 
Melphalan (n = 79) 26 (44.8) 14 (66.7) .14 
Busulfan (n = 79) 25 (43.1) 6 (28.6) .36 
Cyclophosphamide (in conditioning, n = 79) 10 (17.2) 4 (19.0) 
Total body irradiation (n = 79) 8 (13.8) 1 (4.8) .47 
Myeloablative conditioning (n = 78) 14 (24.1) 5 (23.8) 

Boldface values indicate statistically significant at P < 0.05.

Median (min-max) unless specified otherwise.

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