Clinical correlative studies of ASXL1 mutations in patients with AML
Study . | No. of patients . | Mutational frequency, % . | Clinical findings . | Patient population/comments on study design . |
---|---|---|---|---|
65 | 63 | 19 | ASXL1 mutations exclusive with NPM1 mutations (validated in at least 1 larger study). | No specific subtype of AML studied. No effects on clinical outcome studied. |
47 | 67 | 25 | None. | No specific subtype of AML studied. No effects on clinical outcome studied. |
73 | 501 | 10.8 | Mutation associated with older patients. Mutant patients had lower complete remission rate and shorter OS but ASXL1 mutations not an independent predictor of adverse outcome in MVA. | All patients with de novo AML from Taiwan. ASXL1 mutations significantly associated with RUNX1 mutations. |
6 | 423 | 8.9 | ASXL1 mutations much more common in AML patients >60 y of age compared with younger patients. ASXL1 mutations associated with adverse OS only in ELN-favorable patients. ASXL1 mutations exclusive with NPM1 mutations. | All patients with CN-AML and all received cytarabine/daunorubicin-based first-line therapy on a CALGB trial. |
46 | 740 | 17.2 | Mutation associated with older patients. ASXL1 mutations were an adverse predictor of worsened OS. | All patients with cytogenetically defined intermediate-risk AML. ASXL1 mutations significantly associated with RUNX1 mutations. |
19 | 502 | 3 | ASXL1 mutations were an adverse predictor of worsened OS in overall cohort as well as intermediate-risk AML patients. | All patients aged 16-60 y of age from the ECOG E1900 randomized phase 3 trial of standard dose (45 mg/mg2) or high-dose daunorubicin (90 mg/mg2) plus cytarabine induction therapy. |
Study . | No. of patients . | Mutational frequency, % . | Clinical findings . | Patient population/comments on study design . |
---|---|---|---|---|
65 | 63 | 19 | ASXL1 mutations exclusive with NPM1 mutations (validated in at least 1 larger study). | No specific subtype of AML studied. No effects on clinical outcome studied. |
47 | 67 | 25 | None. | No specific subtype of AML studied. No effects on clinical outcome studied. |
73 | 501 | 10.8 | Mutation associated with older patients. Mutant patients had lower complete remission rate and shorter OS but ASXL1 mutations not an independent predictor of adverse outcome in MVA. | All patients with de novo AML from Taiwan. ASXL1 mutations significantly associated with RUNX1 mutations. |
6 | 423 | 8.9 | ASXL1 mutations much more common in AML patients >60 y of age compared with younger patients. ASXL1 mutations associated with adverse OS only in ELN-favorable patients. ASXL1 mutations exclusive with NPM1 mutations. | All patients with CN-AML and all received cytarabine/daunorubicin-based first-line therapy on a CALGB trial. |
46 | 740 | 17.2 | Mutation associated with older patients. ASXL1 mutations were an adverse predictor of worsened OS. | All patients with cytogenetically defined intermediate-risk AML. ASXL1 mutations significantly associated with RUNX1 mutations. |
19 | 502 | 3 | ASXL1 mutations were an adverse predictor of worsened OS in overall cohort as well as intermediate-risk AML patients. | All patients aged 16-60 y of age from the ECOG E1900 randomized phase 3 trial of standard dose (45 mg/mg2) or high-dose daunorubicin (90 mg/mg2) plus cytarabine induction therapy. |
CALGB, Cancer and Leukemia Group B; ELN, European Leukemia Net; MVA, multivariate analysis.