Characteristics of the discovery panel cases at refractoriness
Characteristics . | FR-CLL_1 . | FR-CLL_2 . | FR-CLL_3 . | FR-CLL_4 . | FR-CLL_5 . | FR-CLL_6 . | FR-CLL_7 . | FR-CLL_8 . | FR-CLL_9 . | FR-CLL_10 . |
---|---|---|---|---|---|---|---|---|---|---|
Gender | Female | Male | Male | Male | Male | Male | Male | Female | Male | Male |
Age, years | 75 | 75 | 62 | 69 | 62 | 73 | 58 | 48 | 58 | 67 |
Binet stage | B | B | C | B | B | B | A progressive | B | B | A progressive |
Lymphocytes (×109/L) | 26 | 44 | 129 | 102 | 66 | 21 | 10 | 142 | 32 | 97 |
CD5+/CD19+ (%) | 80 | 92 | 90 | 96 | 90 | 80 | 73 | 95 | 90 | 91 |
Hb, g/dL | 10.9 | 11.2 | 12.2 | 14.7 | 13.5 | 15.6 | 15.7 | 12 | 15.6 | 12.4 |
Platelets (×109/L) | 142 | 237 | 46 | 119 | 231 | 310 | 118 | 201 | 231 | 121 |
B2M, mg/L | 2.9 | 1.9 | 3.5 | 3.2 | 2.6 | 3 | NA | 1.54 | 3.27 | NA |
LDH, U/L | 326 | 421 | 382 | 404 | 256 | 500 | 271 | 332 | 105 | NA |
IGHV mutation status | UM | M | UM | M | UM | UM | UM | M | UM | UM |
IGHV | 3-49*03 | 3-52*01 | 3-30-3*01 | 2-5*10 | 5-51*01 | 1-2*02 | 4-30*2*01 | 1-46*01 | 1-69*01 | 4-59*01 |
IGHD | 3-10*01 | 2-2*03 | 3-3*02 | 1-7*01 | 3-3*01 | 6-19*01 | 3-10*01 | 3-22*01 | 3-3*01 | 2-21*02 |
IGHJ | 1*01 | 5*02 | 6*02 | 4*02 | 6*02 | 4*02 | 6*02 | 1*01 | 6*02 | 3*02 |
IGHV_homology | 98.09 | 97.09 | 100.00 | 95.87 | 100.00 | 99.21 | 100.00 | 88.50 | 100.00 | 99.30 |
FISH | del11q22-q23; del13q14 | del13q14 | Normal | del17p13; del13q14 | del17p13; del11q22-23; del13q14 | del17p13 | Normal | +12 | del17p12; +12 | del17p13 |
TP53 mutational status | WT | WT | M | M | WT | WT | WT | WT | WT | M |
NOTCH1 mutational status | WT | WT | M | WT | WT | WT | WT | M | WT | WT |
BIRC3 disruption | WT | WT | WT | WT | Δ | WT | WT | WT | WT | WT |
ZAP-70 expression* | N | N | P | P | P | N | P | N | P | P |
CD38 expression† | N | N | P | N | N | P | P | P | N | P |
Timing of refractoriness | Acquired | Primary | Primary | Primary | Primary | Primary | Acquired | Primary | Primary | Primary |
Treatment resulting in refractoriness | FCR | FR | FCR | FCR | FA | FCR | FCL | FC | —‡ | FR |
Previous treatment | FC | — | — | — | — | — | Fluda-based | — | Campath | Leukeran |
Time to first treatment (months) | 36 | 30 | 0 | 0 | 2 | 1 | 35 | 1 | 10 | 31 |
Survival (months)§ | 32 | 32 | 30 | 30 | 14 | 14 | 19 | 51 | 21 | 8 |
Status | Alive | Alive | Alive | Alive | Alive | Death | Alive | Alive | Alive | Death |
Control DNA source | Granulocytes | Granulocytes | Saliva | Saliva | Granulocytes | Granulocytes | Saliva | Saliva | Saliva | Saliva |
Characteristics . | FR-CLL_1 . | FR-CLL_2 . | FR-CLL_3 . | FR-CLL_4 . | FR-CLL_5 . | FR-CLL_6 . | FR-CLL_7 . | FR-CLL_8 . | FR-CLL_9 . | FR-CLL_10 . |
---|---|---|---|---|---|---|---|---|---|---|
Gender | Female | Male | Male | Male | Male | Male | Male | Female | Male | Male |
Age, years | 75 | 75 | 62 | 69 | 62 | 73 | 58 | 48 | 58 | 67 |
Binet stage | B | B | C | B | B | B | A progressive | B | B | A progressive |
Lymphocytes (×109/L) | 26 | 44 | 129 | 102 | 66 | 21 | 10 | 142 | 32 | 97 |
CD5+/CD19+ (%) | 80 | 92 | 90 | 96 | 90 | 80 | 73 | 95 | 90 | 91 |
Hb, g/dL | 10.9 | 11.2 | 12.2 | 14.7 | 13.5 | 15.6 | 15.7 | 12 | 15.6 | 12.4 |
Platelets (×109/L) | 142 | 237 | 46 | 119 | 231 | 310 | 118 | 201 | 231 | 121 |
B2M, mg/L | 2.9 | 1.9 | 3.5 | 3.2 | 2.6 | 3 | NA | 1.54 | 3.27 | NA |
LDH, U/L | 326 | 421 | 382 | 404 | 256 | 500 | 271 | 332 | 105 | NA |
IGHV mutation status | UM | M | UM | M | UM | UM | UM | M | UM | UM |
IGHV | 3-49*03 | 3-52*01 | 3-30-3*01 | 2-5*10 | 5-51*01 | 1-2*02 | 4-30*2*01 | 1-46*01 | 1-69*01 | 4-59*01 |
IGHD | 3-10*01 | 2-2*03 | 3-3*02 | 1-7*01 | 3-3*01 | 6-19*01 | 3-10*01 | 3-22*01 | 3-3*01 | 2-21*02 |
IGHJ | 1*01 | 5*02 | 6*02 | 4*02 | 6*02 | 4*02 | 6*02 | 1*01 | 6*02 | 3*02 |
IGHV_homology | 98.09 | 97.09 | 100.00 | 95.87 | 100.00 | 99.21 | 100.00 | 88.50 | 100.00 | 99.30 |
FISH | del11q22-q23; del13q14 | del13q14 | Normal | del17p13; del13q14 | del17p13; del11q22-23; del13q14 | del17p13 | Normal | +12 | del17p12; +12 | del17p13 |
TP53 mutational status | WT | WT | M | M | WT | WT | WT | WT | WT | M |
NOTCH1 mutational status | WT | WT | M | WT | WT | WT | WT | M | WT | WT |
BIRC3 disruption | WT | WT | WT | WT | Δ | WT | WT | WT | WT | WT |
ZAP-70 expression* | N | N | P | P | P | N | P | N | P | P |
CD38 expression† | N | N | P | N | N | P | P | P | N | P |
Timing of refractoriness | Acquired | Primary | Primary | Primary | Primary | Primary | Acquired | Primary | Primary | Primary |
Treatment resulting in refractoriness | FCR | FR | FCR | FCR | FA | FCR | FCL | FC | —‡ | FR |
Previous treatment | FC | — | — | — | — | — | Fluda-based | — | Campath | Leukeran |
Time to first treatment (months) | 36 | 30 | 0 | 0 | 2 | 1 | 35 | 1 | 10 | 31 |
Survival (months)§ | 32 | 32 | 30 | 30 | 14 | 14 | 19 | 51 | 21 | 8 |
Status | Alive | Alive | Alive | Alive | Alive | Death | Alive | Alive | Alive | Death |
Control DNA source | Granulocytes | Granulocytes | Saliva | Saliva | Granulocytes | Granulocytes | Saliva | Saliva | Saliva | Saliva |
FA, fludarabine, alemtuzumab; FCR, fludarabine, cyclophosphamide, rituximab; FR, fludarabine, rituximab; M, mutated; N, negative; NA, not available; P, positive; Δ, deleted.
Considered positive if the percentage of positive leukemic cells was >20% by FACS analysis.
Considered positive if the percentage of positive leukemic cells was >30%.
FR-CLL_9 underwent a non–fludarabine-based treatment being a bona fide chemorefractory patient because he carried a del17p13.
Survival from refractoriness.