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Characteristics and outcome of patients with acute myeloid leukaemia and t(8;16)(p11;p13): results from an International Collaborative Study

S. Kayser, RK. Hills, R. Langova, M. Kramer, F. Guijarro, Z. Sustkova, EH. Estey, CM. Shaw, Z. Ráčil, J. Mayer, P. Zak, MR. Baer, AM. Brunner, T. Szotkowski, P. Cetkovsky, D. Grimwade, RB. Walter, AK. Burnett, AD. Ho, G. Ehninger, C....

. 2021 ; 192 (5) : 832-842. [pub] 20210202

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, multicentrická studie, Research Support, N.I.H., Extramural, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc21025996

Grantová podpora
Olympia-Morata fellowship program from the Medical Faculty of the Heidelberg University
15-25809A Ministry of the Czech Republic
P50 CA100632 NCI NIH HHS - United States

In acute myeloid leukaemia (AML) t(8;16)(p11;p13)/MYST3-CREBBP is a very rare abnormality. Previous small series suggested poor outcome. We report on 59 patients with t(8;16) within an international, collaborative study. Median age was 52 (range: 16-75) years. AML was de novo in 58%, therapy-related (t-AML) in 37% and secondary after myelodysplastic syndrome (s-AML) in 5%. Cytogenetics revealed a complex karyotype in 43%. Besides MYST3-CREBBP, whole-genome sequencing on a subset of 10 patients revealed recurrent mutations in ASXL1, BRD3, FLT3, MLH1, POLG, TP53, SAMD4B (n = 3, each), EYS, KRTAP9-1 SPTBN5 (n = 4, each), RUNX1 and TET2 (n = 2, each). Complete remission after intensive chemotherapy was achieved in 84%. Median follow-up was 5·48 years; five-year survival rate was 17%. Patients with s-/t-AML (P = 0·01) and those with complex karyotype (P = 0·04) had an inferior prognosis. Allogeneic haematopoietic cell transplantation (allo-HCT) was performed in 21 (36%) patients, including 15 in first complete remission (CR1). Allo-HCT in CR1 significantly improved survival (P = 0·04); multivariable analysis revealed that allo-HCT in CR1 was effective in de novo AML but not in patients with s-AML/t-AML and less in patients exhibiting a complex karyotype. In summary, outcomes of patients with t(8;16) are dismal with chemotherapy, and may be substantially improved with allo-HCT performed in CR1.

4th Department of Internal Medicine Hematology Faculty of Medicine Charles University and University Hospital Hradec Králové Hradec Králové Czech Republic

Clinical Research Division Fred Hutchinson Cancer Research Center Seattle WA USA

Department of Epidemiology University of Washington Seattle WA USA

Department of Haematology Nottingham University Hospitals NHS Trust Nottingham UK

Department of Haematology School of Medicine Cardiff University Cardiff UK

Department of Hemato Oncology Faculty of Medicine and Dentistry Palacky University Olomouc and University Hospital Olomouc Olomouc Czech Republic

Department of Internal Medicine 5 Heidelberg University Hospital Heidelberg Germany

Department of Internal Medicine Hematology and Oncology Masaryk University and University Hospital Brno Brno Czech Republic

Department of Medical and Molecular Genetics Faculty of Life Sciences and Medicine King's College London London UK

Department of Medical Oncology National Center for Tumor Diseases Heidelberg University Hospital Heidelberg Germany

Department of Medicine 1 University Hospital Carl Gustav Carus Dresden Germany

Department of Medicine University of Maryland School of Medicine Baltimore MD USA

Division Applied Bioinformatics German Cancer Research Center Heidelberg Germany

Division of Hematology Department of Medicine University of Washington Seattle WA USA

Faculty of Bioscience University of Heidelberg Heidelberg Germany

Genomics and Proteomics Core Facility High Throughput Sequencing German Cancer Research Center Heidelberg Germany

German Cancer Consortium Core Center Heidelberg Heidelberg Germany

IDIBAPS Hospital Clinic Barcelona Spain

Institute of Hematology and Blood Transfusion Prague Czech Republic

Massachusetts General Hospital Boston MA USA

Medical Clinic and Policlinic 1 Hematology and Cellular Therapy University Hospital Leipzig Leipzig Germany

NCT Trial Center National Center of Tumor Diseases German Cancer Research Center Heidelberg Germany

Nuffield Department of Population Health Oxford UK

Omics IT and Data Management German Cancer Research Center Heidelberg Germany

Sidney Kimmel Comprehensive Cancer Center Johns Hopkins University Baltimore MD USA

University of Maryland Greenebaum Comprehensive Cancer Center Baltimore MD USA

Citace poskytuje Crossref.org

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