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Characteristics and outcome of patients with core-binding factor acute myeloid leukemia and FLT3-ITD: results from an international collaborative study
S. Kayser, M. Kramer, D. Martínez-Cuadrón, J. Grenet, KH. Metzeler, Z. Sustkova, MR. Luskin, AM. Brunner, MA. Elliott, C. Gil, SC. Marini, Z. Ráčil, P. Cetkovsky, J. Novak, AE. Perl, U. Platzbecker, F. Stölzel, AD. Ho, C. Thiede, RM. Stone, C....
Jazyk angličtina Země Itálie
Typ dokumentu časopisecké články, multicentrická studie
Grantová podpora
P50 CA100632
NCI NIH HHS - United States
Free Medical Journals od 1994
Freely Accessible Science Journals od 1994
PubMed Central od 2009
Europe PubMed Central od 2009
Open Access Digital Library od 1994-01-01
ROAD: Directory of Open Access Scholarly Resources od 1996
Odkazy
PubMed
34348451
DOI
10.3324/haematol.2021.278645
Knihovny.cz E-zdroje
- MeSH
- akutní myeloidní leukemie * diagnóza genetika terapie MeSH
- dospělí MeSH
- indukce remise MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mutace MeSH
- prognóza MeSH
- retrospektivní studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- transkripční faktor PEBP2 genetika MeSH
- transplantace hematopoetických kmenových buněk * MeSH
- tyrosinkinasa 3 podobná fms genetika MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
The aim of this study was to evaluate the prognostic impact of FLT3-ITD in core-binding factor acute myeloid leukemia (CBFAML) in an international, multicenter survey of 97 patients of whom 52% had t(8;21)(q22;q22) and 48% had inv(16)(p13q22)/t(16;16)(p13;q22). The median age of the patients was 53 years (range, 19-81). Complete remission after anthracycline-based induction (n=86) and non-intensive therapy (n=11) was achieved in 97% and 36% of the patients, respectively. The median follow-up was 4.43 years (95% confidence interval [95% CI]: 3.35-7.39 years). The median survival after intensive and non-intensive treatment was not reached and 0.96 years, respectively. Among intensively treated patients, inv(16) with trisomy 22 (n=11) was associated with a favorable 4-year relapse-free survival rate of 80% (95% CI: 59-100%) as compared to 38% (95% CI: 27-54%; P=0.02) in all other patients with CBFAML/ FLT3-ITD (n=75). Overall, 24 patients underwent allogeneic hematopoietic cell transplantation (HCT), 12 in first complete remission and 12 after relapse. Allogeneic HCT in first complete remission was not beneficial (P=0.60); however, allogeneic HCT seemed to improve median survival in relapsed patients compared to that of patients treated with chemotherapy (not reached vs. 0.6 years, respectively; P=0.002). Excluding patients with inv(16) with trisomy 22, our data indicate that compathe outcome of CBF-AML patients with FLT3-ITD may be inferior to that of patients without FLT3-ITD (based on previously published data), suggesting that prognostically CBF-AML patients with FLT3-ITD should not be classified as favorable-risk. FLT3-inhibitors may improve the outcome of these patients.
CIBERONC Instituto Carlos 3 Madrid
Department of Clinical Haematology Centro Hospitalar e Universitário de Coimbra Coimbra
Department of Internal Medicine 5 Heidelberg University Hospital Heidelberg
Department of Internal Medicine 5 Heidelberg University Hospital Heidelberg Germany
Department of Medical Oncology Dana Farber Cancer Institute Boston MA
Department of Medicine 1 University Hospital Carl Gustav Carus Dresden
Division of Hematology Department of Internal Medicine Mayo Clinic Rochester Minnesota
Hematology Department Hospital Universitari i Politècnic La Fe València Spain
Institute of Hematology and Blood Transfusion Prague Czech Republic
Laboratory for Leukemia Diagnostics Department of Medicine 3 University Hospital LMU Munich Munich
Massachusetts General Hospital Boston MA
Medical Clinic and Policlinic 1 Hematology and Cellular Therapy University Hospital Leipzig Leipzig
NCT Trial Center National Center of Tumor Diseases German Cancer Research Center Heidelberg Germany
Sidney Kimmel Comprehensive Cancer Center Johns Hopkins University Baltimore Maryland
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- $a The aim of this study was to evaluate the prognostic impact of FLT3-ITD in core-binding factor acute myeloid leukemia (CBFAML) in an international, multicenter survey of 97 patients of whom 52% had t(8;21)(q22;q22) and 48% had inv(16)(p13q22)/t(16;16)(p13;q22). The median age of the patients was 53 years (range, 19-81). Complete remission after anthracycline-based induction (n=86) and non-intensive therapy (n=11) was achieved in 97% and 36% of the patients, respectively. The median follow-up was 4.43 years (95% confidence interval [95% CI]: 3.35-7.39 years). The median survival after intensive and non-intensive treatment was not reached and 0.96 years, respectively. Among intensively treated patients, inv(16) with trisomy 22 (n=11) was associated with a favorable 4-year relapse-free survival rate of 80% (95% CI: 59-100%) as compared to 38% (95% CI: 27-54%; P=0.02) in all other patients with CBFAML/ FLT3-ITD (n=75). Overall, 24 patients underwent allogeneic hematopoietic cell transplantation (HCT), 12 in first complete remission and 12 after relapse. Allogeneic HCT in first complete remission was not beneficial (P=0.60); however, allogeneic HCT seemed to improve median survival in relapsed patients compared to that of patients treated with chemotherapy (not reached vs. 0.6 years, respectively; P=0.002). Excluding patients with inv(16) with trisomy 22, our data indicate that compathe outcome of CBF-AML patients with FLT3-ITD may be inferior to that of patients without FLT3-ITD (based on previously published data), suggesting that prognostically CBF-AML patients with FLT3-ITD should not be classified as favorable-risk. FLT3-inhibitors may improve the outcome of these patients.
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