Response to induction and consolidation therapy and risk-group stratification according to AIEOP-BFM ALL 2009 protocol criteria
Variable . | Screening cohort . | Validation cohort . | P value∗ . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Total . | CD371pos . | CD371neg . | P value . | Total . | CD371pos . | CD371neg . | P value . | ||||||
n . | n . | % . | n . | % . | n . | n . | % . | n . | % . | ||||
Total | 843 | 76 | 9.0 | 767 | 91.0 | 969 | 84 | 8.7 | 885 | 91.3 | .795 | ||
Prednisone response | .470 | < .001 | |||||||||||
Good (PGR) | 787 | 73 | 96.1 | 714 | 93.2 | 904 | 69 | 82.1 | 835 | 95.3 | .225 | ||
Poor (PPR) | 55 | 3 | 3.9 | 52 | 6.8 | 56 | 15 | 17.9 | 41 | 4.7 | .004 | ||
NA | 1 | 0 | 1 | 9 | 0 | 9 | |||||||
MCF MRD day 15 | .006 | < .001 | |||||||||||
<0.1% | 308 | 15 | 20.5 | 293 | 38.9 | 284 | 15 | 19.2 | 269 | 32.6 | .820 | ||
≥0.1, <10% | 431 | 46 | 63.0 | 384 | 50.9 | 515 | 42 | 53.8 | 473 | 57.4 | .149 | ||
≥10% | 88 | 12 | 16.5 | 77 | 10.2 | 103 | 21 | 26.9 | 82 | 10.0 | .147 | ||
NA | 16 | 3 | 13 | 67 | 6 | 61 | |||||||
Response to induction IA | 1.000 | .087 | |||||||||||
CR, day 33 | 825 | 75 | 100.0 | 750 | 98.7 | 950 | 80 | 97.6 | 870 | 99.5 | .618 | ||
Non-CR, day 33 | 10 | 0 | 10 | 1.3 | 6 | 2 | 2.4 | 4 | 0.5 | .125 | |||
NA | 8 | 1 | 7 | 13 | 2 | 11 | |||||||
PCR MRD final | < .001 | < .001 | |||||||||||
Standard | 273 | 11 | 14.9 | 262 | 35.7 | 337 | 6 | 7.3 | 331 | 38.5 | .094 | ||
Medium | 443 | 41 | 55.4 | 402 | 54.8 | 487 | 38 | 46.3 | 449 | 52.3 | .428 | ||
MRD-SER | 66 | 18 | 24.3 | 48 | 6.5 | 88 | 27 | 33.0 | 61 | 7.1 | .646 | ||
High | 25 | 4 | 5.4 | 21 | 3.0 | 29 | 11 | 13.4 | 18 | 2.1 | .126 | ||
NA | 36 | 2 | 34 | 28 | 2 | 26 | |||||||
Final risk group | < .001 | < .001 | |||||||||||
Standard | 277 | 12 | 15.8 | 265 | 34.6 | 314 | 6 | 7.1 | 308 | 35.1 | .088 | ||
Medium | 390 | 37 | 48.7 | 353 | 46.0 | 431 | 34 | 40.5 | 397 | 45.3 | .416 | ||
High | 176 | 27 | 35.5 | 149 | 19.4 | 216 | 44 | 52.4 | 172 | 19.6 | .200 | ||
NA | 0 | 8 | 0 | 8 |
Variable . | Screening cohort . | Validation cohort . | P value∗ . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Total . | CD371pos . | CD371neg . | P value . | Total . | CD371pos . | CD371neg . | P value . | ||||||
n . | n . | % . | n . | % . | n . | n . | % . | n . | % . | ||||
Total | 843 | 76 | 9.0 | 767 | 91.0 | 969 | 84 | 8.7 | 885 | 91.3 | .795 | ||
Prednisone response | .470 | < .001 | |||||||||||
Good (PGR) | 787 | 73 | 96.1 | 714 | 93.2 | 904 | 69 | 82.1 | 835 | 95.3 | .225 | ||
Poor (PPR) | 55 | 3 | 3.9 | 52 | 6.8 | 56 | 15 | 17.9 | 41 | 4.7 | .004 | ||
NA | 1 | 0 | 1 | 9 | 0 | 9 | |||||||
MCF MRD day 15 | .006 | < .001 | |||||||||||
<0.1% | 308 | 15 | 20.5 | 293 | 38.9 | 284 | 15 | 19.2 | 269 | 32.6 | .820 | ||
≥0.1, <10% | 431 | 46 | 63.0 | 384 | 50.9 | 515 | 42 | 53.8 | 473 | 57.4 | .149 | ||
≥10% | 88 | 12 | 16.5 | 77 | 10.2 | 103 | 21 | 26.9 | 82 | 10.0 | .147 | ||
NA | 16 | 3 | 13 | 67 | 6 | 61 | |||||||
Response to induction IA | 1.000 | .087 | |||||||||||
CR, day 33 | 825 | 75 | 100.0 | 750 | 98.7 | 950 | 80 | 97.6 | 870 | 99.5 | .618 | ||
Non-CR, day 33 | 10 | 0 | 10 | 1.3 | 6 | 2 | 2.4 | 4 | 0.5 | .125 | |||
NA | 8 | 1 | 7 | 13 | 2 | 11 | |||||||
PCR MRD final | < .001 | < .001 | |||||||||||
Standard | 273 | 11 | 14.9 | 262 | 35.7 | 337 | 6 | 7.3 | 331 | 38.5 | .094 | ||
Medium | 443 | 41 | 55.4 | 402 | 54.8 | 487 | 38 | 46.3 | 449 | 52.3 | .428 | ||
MRD-SER | 66 | 18 | 24.3 | 48 | 6.5 | 88 | 27 | 33.0 | 61 | 7.1 | .646 | ||
High | 25 | 4 | 5.4 | 21 | 3.0 | 29 | 11 | 13.4 | 18 | 2.1 | .126 | ||
NA | 36 | 2 | 34 | 28 | 2 | 26 | |||||||
Final risk group | < .001 | < .001 | |||||||||||
Standard | 277 | 12 | 15.8 | 265 | 34.6 | 314 | 6 | 7.1 | 308 | 35.1 | .088 | ||
Medium | 390 | 37 | 48.7 | 353 | 46.0 | 431 | 34 | 40.5 | 397 | 45.3 | .416 | ||
High | 176 | 27 | 35.5 | 149 | 19.4 | 216 | 44 | 52.4 | 172 | 19.6 | .200 | ||
NA | 0 | 8 | 0 | 8 |
CD371neg, negativity of CD371 antigen at diagnosis; CD371pos, any positivity (strong, weak, or partially positive) of CD371 antigen at diagnosis. Bold values correspond to P < .05.
CR, complete remission; MFC, multiparametric flow cytometry; PGR, prednisone good response; PPR, prednisone poor response; SER, slow early response.
Comparison of variables distribution between screening (AIEOP) and validation (iBFM-FN) cohorts.