Table 1.

Baseline characteristics of patients treated at a single institution with off-trial venetoclax and azacitidine and patients who received venetoclax and azacitidine in the setting of a clinical trial at the same single institution

Off-trial venetoclax patients without prior hypomethylating agent who received treatmentOff-trial venetoclax patients with prior hypomethylating agent who received treatmentAll off-trial venetoclax patients who received treatmentClinical trial patientsOff-trial vs clinical trial,*P
26 30 33  
Median age, y 72 71 72 75 .073 
Baseline white blood cell count, ×109/L 2.8 7.7 3.3 2.5 .440 
Median baseline blast, % 59 26 55 40 .334 
Prior hypomethylating agent, n (%) 0 (0) 4 (100) 4 (13.3) 0 (0) .046 
Antecedent hematologic disorder, n (%) 2 (7.7) 4 (100) 6 (20.0) 10 (30.3) .397 
Treatment-related AML, n (%) 5 (19.2) 0 (0) 5 (16.7) 6. (18.2) 1.000 
Cytogenetic risk group, n (%)      
 Intermediate 15 (57.7) 0 (0) 15 (50.0) 20 (60.6) .516 
 Unfavorable 10 (38.5) 1 (25) 11 (36.7) 12 (36.4)  
 Unknown 1 (3.9) 2 (50) 3 (10.0) 1 (3)  
Complex cytogenetics, n (%) 8 (30.8) 1 (25) 9 (30.0) 5 (15.2) .175 
Monosomal karyotype, n (%) 4 (15.4) 1 (25) 5 (16.7) 5 (15.2) .860 
FLT3 ITD, n (%) 5 (19.2) 0 (0) 5 (16.7) 5 (15.2) .265 
IDH1/IDH2, n (%) 5 (19.2) 0 (0) 5 (16.7) 12 (36.4) .095 
ASXL1, n (%) 9 (34.6) 2 (50) 11 (36.7) 5 (15.2) .081 
TP53, n (%) 3 (11.5) 2 (50) 5 (16.7) 3 (9.1) .462 
ELN risk group, n (%)      
 Adverse 17 (65.4) 3 (75) 20 (66.7) 18 (54.5) .143 
 Intermediate 2 (7.7) 1 (25) 3 (10) 10 (30.3)  
 Favorable 7 (26.9) 0 (0) 7 (23.3) 5 (15.2)  
Would have been eligible for clinical trial, n (%) 9 (34.6) 0 (0) 9 (30) N/A N/A 
Off-trial venetoclax patients without prior hypomethylating agent who received treatmentOff-trial venetoclax patients with prior hypomethylating agent who received treatmentAll off-trial venetoclax patients who received treatmentClinical trial patientsOff-trial vs clinical trial,*P
26 30 33  
Median age, y 72 71 72 75 .073 
Baseline white blood cell count, ×109/L 2.8 7.7 3.3 2.5 .440 
Median baseline blast, % 59 26 55 40 .334 
Prior hypomethylating agent, n (%) 0 (0) 4 (100) 4 (13.3) 0 (0) .046 
Antecedent hematologic disorder, n (%) 2 (7.7) 4 (100) 6 (20.0) 10 (30.3) .397 
Treatment-related AML, n (%) 5 (19.2) 0 (0) 5 (16.7) 6. (18.2) 1.000 
Cytogenetic risk group, n (%)      
 Intermediate 15 (57.7) 0 (0) 15 (50.0) 20 (60.6) .516 
 Unfavorable 10 (38.5) 1 (25) 11 (36.7) 12 (36.4)  
 Unknown 1 (3.9) 2 (50) 3 (10.0) 1 (3)  
Complex cytogenetics, n (%) 8 (30.8) 1 (25) 9 (30.0) 5 (15.2) .175 
Monosomal karyotype, n (%) 4 (15.4) 1 (25) 5 (16.7) 5 (15.2) .860 
FLT3 ITD, n (%) 5 (19.2) 0 (0) 5 (16.7) 5 (15.2) .265 
IDH1/IDH2, n (%) 5 (19.2) 0 (0) 5 (16.7) 12 (36.4) .095 
ASXL1, n (%) 9 (34.6) 2 (50) 11 (36.7) 5 (15.2) .081 
TP53, n (%) 3 (11.5) 2 (50) 5 (16.7) 3 (9.1) .462 
ELN risk group, n (%)      
 Adverse 17 (65.4) 3 (75) 20 (66.7) 18 (54.5) .143 
 Intermediate 2 (7.7) 1 (25) 3 (10) 10 (30.3)  
 Favorable 7 (26.9) 0 (0) 7 (23.3) 5 (15.2)  
Would have been eligible for clinical trial, n (%) 9 (34.6) 0 (0) 9 (30) N/A N/A 

ASXL1, additional sex combs like 1; ELN, European LeukemiaNetwork; FLT3, FMS-like tyrosine kinase 3; IDH, isocitrate dehydrogenase; ITD, internal tandem duplication; N/A, not available; TP53, tumor protein 53.

*

Comparison of off-trial patients with clinical trial patients includes all off-trial patients, with or without hypomethylating agent.

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