Table 2.

Incidence of late clonal complications in patients with acquired AA treated with immunosuppression

Reference (year)Study designPatients, nAge, median (range), yFollow-up, median, yPatients with PNH, nProjected incidence of PNH, % (follow-up, y)Patients with secondary MDS/AML, nProjected incidence of MDS/AML, % (follow-up, y)
26 (1989) Retrospective: EBMT registry analysis of late survivors post-IST (survived > 2 y) 223 23 (1-73) 19 13 (7) 12 15 (7) 
28 (2011) Prospective: IST, with or without G-CSF 192 46 (2-81) 37 19 (6) 4 (6) 
27 (1988) Prospective: ALG + androgen 103 20 (8-52)* 13 ∼31 (10) 26 (10) 
29 (2003) Prospective: ATG + CsA 122 35 (N/A) 10 (7) N/A N/A 
30 (2011) Retrospective: varied, including G-CSF, CsA, ATG, androgens 802 23 (3-71) 21 1.7 (5) 19 2.1 (5) 
31 (2002) Prospective: ALG + CsA + danazol, with or without G-CSF 113 9 (1-18) N/A N/A 12 13.7 (8) 
32 (2003) Prospective: ATG, with or without CsA 94 32 (2-80) 11 10 (11) 8 (11) 
33 (1993) Retrospective: EBMT registry analysis, various IST regimens 860 29 (3-83) N/A N/A 43 16.6 (10) 
34 (2017) Prospective: ATG + CsA + eltrombopag 92 32 (3-82) N/A N/A, <8 (2) 
Reference (year)Study designPatients, nAge, median (range), yFollow-up, median, yPatients with PNH, nProjected incidence of PNH, % (follow-up, y)Patients with secondary MDS/AML, nProjected incidence of MDS/AML, % (follow-up, y)
26 (1989) Retrospective: EBMT registry analysis of late survivors post-IST (survived > 2 y) 223 23 (1-73) 19 13 (7) 12 15 (7) 
28 (2011) Prospective: IST, with or without G-CSF 192 46 (2-81) 37 19 (6) 4 (6) 
27 (1988) Prospective: ALG + androgen 103 20 (8-52)* 13 ∼31 (10) 26 (10) 
29 (2003) Prospective: ATG + CsA 122 35 (N/A) 10 (7) N/A N/A 
30 (2011) Retrospective: varied, including G-CSF, CsA, ATG, androgens 802 23 (3-71) 21 1.7 (5) 19 2.1 (5) 
31 (2002) Prospective: ALG + CsA + danazol, with or without G-CSF 113 9 (1-18) N/A N/A 12 13.7 (8) 
32 (2003) Prospective: ATG, with or without CsA 94 32 (2-80) 11 10 (11) 8 (11) 
33 (1993) Retrospective: EBMT registry analysis, various IST regimens 860 29 (3-83) N/A N/A 43 16.6 (10) 
34 (2017) Prospective: ATG + CsA + eltrombopag 92 32 (3-82) N/A N/A, <8 (2) 

ALG, antilymphocyte globulin; ATG, anti-thymocyte globulin; CsA, cyclosporine A; EBMT, European Cooperative Group for Bone Marrow Transplantation; G-CSF, granulocyte colony-stimulating factor; IST, immunosuppressive therapy; N/A, not available.

*

Mean age.

Age corresponds to patients with MDS/AML evolution.

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