Table 1.

Patient-, disease- and treatment-related characteristics of patients with AML receiving HLA–identical sibling bone marrow transplantation in first complete remission

(1) No postremission therapy(2) Standard-dose cytarabine(3) High-dose cytarabineP12P13P23
Number of patients 62 222 147    
Median age, years 32  (2-55) 29  (<1-56) 28  (1-52) 0.34 0.24 0.37  
Male sex, n (%) 33  (53) 112  (50) 79  (54) 0.70 0.95 0.54  
Performance score ≥ 90%, n (%) 54  (87) 196  (88) 132  (90) 0.80 0.57 0.65 
Cytomegalovirus seropositive, n (%) 37  (60) 128  (59) 100  (68) 0.95 0.22 0.07  
FAB subtype, n (%)    0.02 <0.001 0.53  
 Unclassified 7  (11) 9  (4) 2  (1)    
 M1, M2 35  (57) 98  (44) 61  (42)    
 M3 7  (11) 26  (12) 18  (12)    
 M4 6  (10) 53  (24) 36  (25)    
 M5-M7 7  (11) 36  (16) 30  (20)    
Median leukocytes at diagnosis, ×109/L 7 (1-400) 17 (1-409) 14 (1-510) 0.02 0.02 0.94 
Cytogenetics, n (%)    0.47 0.90 0.02 
 Normal 16  (33) 51  (27) 43  (35)    
 Good prognosis 9  (19) 28  (15) 18  (14)    
 Intermediate prognosis 7  (15) 21  (11) 22  (18)    
 Poor prognosis 1  (2) 3  (1) 5  (4)    
 Unknown 15  (31) 89  (46) 36  (29)    
Extramedullary disease at DX, n (%) 3  (5) 30  (14) 20  (14) 0.06 0.07 0.99 
Additional drugs for consolidation — 218  (98) 113  (77) — — <0.001  
No. cycles to achieve CR, n (%)    0.01 0.24 0.09 
 1 33  (53) 156  (70) 91  (62)    
 2 29  (47) 66  (30) 56  (38)    
Median time from DX to CR, mo 1.3 (0.2-13.7) 1.0 (0.2-12.8) 1.3 (0.4-5.6) 0.72 0.70 0.99 
Median time from CR to transplantation, mo 2.2 (0.5-15.1) 4.2 (0.2-26.3) 5.1 (0.4-16.9) <0.001 <0.001 0.004 
TBI for conditioning, n (%) 22  (35) 120  (54) 88  (60) 0.01 <0.001 0.27  
GVHD prophylaxis, n (%)    <0.001 0.05 0.05  
 CsA + MTX 29  (47) 142  (64) 80  (54)    
 CsA or MTX 24  (39) 32  (14) 35  (24)    
 Other 3  (5) 1  (<1) 3  (2)    
 T-depletion 6  (9) 47  (21) 29  (20)    
Year of transplantation    0.72 0.08 0.04 
 1989-1991 39  (63) 134  (60) 73  (50)    
 1992-1995 23  (37) 88  (40) 74  (50)    
Median follow-up time, mo 60 61 61 0.22* 0.10* 0.44* 
(1) No postremission therapy(2) Standard-dose cytarabine(3) High-dose cytarabineP12P13P23
Number of patients 62 222 147    
Median age, years 32  (2-55) 29  (<1-56) 28  (1-52) 0.34 0.24 0.37  
Male sex, n (%) 33  (53) 112  (50) 79  (54) 0.70 0.95 0.54  
Performance score ≥ 90%, n (%) 54  (87) 196  (88) 132  (90) 0.80 0.57 0.65 
Cytomegalovirus seropositive, n (%) 37  (60) 128  (59) 100  (68) 0.95 0.22 0.07  
FAB subtype, n (%)    0.02 <0.001 0.53  
 Unclassified 7  (11) 9  (4) 2  (1)    
 M1, M2 35  (57) 98  (44) 61  (42)    
 M3 7  (11) 26  (12) 18  (12)    
 M4 6  (10) 53  (24) 36  (25)    
 M5-M7 7  (11) 36  (16) 30  (20)    
Median leukocytes at diagnosis, ×109/L 7 (1-400) 17 (1-409) 14 (1-510) 0.02 0.02 0.94 
Cytogenetics, n (%)    0.47 0.90 0.02 
 Normal 16  (33) 51  (27) 43  (35)    
 Good prognosis 9  (19) 28  (15) 18  (14)    
 Intermediate prognosis 7  (15) 21  (11) 22  (18)    
 Poor prognosis 1  (2) 3  (1) 5  (4)    
 Unknown 15  (31) 89  (46) 36  (29)    
Extramedullary disease at DX, n (%) 3  (5) 30  (14) 20  (14) 0.06 0.07 0.99 
Additional drugs for consolidation — 218  (98) 113  (77) — — <0.001  
No. cycles to achieve CR, n (%)    0.01 0.24 0.09 
 1 33  (53) 156  (70) 91  (62)    
 2 29  (47) 66  (30) 56  (38)    
Median time from DX to CR, mo 1.3 (0.2-13.7) 1.0 (0.2-12.8) 1.3 (0.4-5.6) 0.72 0.70 0.99 
Median time from CR to transplantation, mo 2.2 (0.5-15.1) 4.2 (0.2-26.3) 5.1 (0.4-16.9) <0.001 <0.001 0.004 
TBI for conditioning, n (%) 22  (35) 120  (54) 88  (60) 0.01 <0.001 0.27  
GVHD prophylaxis, n (%)    <0.001 0.05 0.05  
 CsA + MTX 29  (47) 142  (64) 80  (54)    
 CsA or MTX 24  (39) 32  (14) 35  (24)    
 Other 3  (5) 1  (<1) 3  (2)    
 T-depletion 6  (9) 47  (21) 29  (20)    
Year of transplantation    0.72 0.08 0.04 
 1989-1991 39  (63) 134  (60) 73  (50)    
 1992-1995 23  (37) 88  (40) 74  (50)    
Median follow-up time, mo 60 61 61 0.22* 0.10* 0.44* 

CMV, cytomegalovirus; FAB, French-American-British; DX, diagnosis; CR, complete remission; TBI, total body irradiation; GVHD, graft-versus-host disease; CsA, cyclosporine; MTX, methotrexate.

P12, probability of testing (1) = (2).

P13, probability of testing (1) = (3).

P23, probability of testing (2) = (3).

*

 Log-rank test.

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