Clinical characteristics of 140 elderly patients with acute myeloid leukemia by mutation status
. | RAS . | FLT3 . | TP53 . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mutant (N = 26) . | Wild-type (N = 114) . | P3-150 . | Mutant (N = 47) . | Wild-type (N = 93) . | P3-150 . | Mutant (N = 12) . | Wild-type (N = 128) . | P3-150 . | |||||||
Cytogenetics3-151 | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | |||
Favorable | 2 | 9 | 7 | 8 | .96 | 3 | 10 | 6 | 8 | .0008 | 0 | 0 | 9 | 9 | < .0001 |
Intermediate | 15 | 68 | 58 | 67 | 28 | 90 | 45 | 58 | 1 | 9 | 72 | 73 | |||
Unfavorable | 5 | 23 | 22 | 25 | 0 | 0 | 27 | 35 | 10 | 91 | 17 | 17 |
. | RAS . | FLT3 . | TP53 . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mutant (N = 26) . | Wild-type (N = 114) . | P3-150 . | Mutant (N = 47) . | Wild-type (N = 93) . | P3-150 . | Mutant (N = 12) . | Wild-type (N = 128) . | P3-150 . | |||||||
Cytogenetics3-151 | No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | |||
Favorable | 2 | 9 | 7 | 8 | .96 | 3 | 10 | 6 | 8 | .0008 | 0 | 0 | 9 | 9 | < .0001 |
Intermediate | 15 | 68 | 58 | 67 | 28 | 90 | 45 | 58 | 1 | 9 | 72 | 73 | |||
Unfavorable | 5 | 23 | 22 | 25 | 0 | 0 | 27 | 35 | 10 | 91 | 17 | 17 |
. | Med . | Range . | Med . | Range . | . | Med . | Range . | Med . | Range . | . | Med . | Range . | Med . | Range . | . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | 68 | 56-77 | 67 | 56-88 | .86 | 64 | 56-80 | 68 | 56-88 | .032 | 71 | 62-88 | 66 | 56-84 | .036 |
Marrow blasts (%) | 61 | 4-97 | 71 | 0-99 | .032 | 76 | 19-97 | 70 | 0-99 | .0026 | 62 | 5-94 | 70 | 0-99 | .37 |
WBC (103/μL) | 31.9 | 1.5-274 | 28.2 | 0.7-298 | .49 | 59.4 | 1.2-298 | 20.3 | 0.7-274 | .0003 | 23.7 | 1.6-81.7 | 29.0 | 0.7-298 | .25 |
Peripheral blasts (%) | 8 | 0-93 | 43 | 0-99 | .004 | 68 | 0-99 | 27 | 0-95 | .0001 | 36 | 0-93 | 35 | 0-99 | .67 |
Peripheral blasts (103/μL) | 4.2 | 0-119 | 10.1 | 0-292 | .11 | 26.6 | 0-292 | 4.1 | 0-119 | .0001 | 10.2 | 0-52.2 | 8.7 | 0-292 | .48 |
CD34+ blasts (%) | 42 | 0-90 | 48 | 0-95 | .56 | 13 | 0-95 | 65 | 0-95 | .0039 | 50 | 0-93 | 46 | 0-95 | .96 |
. | Med . | Range . | Med . | Range . | . | Med . | Range . | Med . | Range . | . | Med . | Range . | Med . | Range . | . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | 68 | 56-77 | 67 | 56-88 | .86 | 64 | 56-80 | 68 | 56-88 | .032 | 71 | 62-88 | 66 | 56-84 | .036 |
Marrow blasts (%) | 61 | 4-97 | 71 | 0-99 | .032 | 76 | 19-97 | 70 | 0-99 | .0026 | 62 | 5-94 | 70 | 0-99 | .37 |
WBC (103/μL) | 31.9 | 1.5-274 | 28.2 | 0.7-298 | .49 | 59.4 | 1.2-298 | 20.3 | 0.7-274 | .0003 | 23.7 | 1.6-81.7 | 29.0 | 0.7-298 | .25 |
Peripheral blasts (%) | 8 | 0-93 | 43 | 0-99 | .004 | 68 | 0-99 | 27 | 0-95 | .0001 | 36 | 0-93 | 35 | 0-99 | .67 |
Peripheral blasts (103/μL) | 4.2 | 0-119 | 10.1 | 0-292 | .11 | 26.6 | 0-292 | 4.1 | 0-119 | .0001 | 10.2 | 0-52.2 | 8.7 | 0-292 | .48 |
CD34+ blasts (%) | 42 | 0-90 | 48 | 0-95 | .56 | 13 | 0-95 | 65 | 0-95 | .0039 | 50 | 0-93 | 46 | 0-95 | .96 |
. | Est . | 95% CI . | Est . | 95% CI . | . | Est . | 95% CI . | Est . | 95% CI . | . | Est . | 95% CI . | Est . | 95% CI . | . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CR (%) | 42 | 23-62 | 46 | 36-55 | .83 | 55 | 40-70 | 40 | 30-50 | .11 | 17 | 2-48 | 48 | 39-57 | .065 |
RD (%) | 35 | 17-56 | 31 | 22-40 | .82 | 19 | 9-33 | 38 | 28-48 | .034 | 33 | 10-65 | 31 | 23-40 | 1.0 |
Median OS (mo) | 8 | 3-12 | 7 | 4-9 | .35 | 8 | 6-12 | 7 | 3-8 | .45 | 1 | 1-4 | 8 | 6-9 | .0007 |
Median RFS (mo) | 7 | 3-10 | 8 | 6-10 | .33 | 8 | 4-10 | 8 | 6-10 | .97 | —3-152 | — | 8 | 6-10 | .0002 |
. | Est . | 95% CI . | Est . | 95% CI . | . | Est . | 95% CI . | Est . | 95% CI . | . | Est . | 95% CI . | Est . | 95% CI . | . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CR (%) | 42 | 23-62 | 46 | 36-55 | .83 | 55 | 40-70 | 40 | 30-50 | .11 | 17 | 2-48 | 48 | 39-57 | .065 |
RD (%) | 35 | 17-56 | 31 | 22-40 | .82 | 19 | 9-33 | 38 | 28-48 | .034 | 33 | 10-65 | 31 | 23-40 | 1.0 |
Median OS (mo) | 8 | 3-12 | 7 | 4-9 | .35 | 8 | 6-12 | 7 | 3-8 | .45 | 1 | 1-4 | 8 | 6-9 | .0007 |
Median RFS (mo) | 7 | 3-10 | 8 | 6-10 | .33 | 8 | 4-10 | 8 | 6-10 | .97 | —3-152 | — | 8 | 6-10 | .0002 |
RD indicates resistant disease; for other abbreviations, see Table 2.
Two-tailed P value comparing mutant to wild-type groups for each gene (based on Fisher exact test for cytogenetic abnormality, CR, and RD; Wilcoxon rank sum test for continuous variables; Pearson's χ2 test for cytogenetic pattern; and log-rank test for OS and RFS).
Thirty-one patients with nonevaluable cytogenetics excluded.
Only 2 patients positive for p53 achieved CR, which ended in relapses after 24 and 56 days.