Clinical characteristics of 135 elderly patients with acute myeloid leukemia by mutation category
. | NM (N = 60) . | RAS+ (N = 23) . | FLT3+ (N = 43) . | TP53+ (N = 9) . | P4-151 . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No. . | % . | No. . | % . | P4-150 . | No. . | % . | P4-150 . | No. . | % . | P4-150 . | ||
Cytogenetics | ||||||||||||
Favorable | 4 | 8 | 2 | 10 | .82 | 3 | 10 | .0088 | 0 | 0 | .0002 | < .0001 |
Intermediate | 31 | 65 | 14 | 70 | 26 | 90 | 0 | 0 | ||||
Unfavorable | 13 | 27 | 4 | 20 | 0 | 0 | 9 | 100 |
. | NM (N = 60) . | RAS+ (N = 23) . | FLT3+ (N = 43) . | TP53+ (N = 9) . | P4-151 . | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No. . | % . | No. . | % . | P4-150 . | No. . | % . | P4-150 . | No. . | % . | P4-150 . | ||
Cytogenetics | ||||||||||||
Favorable | 4 | 8 | 2 | 10 | .82 | 3 | 10 | .0088 | 0 | 0 | .0002 | < .0001 |
Intermediate | 31 | 65 | 14 | 70 | 26 | 90 | 0 | 0 | ||||
Unfavorable | 13 | 27 | 4 | 20 | 0 | 0 | 9 | 100 |
. | Med . | Range . | Med . | Range . | P4-150 . | Med . | Range . | P4-150 . | Med . | Range . | P4-150 . | P4-151 . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | 68 | 56-84 | 68 | 56-77 | .57 | 64 | 56-80 | .053 | 69 | 62-88 | .21 | .081 |
Marrow blasts (%) | 71 | 0-99 | 59 | 4-92 | .035 | 75 | 19-96 | .12 | 57 | 5-80 | .11 | .0045 |
WBCs (1000/μL) | 18.5 | 0.7-216 | 34.2 | 1.5-274 | .080 | 62.0 | 1.2-298 | .0002 | 6.0 | 1.6-67.3 | .35 | .0004 |
Peripheral blasts (%) | 30 | 0-95 | 8 | 0-93 | .030 | 68 | 0-99 | .0012 | 34 | 0-92 | .62 | .0002 |
Peripheral blasts (1000/μL) | 4.1 | 0-95 | 4.1 | 0-119 | .56 | 32.2 | 0-292 | .0002 | 2.5 | 0-52.2 | .41 | .0003 |
CD34+ blasts (%) | 70 | 0-95 | 35 | 0-90 | .048 | 13 | 0-95 | .0018 | 68 | 0-93 | .99 | .0092 |
. | Med . | Range . | Med . | Range . | P4-150 . | Med . | Range . | P4-150 . | Med . | Range . | P4-150 . | P4-151 . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | 68 | 56-84 | 68 | 56-77 | .57 | 64 | 56-80 | .053 | 69 | 62-88 | .21 | .081 |
Marrow blasts (%) | 71 | 0-99 | 59 | 4-92 | .035 | 75 | 19-96 | .12 | 57 | 5-80 | .11 | .0045 |
WBCs (1000/μL) | 18.5 | 0.7-216 | 34.2 | 1.5-274 | .080 | 62.0 | 1.2-298 | .0002 | 6.0 | 1.6-67.3 | .35 | .0004 |
Peripheral blasts (%) | 30 | 0-95 | 8 | 0-93 | .030 | 68 | 0-99 | .0012 | 34 | 0-92 | .62 | .0002 |
Peripheral blasts (1000/μL) | 4.1 | 0-95 | 4.1 | 0-119 | .56 | 32.2 | 0-292 | .0002 | 2.5 | 0-52.2 | .41 | .0003 |
CD34+ blasts (%) | 70 | 0-95 | 35 | 0-90 | .048 | 13 | 0-95 | .0018 | 68 | 0-93 | .99 | .0092 |
. | Est . | 95% CI . | Est . | 95% CI . | P4-150 . | Est . | 95% CI . | P4-150 . | Est . | 95% CI . | P4-150 . | P4-151 . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Complete response (%) | 42 | 29-54 | 43 | 23-64 | .88 | 58 | 43-73 | .10 | 22 | 3-60 | .28 | .15 |
Overall survival (mo) | 7 | 3-9 | 8 | 3-12 | .37 | 8 | 6-12 | .76 | 2 | 1-4 | .026 | .15 |
Relapse-free survival (mo) | 8 | 6-19 | 8 | 3-8 | .33 | 9 | 4-10 | .66 | —4-153 | — | .0026 | .099 |
. | Est . | 95% CI . | Est . | 95% CI . | P4-150 . | Est . | 95% CI . | P4-150 . | Est . | 95% CI . | P4-150 . | P4-151 . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Complete response (%) | 42 | 29-54 | 43 | 23-64 | .88 | 58 | 43-73 | .10 | 22 | 3-60 | .28 | .15 |
Overall survival (mo) | 7 | 3-9 | 8 | 3-12 | .37 | 8 | 6-12 | .76 | 2 | 1-4 | .026 | .15 |
Relapse-free survival (mo) | 8 | 6-19 | 8 | 3-8 | .33 | 9 | 4-10 | .66 | —4-153 | — | .0026 | .099 |
For abbreviations, see Table 2.
Five patients with multiple mutations are omitted (2RAS−/FLT3+/TP53+, 2RAS+/FLT3+/TP53−, 1RAS+/FLT3−/TP53+).
Two-tailed P value comparing each group with a single gene mutation to the patients with mutations in none of the 3 genes (NM; based on Fisher exact test for cytogenetic abnormality, CR, and RD; Wilcoxon rank sum test for continuous variables; Pearson χ2 test for cytogenetic pattern; and log-rank test for OS and RFS).
P value for overall test of heterogeneity among the four groups (based on Pearson χ2 test for cytogenetic abnormality and pattern; the Kruskal-Wallis test for continuous variables; logistic regression for CR and RD; and proportional hazards regression for OS and RFS).
Only 2 TP53+ patients achieved CR, which ended in relapses after 24 and 56 days.