Table 4.

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.%P4-150No.%P4-150No.%P4-150
Cytogenetics             
 Favorable 10 .82 10 .0088 .0002 < .0001 
 Intermediate 31 65 14 70  26 90    
 Unfavorable 13 27 20   100   
NM (N = 60)RAS+ (N = 23)FLT3+ (N = 43)TP53+ (N = 9)P4-151
No.%No.%P4-150No.%P4-150No.%P4-150
Cytogenetics             
 Favorable 10 .82 10 .0088 .0002 < .0001 
 Intermediate 31 65 14 70  26 90    
 Unfavorable 13 27 20   100   
MedRangeMedRangeP4-150MedRangeP4-150MedRangeP4-150P4-151
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 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 
MedRangeMedRangeP4-150MedRangeP4-150MedRangeP4-150P4-151
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 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 
Est95% CIEst95% CIP4-150Est95% CIP4-150Est95% CIP4-150P4-151
Complete response (%) 42 29-54 43 23-64 .88 58 43-73 .10 22 3-60 .28 .15 
Overall survival (mo) 3-9 3-12 .37 6-12 .76 1-4 .026 .15 
Relapse-free survival (mo) 6-19 3-8 .33 4-10 .66 4-153 — .0026 .099 
Est95% CIEst95% CIP4-150Est95% CIP4-150Est95% CIP4-150P4-151
Complete response (%) 42 29-54 43 23-64 .88 58 43-73 .10 22 3-60 .28 .15 
Overall survival (mo) 3-9 3-12 .37 6-12 .76 1-4 .026 .15 
Relapse-free survival (mo) 6-19 3-8 .33 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+).

F4-150

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).

F4-151

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).

F4-153

Only 2 TP53+ patients achieved CR, which ended in relapses after 24 and 56 days.

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