KAYSER, Sabine, Michael KRAMER, David MARTINEZ-CUADRON, Justin GRENET, Klaus H METZELER, Zuzana ŠUSTKOVÁ, Marlise R LUSKIN, Andrew M BRUNNER, Michelle A ELLIOTT, Cristina GIL, Sandra Casal MARINI, Zdeněk RÁČIL, Petr CETKOVSKY, Jan NOVAK, Alexander E PERL, Uwe PLATZBECKER, Friedrich STOELZEL, Anthony D HO, Christian THIEDE, Richard M STONE, Christoph ROELLIG, Pau MONTESINOS, Richard F SCHLENK and Mark J LEVIS. Characteristics and outcome of patients with core-binding factor acute myeloid leukemia and FLT3-ITD: results from an international collaborative study. Haematologica. PAVIA: FERRATA STORTI FOUNDATION, 2022, vol. 107, No 4, p. 836-843. ISSN 0390-6078. Available from: https://dx.doi.org/10.3324/haematol.2021.278645.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Characteristics and outcome of patients with core-binding factor acute myeloid leukemia and FLT3-ITD: results from an international collaborative study
Authors KAYSER, Sabine (guarantor), Michael KRAMER, David MARTINEZ-CUADRON, Justin GRENET, Klaus H METZELER, Zuzana ŠUSTKOVÁ (203 Czech Republic, belonging to the institution), Marlise R LUSKIN, Andrew M BRUNNER, Michelle A ELLIOTT, Cristina GIL, Sandra Casal MARINI, Zdeněk RÁČIL (203 Czech Republic, belonging to the institution), Petr CETKOVSKY, Jan NOVAK, Alexander E PERL, Uwe PLATZBECKER, Friedrich STOELZEL, Anthony D HO, Christian THIEDE, Richard M STONE, Christoph ROELLIG, Pau MONTESINOS, Richard F SCHLENK and Mark J LEVIS.
Edition Haematologica, PAVIA, FERRATA STORTI FOUNDATION, 2022, 0390-6078.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher Italy
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 10.100
RIV identification code RIV/00216224:14110/22:00129735
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3324/haematol.2021.278645
UT WoS 000830983100010
Keywords in English acute myeloid leukemia; FLT3-ITD
Tags 14110212, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 31/1/2023 14:23.
Abstract
The aim of this study was to evaluate the prognostic impact of FLT3-ITD in core-binding factor acute myeloid leukemia (CBF-AML) in an international, multicenter survey of 97 patients of whom 52% had t( 8; 21)(q22;q22) and 48% had inv(16)(p13q22)/t(16;16)(p13;q22). The median age of the patients was 53 years (range, 19-81). Complete remission after anthracycline-based induction (n= 86) and non-intensive therapy (n=11) was achieved in 97% and 36% of the patients, respectively. The median follow-up was 4.43 years (95% confidence interval [95% CI]: 3.35-7.39 years). The median survival after intensive and non-intensive treatment was not reached and 0.96 years, respectively. Among intensively treated patients, inv(16) with trisomy 22 (n=11) was associated with a favorable 4-year relapse-free survival rate of 80% (95% CI: 59-100%) as compared to 38% (95% CI: 27-54%; P=0.02) in all other patients with CBF-AML/FLT3-ITD (n= 75). Overall, 24 patients underwent allogeneic hematopoietic cell transplantation (HCT), 12 in first complete remission and 12 after relapse. Allogeneic HCT in first complete remission was not beneficial (P=0.60); however, allogeneic HCT seemed to improve median survival in relapsed patients compared to that of patients treated with chemotherapy (not reached vs. 0.6 years, respectively; P=0.002). Excluding patients with inv(16) with trisomy 22, our data indicate that the outcome of CBF-AML patients with FLT3-ITD may be inferior to that of patients without FLT3-ITD (based on previously published data), suggesting that prognostically CBF-AML patients with FLT3-ITD should not be classified favorable-risk. FLT3-inhibitors may improve the outcome of these patients.
Links
NV15-25809A, research and development projectName: Národní program studia mutací a klonality leukemických buněk u pacientů s akutní myeloidní leukémií
PrintDisplayed: 10/7/2024 06:06