Baseline characteristics of study cohorts with MPN-BP and de novo AML
Characteristic . | MPN-BP . | De novo AML . | P . |
---|---|---|---|
No. of patients | 177 | 4749 | |
No. of centers | 73 | 221 | |
Patient-related | |||
Age at HCT, median (range), y | <.01* | ||
Median (min-max) | 59 (40-82) | 54 (40-78) | |
Age at HCT, n (%), y | <.01† | ||
40-49 | 30 (17) | 1658 (35) | |
50-59 | 73 (41) | 1894 (40) | |
60-69 | 59 (33) | 1077 (23) | |
≥70 | 15 (8) | 120 (3) | |
Sex, n (%) | <.01† | ||
Male | 116 (66) | 2552 (54) | |
Female | 61 (34) | 2197 (46) | |
Karnofsky score, n (%) | <.01† | ||
90-100 | 88 (50) | 2888 (61) | |
<90 | 84 (47) | 1664 (35) | |
Missing | 5 (3) | 197 (4) | |
HCT-CI, n (%) | <.01† | ||
0 | 33 (19) | 705 (15) | |
1-2 | 31 (18) | 736 (15) | |
≥3 | 50 (28) | 867 (18) | |
N/A, before 2007 | 61 (34) | 2377 (50) | |
Missing | 2 (1) | 64 (1) | |
Disease-related | |||
Etiology of MPN at original diagnosis, n (%) | |||
PV | 46 (26) | 0 (0.0) | |
ET | 51 (29) | 0 (0.0) | |
PMF | 60 (34) | 0 (0.20) | |
MPN-U | 20 (11) | 0 (0.0) | |
Time between diagnosis of MPN and AML, n (%), y | |||
Median (min-max) | 3 (0.0-30) | N/A | |
<2 | 70 (40) | 0 (0.0) | |
2-5 | 28 (16) | 0 (0.0) | |
>5 | 63 (36) | 0 (0.0) | |
Missing | 16 (9) | 0 (0.0) | |
WBC at diagnosis, n (%), ×109/L | .08† | ||
<30 | 121 (68) | 2864 (60) | |
30-100 | 31 (18) | 859 (18) | |
>100 | 9 (5) | 453 (10) | |
Missing | 16 (9) | 573 (12) | |
Cytogenetics, n (%) | <.01† | ||
Favorable | 1 (<1) | 305 (6) | |
Intermediate | 96 (54) | 2910 (61) | |
Poor | 67 (38) | 1073 (23) | |
Not tested | 5 (3) | 134 (3) | |
Missing | 8 (5) | 327 (7) | |
Disease status at HCT, n (%) | <.01† | ||
In remission‡ | 101 (57) | 3511 (74) | |
Active leukemia§ | 76 (43) | 1238 (26) | |
Time from diagnosis of AML to HCT, median (min-max), mo | 5 (<1-321) | 6 (<1-215) | <.01* |
Time from diagnosis of AML to HCT, n (%), mo | <.01† | ||
<6 | 105 (59) | 2146 (45) | |
6-12 | 38 (21) | 1246 (26) | |
>12 | 34 (19) | 1357 (29) | |
Therapy-related, n (%) | |||
Induction therapy | <.01† | ||
7+3 ± other | 100 (56) | 2997 (63) | |
Cytarabine-based | 18 (10) | 233 (5) | |
Hypomethylating | 7 (4) | 49 (1) | |
Other | 3 (2) | 212 (4) | |
No therapy given | 11 (6) | 21 (<1) | |
Missing | 38 (21) | 1237 (26) | |
Transplant-related | |||
Graft source, n (%) | .05† | ||
Bone marrow | 22 (12) | 864 (18) | |
Peripheral blood | 155 (88) | 3885 (82) | |
Donor type, n (%) | .25† | ||
HLA-identical sibling | 54 (31) | 1774 (37) | |
Other related | 13 (7) | 282 (6) | |
Well-matched URD | 83 (47) | 1952 (41) | |
Partially matched/mismatched URD | 27 (15) | 741 (16) | |
D-R sex match, n (%) | .05† | ||
M-M | 76 (43) | 1643 (35) | |
M-F | 36 (20) | 1257 (26) | |
F-M | 39 (22) | 891 (19) | |
F-F | 25 (14) | 922 (19) | |
Missing | 1 (<1) | 36 (<1) | |
D-R CMV status, n (%) | .06† | ||
+/+ | 49 (28) | 1566 (33) | |
+/− | 13 (7) | 468 (10) | |
−/+ | 58 (33) | 1489 (31) | |
−/− | 53 (30) | 1038 (22) | |
Missing | 4 (2) | 188 (4) | |
Conditioning regimen, n (%) | .01† | ||
TBI-MAC | 21 (12) | 971 (20) | |
Chemo-MAC | 72 (41) | 1912 (40) | |
RIC/NST | 84 (47) | 1866 (39) | |
GVHD prophylaxis, n (%) | .39† | ||
CNI + MMF ± others | 47 (27) | 1091 (23) | |
CNI + MTX ± others | 99 (56) | 2833 (60) | |
CNI ± others | 19 (11) | 565 (12) | |
Post-CY | 10 (6) | 157 (3) | |
Other | 1 (<1) | 42 (<1) | |
Missing | 1 (<1) | 61 (1) | |
In vivo T-cell depletion, n (%) | .64† | ||
No | 131 (74) | 3440 (72) | |
Yes | 46 (26) | 1309 (28) | |
Planned G-CSF/GM-CSF within 7 d post-HCT, n (%) | .81† | ||
No | 129 (73) | 3504 (74) | |
Yes | 46 (26) | 1167 (25) | |
Missing | 2 (1) | 78 (2) | |
Year of transplant, n (%) | <.01† | ||
2001-2005 | 39 (22) | 1600 (34) | |
2006-2010 | 72 (41) | 1958 (41) | |
2011-2015 | 66 (37) | 1191 (25) | |
Follow-up, median (min-max), mo | 71 (14-169) | 78 (1-198) |
Characteristic . | MPN-BP . | De novo AML . | P . |
---|---|---|---|
No. of patients | 177 | 4749 | |
No. of centers | 73 | 221 | |
Patient-related | |||
Age at HCT, median (range), y | <.01* | ||
Median (min-max) | 59 (40-82) | 54 (40-78) | |
Age at HCT, n (%), y | <.01† | ||
40-49 | 30 (17) | 1658 (35) | |
50-59 | 73 (41) | 1894 (40) | |
60-69 | 59 (33) | 1077 (23) | |
≥70 | 15 (8) | 120 (3) | |
Sex, n (%) | <.01† | ||
Male | 116 (66) | 2552 (54) | |
Female | 61 (34) | 2197 (46) | |
Karnofsky score, n (%) | <.01† | ||
90-100 | 88 (50) | 2888 (61) | |
<90 | 84 (47) | 1664 (35) | |
Missing | 5 (3) | 197 (4) | |
HCT-CI, n (%) | <.01† | ||
0 | 33 (19) | 705 (15) | |
1-2 | 31 (18) | 736 (15) | |
≥3 | 50 (28) | 867 (18) | |
N/A, before 2007 | 61 (34) | 2377 (50) | |
Missing | 2 (1) | 64 (1) | |
Disease-related | |||
Etiology of MPN at original diagnosis, n (%) | |||
PV | 46 (26) | 0 (0.0) | |
ET | 51 (29) | 0 (0.0) | |
PMF | 60 (34) | 0 (0.20) | |
MPN-U | 20 (11) | 0 (0.0) | |
Time between diagnosis of MPN and AML, n (%), y | |||
Median (min-max) | 3 (0.0-30) | N/A | |
<2 | 70 (40) | 0 (0.0) | |
2-5 | 28 (16) | 0 (0.0) | |
>5 | 63 (36) | 0 (0.0) | |
Missing | 16 (9) | 0 (0.0) | |
WBC at diagnosis, n (%), ×109/L | .08† | ||
<30 | 121 (68) | 2864 (60) | |
30-100 | 31 (18) | 859 (18) | |
>100 | 9 (5) | 453 (10) | |
Missing | 16 (9) | 573 (12) | |
Cytogenetics, n (%) | <.01† | ||
Favorable | 1 (<1) | 305 (6) | |
Intermediate | 96 (54) | 2910 (61) | |
Poor | 67 (38) | 1073 (23) | |
Not tested | 5 (3) | 134 (3) | |
Missing | 8 (5) | 327 (7) | |
Disease status at HCT, n (%) | <.01† | ||
In remission‡ | 101 (57) | 3511 (74) | |
Active leukemia§ | 76 (43) | 1238 (26) | |
Time from diagnosis of AML to HCT, median (min-max), mo | 5 (<1-321) | 6 (<1-215) | <.01* |
Time from diagnosis of AML to HCT, n (%), mo | <.01† | ||
<6 | 105 (59) | 2146 (45) | |
6-12 | 38 (21) | 1246 (26) | |
>12 | 34 (19) | 1357 (29) | |
Therapy-related, n (%) | |||
Induction therapy | <.01† | ||
7+3 ± other | 100 (56) | 2997 (63) | |
Cytarabine-based | 18 (10) | 233 (5) | |
Hypomethylating | 7 (4) | 49 (1) | |
Other | 3 (2) | 212 (4) | |
No therapy given | 11 (6) | 21 (<1) | |
Missing | 38 (21) | 1237 (26) | |
Transplant-related | |||
Graft source, n (%) | .05† | ||
Bone marrow | 22 (12) | 864 (18) | |
Peripheral blood | 155 (88) | 3885 (82) | |
Donor type, n (%) | .25† | ||
HLA-identical sibling | 54 (31) | 1774 (37) | |
Other related | 13 (7) | 282 (6) | |
Well-matched URD | 83 (47) | 1952 (41) | |
Partially matched/mismatched URD | 27 (15) | 741 (16) | |
D-R sex match, n (%) | .05† | ||
M-M | 76 (43) | 1643 (35) | |
M-F | 36 (20) | 1257 (26) | |
F-M | 39 (22) | 891 (19) | |
F-F | 25 (14) | 922 (19) | |
Missing | 1 (<1) | 36 (<1) | |
D-R CMV status, n (%) | .06† | ||
+/+ | 49 (28) | 1566 (33) | |
+/− | 13 (7) | 468 (10) | |
−/+ | 58 (33) | 1489 (31) | |
−/− | 53 (30) | 1038 (22) | |
Missing | 4 (2) | 188 (4) | |
Conditioning regimen, n (%) | .01† | ||
TBI-MAC | 21 (12) | 971 (20) | |
Chemo-MAC | 72 (41) | 1912 (40) | |
RIC/NST | 84 (47) | 1866 (39) | |
GVHD prophylaxis, n (%) | .39† | ||
CNI + MMF ± others | 47 (27) | 1091 (23) | |
CNI + MTX ± others | 99 (56) | 2833 (60) | |
CNI ± others | 19 (11) | 565 (12) | |
Post-CY | 10 (6) | 157 (3) | |
Other | 1 (<1) | 42 (<1) | |
Missing | 1 (<1) | 61 (1) | |
In vivo T-cell depletion, n (%) | .64† | ||
No | 131 (74) | 3440 (72) | |
Yes | 46 (26) | 1309 (28) | |
Planned G-CSF/GM-CSF within 7 d post-HCT, n (%) | .81† | ||
No | 129 (73) | 3504 (74) | |
Yes | 46 (26) | 1167 (25) | |
Missing | 2 (1) | 78 (2) | |
Year of transplant, n (%) | <.01† | ||
2001-2005 | 39 (22) | 1600 (34) | |
2006-2010 | 72 (41) | 1958 (41) | |
2011-2015 | 66 (37) | 1191 (25) | |
Follow-up, median (min-max), mo | 71 (14-169) | 78 (1-198) |
CNI, calcineurin inhibitor; Chemo-MAC, chemotherapy-based MAC; CMV, cytomegalovirus; D-R, donor-recipient; F, female; G-CSF, granulocyte colony-stimulating factor; GM-CSF, granulocyte-macrophage colony-stimulating factor; HCT-CI, Hematopoietic Cell Transplantation-specific Comorbidity Index; M, male; MAC, myeloablative conditioning; max, maximum; min, minimum; MTX, methotrexate; N/A, not applicable; NST, nonmyeloablative allogeneic stem cell transplantation; RIC, reduced-intensity conditioning; TBI-MAC, TBI-based MAC; WBC, white blood cell.
Hypothesis testing: Kruskal-Wallis test.
Hypothesis testing: Pearson χ2 test.
In remission, CR1/CR2 for de novo AML and blasts <5% for MPN-BP and post-MDS AML.
Active leukemia, blasts in bone marrow or peripheral blood ≥5%.