Table 1.

Baseline characteristics of study cohorts with MPN-BP and de novo AML

CharacteristicMPN-BPDe novo AMLP
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)  
CharacteristicMPN-BPDe novo AMLP
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%.

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