Patient and mutational profile of patients with TP53/KRAS mutation of the non-HR (standard and medium risk, n = 17) group
Patient number . | Sex . | Age at diagnosis (y) . | Date of first diagnosis . | Risk group based on early treatment response . | Prednisone response . | MRD TP1 (day 33, after induction therapy) . | MRD TP2 (after consolidation therapy) . | Stem cell transplantation in first remission . | Time to relapse . | Gene . | AA change . | AF at initial diagnosis, % . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
353 | Male | n.a. | July 2016 | MR | Good | Positive, n.q. | Negative | No | CCR | TP53 | F113L | 3.0 |
327 | Male | n.a. | August 2018 | MR | Good | Positive, n.q. | Negative | No | CCR | TP53 | R248W | 8.4 |
227 | Male | n.a. | December 2017 | MR | Good | 10−4 | Positive, n.q. | No | CCR | TP53 | R213X | 10.1 |
191 | Male | n.a. | April 2006 | MR | Good | 10−4 | 100 | No | CCR | KRAS | G12D | 11.3 |
289 | Female | n.a. | June 2016 | MR | Good | 10−3 | Positive, n.q. | No | CCR | KRAS | G13D | 12.9 |
215 | Male | n.a. | January 2016 | MR | Good | Negative | Positive, n.q. | No | CCR | TP53 | T253S | 13.6 |
166 | Male | n.a. | September 2009 | MR | Good | 10−1 | 10−4 | No | CCR | KRAS | G13C | 27.6 |
194 | Male | n.a. | November 2017 | MR | Good | n.a. | n.a. | No | CCR | KRAS | A146V | 34.7 |
187 | Male | n.a. | June 2019 | MR | Good | Positive, n.q. | Negative | No | CCR | KRAS | G12V | 40.6 |
386 | Male | n.a. | March 2008 | SR | good | Negative | Negative | No | CCR | TP53 | Y234C | 84.5 |
3 | Male | 16,1 | January 2006 | MR | good | 10−2 | 10−4 | No | 10 mo | KRAS | G12V | 40.2 |
75 | Male | 6,5 | July 2000 | MR | Good | 10−2 | 10−4 | No | 18 mo | KRAS | K117N | 7.6 |
120 | Male | 12,3 | October 2008 | MR | Good | n.a. | n.a. | No | 13 mo | KRAS | K117N | 17.2 |
20 | Male | 9,9 | November 2007 | MR | Good | 10−3 | 10−4 | No | CCR | KRAS | G12V | 36.7 |
95 | Male | 15,4 | November 2004 | MR | Good | n.a. | n.a. | No | 5 mo | TP53 | R282W | 37.7 |
TP53 | R196X | 26.6 | ||||||||||
9 | Male | 13 | March 2000 | SR | Good | Negative | Negative | No | 14 mo | TP53 | A159D | 5.4 |
153 | Female | 11,3 | January 1997 | MR | Good | n.a. | n.a. | No | 4 mo | TP53 | R248Q | 4.4 |
Patient number . | Sex . | Age at diagnosis (y) . | Date of first diagnosis . | Risk group based on early treatment response . | Prednisone response . | MRD TP1 (day 33, after induction therapy) . | MRD TP2 (after consolidation therapy) . | Stem cell transplantation in first remission . | Time to relapse . | Gene . | AA change . | AF at initial diagnosis, % . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
353 | Male | n.a. | July 2016 | MR | Good | Positive, n.q. | Negative | No | CCR | TP53 | F113L | 3.0 |
327 | Male | n.a. | August 2018 | MR | Good | Positive, n.q. | Negative | No | CCR | TP53 | R248W | 8.4 |
227 | Male | n.a. | December 2017 | MR | Good | 10−4 | Positive, n.q. | No | CCR | TP53 | R213X | 10.1 |
191 | Male | n.a. | April 2006 | MR | Good | 10−4 | 100 | No | CCR | KRAS | G12D | 11.3 |
289 | Female | n.a. | June 2016 | MR | Good | 10−3 | Positive, n.q. | No | CCR | KRAS | G13D | 12.9 |
215 | Male | n.a. | January 2016 | MR | Good | Negative | Positive, n.q. | No | CCR | TP53 | T253S | 13.6 |
166 | Male | n.a. | September 2009 | MR | Good | 10−1 | 10−4 | No | CCR | KRAS | G13C | 27.6 |
194 | Male | n.a. | November 2017 | MR | Good | n.a. | n.a. | No | CCR | KRAS | A146V | 34.7 |
187 | Male | n.a. | June 2019 | MR | Good | Positive, n.q. | Negative | No | CCR | KRAS | G12V | 40.6 |
386 | Male | n.a. | March 2008 | SR | good | Negative | Negative | No | CCR | TP53 | Y234C | 84.5 |
3 | Male | 16,1 | January 2006 | MR | good | 10−2 | 10−4 | No | 10 mo | KRAS | G12V | 40.2 |
75 | Male | 6,5 | July 2000 | MR | Good | 10−2 | 10−4 | No | 18 mo | KRAS | K117N | 7.6 |
120 | Male | 12,3 | October 2008 | MR | Good | n.a. | n.a. | No | 13 mo | KRAS | K117N | 17.2 |
20 | Male | 9,9 | November 2007 | MR | Good | 10−3 | 10−4 | No | CCR | KRAS | G12V | 36.7 |
95 | Male | 15,4 | November 2004 | MR | Good | n.a. | n.a. | No | 5 mo | TP53 | R282W | 37.7 |
TP53 | R196X | 26.6 | ||||||||||
9 | Male | 13 | March 2000 | SR | Good | Negative | Negative | No | 14 mo | TP53 | A159D | 5.4 |
153 | Female | 11,3 | January 1997 | MR | Good | n.a. | n.a. | No | 4 mo | TP53 | R248Q | 4.4 |
We identified 17 of 386 patients with T-ALL (4.4%) with subclonal and clonal TP53/KRAS variants at initial diagnosis, who exhibited a favorable treatment response. Of these 17 patients, 6 relapsed (light gray).
AA, amino acid; MR, medium risk; n.a., not available; n.q., not quantifiable; SR, standard risk; TP, time point.