Characteristics of the study population
Variable . | n (%) N = 240 . |
---|---|
Sex | |
Female | 108 (45) |
Male | 132 (55) |
Race | |
White | 185 (78) |
Other | 52 (22) |
Diagnosis | |
MDS | 114 (47) |
AML | 126 (53) |
Cytogenetics | |
Complex | 171 (71) |
5q/7q | 18 (8) |
Other | 44 (18) |
Missing | 7 (3) |
TP53 allele status | |
Monohit | 66 (28) |
Multihit | 166 (69) |
Missing | 8 (3) |
VAF, median (range) [IQRT] | 28.21 (1.02-98.5) [9.1-48.55] |
Missing | 16 (7) |
EA score, median (range) [IQRT] | 84.11 (3.4-100) [72.52-95.2] |
Missing | 17 (7) |
TP53 detected pre-TP in CR | |
Yes | 46 (49) |
No | 22 (23) |
N/A | 26 (28) |
Number of TP53 mutations | |
1 | 169 (70) |
2 | 57 (24) |
>2 | 14 (6) |
Diagnosis to transplant, (range) [IQRT], mo | 6.5 (0.3-319) [4.6-10.5] |
Prior disease treatment, median (range) [IQRT] | 1 (0-6) [1-2] |
Prior disease treatment | |
HMA alone | 110 (45) |
HMA and chemotherapy | 34 (14) |
HMA and venetoclax | 33 (14) |
HMA and chemotherapy and venetoclax | 18 (6) |
Chemotherapy alone | 29 (12) |
Chemotherapy and venetoclax | 11 (4) |
Others | 1 (0.4) |
None | 4 (1.6) |
Age at TP, median (range) [IQRT] | 62 (18-75), 34 [56-67] |
Donor age, median (range) [IQRT] | 36 (6-72) [27-52] |
HCT-CI, median (range) [IQRT] | 4 (0-10) [2-5] |
Donor type | |
MRD | 61 (25) |
MUD | 126 (53) |
Haplo | 42 (17) |
MMUD | 11 (5) |
Conditioning intensity | |
Reduced intensity | 99 (41) |
Melphalan based | 88 |
Busulfan based | 11 |
Myeloablative/all busulfan based | 141 (59) |
GVHD prophylaxis | |
PTCy | 1 (0.4) |
PTCy/TAC | 39 (16.2) |
PTCy/TAC/MMF | 119 (49.6) |
TAC/MTX | 81 (33.8) |
Therapy-related AML | |
Yes | 40 (32) |
No | 86 (68) |
Disease status at transplant | |
CR1 | 91 (38) |
CR2 | 2 (0.8) |
CR3 | 1 (0.4) |
Primary induction failure | 128 (53) |
First relapse | 14 (6) |
Untreated | 4 (2) |
Donor/recipient CMV serostatus | |
R/R | 100 (42) |
R/NR | 23 (10) |
NR/R | 88 (36) |
NR/NR | 29 (12) |
Stem cell source | |
MSD: | |
PB | 60 (98) |
MUD: | |
PB | 86 (68) |
BM | 40 (32) |
Haplo: | |
PB | 13 (31) |
BM | 29 (69) |
MMUD: | |
PB | 7 (64) |
BM | 4 (36) |
Follow-up in surviving patients, median (range) [IQRT] | 19 (3.26-93) [10-37.76] |
Variable . | n (%) N = 240 . |
---|---|
Sex | |
Female | 108 (45) |
Male | 132 (55) |
Race | |
White | 185 (78) |
Other | 52 (22) |
Diagnosis | |
MDS | 114 (47) |
AML | 126 (53) |
Cytogenetics | |
Complex | 171 (71) |
5q/7q | 18 (8) |
Other | 44 (18) |
Missing | 7 (3) |
TP53 allele status | |
Monohit | 66 (28) |
Multihit | 166 (69) |
Missing | 8 (3) |
VAF, median (range) [IQRT] | 28.21 (1.02-98.5) [9.1-48.55] |
Missing | 16 (7) |
EA score, median (range) [IQRT] | 84.11 (3.4-100) [72.52-95.2] |
Missing | 17 (7) |
TP53 detected pre-TP in CR | |
Yes | 46 (49) |
No | 22 (23) |
N/A | 26 (28) |
Number of TP53 mutations | |
1 | 169 (70) |
2 | 57 (24) |
>2 | 14 (6) |
Diagnosis to transplant, (range) [IQRT], mo | 6.5 (0.3-319) [4.6-10.5] |
Prior disease treatment, median (range) [IQRT] | 1 (0-6) [1-2] |
Prior disease treatment | |
HMA alone | 110 (45) |
HMA and chemotherapy | 34 (14) |
HMA and venetoclax | 33 (14) |
HMA and chemotherapy and venetoclax | 18 (6) |
Chemotherapy alone | 29 (12) |
Chemotherapy and venetoclax | 11 (4) |
Others | 1 (0.4) |
None | 4 (1.6) |
Age at TP, median (range) [IQRT] | 62 (18-75), 34 [56-67] |
Donor age, median (range) [IQRT] | 36 (6-72) [27-52] |
HCT-CI, median (range) [IQRT] | 4 (0-10) [2-5] |
Donor type | |
MRD | 61 (25) |
MUD | 126 (53) |
Haplo | 42 (17) |
MMUD | 11 (5) |
Conditioning intensity | |
Reduced intensity | 99 (41) |
Melphalan based | 88 |
Busulfan based | 11 |
Myeloablative/all busulfan based | 141 (59) |
GVHD prophylaxis | |
PTCy | 1 (0.4) |
PTCy/TAC | 39 (16.2) |
PTCy/TAC/MMF | 119 (49.6) |
TAC/MTX | 81 (33.8) |
Therapy-related AML | |
Yes | 40 (32) |
No | 86 (68) |
Disease status at transplant | |
CR1 | 91 (38) |
CR2 | 2 (0.8) |
CR3 | 1 (0.4) |
Primary induction failure | 128 (53) |
First relapse | 14 (6) |
Untreated | 4 (2) |
Donor/recipient CMV serostatus | |
R/R | 100 (42) |
R/NR | 23 (10) |
NR/R | 88 (36) |
NR/NR | 29 (12) |
Stem cell source | |
MSD: | |
PB | 60 (98) |
MUD: | |
PB | 86 (68) |
BM | 40 (32) |
Haplo: | |
PB | 13 (31) |
BM | 29 (69) |
MMUD: | |
PB | 7 (64) |
BM | 4 (36) |
Follow-up in surviving patients, median (range) [IQRT] | 19 (3.26-93) [10-37.76] |
BM, bone marrow; CMV, cytomegalovirus Haplo, haploidentical; HCT-CI, hematopoietic cell transplantation–comorbidity index; IQRT, interquartile range; MMF, mycophenolate mofetil; MMUD, mismatched unrelated donor; MSD, matched sibling donor; MTX, methotrexate; MUD, matched unrelated donor; NA, non-applicable; NR, nonreactive; PB, peripheral blood; PTCy, posttransplant cyclophosphamide; R, reactive; TAC, tacrolimus; TP, transplant.