Demographics, disease characteristics, socioeconomic factors, and other characteristics of patients with T-ALL experiencing relapse after frontline COG clinical trials by race and ethnicity
| Characteristics . | New race/ethnicity grouping . | |||||||
|---|---|---|---|---|---|---|---|---|
| Hispanic of all races (N = 24) . | NH White (N = 120) . | NH Black (N = 22) . | NH Asian (N = 7) . | NH Other (N = 1) . | Other/Unknown (N = 53) . | Total (N = 227) . | P value . | |
| Age at diagnosis, n (%) | .058∗ | |||||||
| 1-9 years | 17 (70.8) | 76 (63.3) | 17 (77.3) | 5 (71.4) | 0 (0.0) | 29 (54.7) | 144 (63.4) | |
| 10-15 years | 6 (25.0) | 32 (26.7) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 17 (32.1) | 57 (25.1) | |
| 16+ years | 1 (4.2) | 12 (10.0) | 3 (13.6) | 2 (28.6) | 1 (100.0) | 7 (13.2) | 26 (11.5) | |
| Age at relapse, n (%) | .061∗ | |||||||
| 1-9 years | 10 (41.7) | 60 (50.0) | 15 (68.2) | 5 (71.4) | 0 (0.0) | 21 (39.6) | 111 (48.9) | |
| 10-15 years | 12 (50.0) | 39 (32.5) | 3 (13.6) | 0 (0.0) | 0 (0.0) | 20 (37.7) | 74 (32.6) | |
| 16+ years | 2 (8.3) | 21 (17.5) | 4 (18.2) | 2 (28.6) | 1 (100.0) | 12 (22.6) | 42 (18.5) | |
| Cytogenetic group, n (%) | .15∗ | |||||||
| Favorable | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 1 (16.7) | 1 (2.2) | |
| Unfavorable | 0 (0.0) | 4 (12.1) | 2 (50.0) | 0 (0.0) | 0 (0.0) | 2 (33.3) | 8 (17.8) | |
| Neutral | 1 (100.0) | 29 (87.9) | 2 (50.0) | 1 (100.0) | 0 (0.0) | 3 (50.0) | 36 (80.0) | |
| Unknown | 23 | 87 | 18 | 6 | 1 | 47 | 182 | |
| Duration in frontline trial (months) | .28† | |||||||
| N | 21 | 110 | 20 | 7 | 1 | 12 | 171 | |
| Mean | 19 | 12.3 | 10.5 | 13.3 | 1 | 12.3 | 12.9 | |
| Median | 19.2 | 9.5 | 5.2 | 0.9 | 1 | 7.1 | 9.4 | |
| Range | 0.9-40.1 | 0.2-40.3 | 0.4-39.5 | 0.8-40.1 | 1.0-1.0 | 0.1-40.7 | 0.1-40.7 | |
| Enrolled in selected ALL studies at relapse, n (%) | .48∗ | |||||||
| No | 24 (100.0) | 111 (92.5) | 21 (95.5) | 7 (100.0) | 1 (100.0) | 52 (98.1) | 216 (95.2) | |
| Yes | 0 (0.0) | 9 (7.5) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 1 (1.9) | 11 (4.8) | |
| Sex, n (%) | .36∗ | |||||||
| Male | 17 (70.8) | 91 (75.8) | 16 (72.7) | 6 (85.7) | 0 (0.0) | 44 (83.0) | 174 (76.7) | |
| Female | 7 (29.2) | 29 (24.2) | 6 (27.3) | 1 (14.3) | 1 (100.0) | 9 (17.0) | 53 (23.3) | |
| Institution size (based on frontline trial enrollment)‡, n (%) | .93∗ | |||||||
| Institution size: ≤50 | 4 (16.7) | 16 (13.4) | 3 (13.6) | 0 (0.0) | 0 (0.0) | 10 (18.9) | 33 (14.6) | |
| Institution size: 51-100 | 7 (29.2) | 38 (31.9) | 10 (45.5) | 2 (28.6) | 0 (0.0) | 18 (34.0) | 75 (33.2) | |
| Institution size: 101-200 | 8 (33.3) | 43 (36.1) | 6 (27.3) | 4 (57.1) | 1 (100.0) | 19 (35.8) | 81 (35.8) | |
| Institution size: >200 | 5 (20.8) | 22 (18.5) | 3 (13.6) | 1 (14.3) | 0 (0.0) | 6 (11.3) | 37 (16.4) | |
| Missing | 0 | 1 | 0 | 0 | 0 | 0 | 1 | |
| Non-US, n (%) | <.0001∗ | |||||||
| No | 23 (95.8) | 104 (86.7) | 22 (100.0) | 1 (14.3) | 0 (0.0) | 45 (84.9) | 195 (85.9) | |
| Yes | 1 (4.2) | 16 (13.3) | 0 (0.0) | 6 (85.7) | 1 (100.0) | 8 (15.1) | 32 (14.1) | |
| Insurance status, n (%) | .041∗ | |||||||
| US Private | 9 (39.1) | 72 (69.2) | 13 (59.1) | 1 (100.0) | 0 (0.0) | 22 (48.9) | 117 (60.0) | |
| US Medicaid | 9 (39.1) | 18 (17.3) | 8 (36.4) | 0 (0.0) | 0 (0.0) | 10 (22.2) | 45 (23.1) | |
| US Other | 2 (8.7) | 7 (6.7) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 10 (22.2) | 20 (10.3) | |
| US, Unknown | 3 (13.0) | 7 (6.7) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (6.7) | 13 (6.7) | |
| Non-US | 1 | 16 | 0 | 6 | 1 | 8 | 32 | |
| Area-based median household income category based on quartiles, n (%) | .19∗ | |||||||
| US, ≤$50 000 | 7 (30.4) | 21 (20.2) | 10 (45.5) | 0 (0.0) | 0 (0.0) | 11 (24.4) | 49 (25.1) | |
| US, $50 001-$65 000 | 8 (34.8) | 24 (23.1) | 1 (4.5) | 1 (100.0) | 0 (0.0) | 16 (35.6) | 50 (25.6) | |
| US, $65 001-$85 000 | 6 (26.1) | 26 (25.0) | 4 (18.2) | 0 (0.0) | 0 (0.0) | 9 (20.0) | 45 (23.1) | |
| US, $85 000 | 2 (8.7) | 31 (29.8) | 7 (31.8) | 0 (0.0) | 0 (0.0) | 8 (17.8) | 48 (24.6) | |
| US, Unknown | 0 (0.0) | 2 (1.9) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 1 (2.2) | 3 (1.5) | |
| Non-US | 1 | 16 | 0 | 6 | 1 | 8 | 32 | |
| Time to relapse, n (%) | .20∗ | |||||||
| <18 months | 11 (45.8) | 78 (65.0) | 18 (81.8) | 5 (71.4) | 0 (0.0) | 35 (66.0) | 147 (64.8) | |
| 18-35 months | 7 (29.2) | 20 (16.7) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 10 (18.9) | 39 (17.2) | |
| ≥36 months | 6 (25.0) | 22 (18.3) | 2 (9.1) | 2 (28.6) | 1 (100.0) | 8 (15.1) | 41 (18.1) | |
| Sites of relapse, n (%) | .37∗ | |||||||
| Isolated BM | 9 (37.5) | 49 (40.8) | 9 (40.9) | 5 (71.4) | 0 (0.0) | 19 (35.8) | 91 (40.1) | |
| Combined BM (±CNS) | 6 (25.0) | 18 (15.0) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 9 (17.0) | 35 (15.4) | |
| Isolated CNS | 5 (20.8) | 40 (33.3) | 8 (36.4) | 1 (14.3) | 0 (0.0) | 16 (30.2) | 70 (30.8) | |
| Unknown | 0 (0.0) | 1 (0.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (5.7) | 4 (1.8) | |
| Other | 4 (16.7) | 12 (10.0) | 3 (13.6) | 1 (14.3) | 1 (100.0) | 6 (11.3) | 27 (11.9) | |
| WBC count at initial diagnosis (cells per μL), n (%) | .29∗ | |||||||
| <50 000 | 9 (37.5) | 39 (32.5) | 10 (45.5) | 4 (57.1) | 1 (100.0) | 12 (22.6) | 75 (33.0) | |
| 50 000-100 000 | 3 (12.5) | 19 (15.8) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 5 (9.4) | 28 (12.3) | |
| >100 000 | 12 (50.0) | 62 (51.7) | 11 (50.0) | 3 (42.9) | 0 (0.0) | 36 (67.9) | 124 (54.6) | |
| CNS status at initial diagnosis, n (%) | .68∗ | |||||||
| CNS 1 | 15 (62.5) | 75 (63.0) | 17 (81.0) | 6 (85.7) | 1 (100.0) | 38 (73.1) | 152 (67.9) | |
| CNS 2 | 6 (25.0) | 24 (20.2) | 3 (14.3) | 1 (14.3) | 0 (0.0) | 10 (19.2) | 44 (19.6) | |
| CNS 3 | 3 (12.5) | 20 (16.8) | 1 (4.8) | 0 (0.0) | 0 (0.0) | 4 (7.7) | 28 (12.5) | |
| Unknown/missing | 0 | 1 | 1 | 0 | 0 | 1 | 3 | |
| Characteristics . | New race/ethnicity grouping . | |||||||
|---|---|---|---|---|---|---|---|---|
| Hispanic of all races (N = 24) . | NH White (N = 120) . | NH Black (N = 22) . | NH Asian (N = 7) . | NH Other (N = 1) . | Other/Unknown (N = 53) . | Total (N = 227) . | P value . | |
| Age at diagnosis, n (%) | .058∗ | |||||||
| 1-9 years | 17 (70.8) | 76 (63.3) | 17 (77.3) | 5 (71.4) | 0 (0.0) | 29 (54.7) | 144 (63.4) | |
| 10-15 years | 6 (25.0) | 32 (26.7) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 17 (32.1) | 57 (25.1) | |
| 16+ years | 1 (4.2) | 12 (10.0) | 3 (13.6) | 2 (28.6) | 1 (100.0) | 7 (13.2) | 26 (11.5) | |
| Age at relapse, n (%) | .061∗ | |||||||
| 1-9 years | 10 (41.7) | 60 (50.0) | 15 (68.2) | 5 (71.4) | 0 (0.0) | 21 (39.6) | 111 (48.9) | |
| 10-15 years | 12 (50.0) | 39 (32.5) | 3 (13.6) | 0 (0.0) | 0 (0.0) | 20 (37.7) | 74 (32.6) | |
| 16+ years | 2 (8.3) | 21 (17.5) | 4 (18.2) | 2 (28.6) | 1 (100.0) | 12 (22.6) | 42 (18.5) | |
| Cytogenetic group, n (%) | .15∗ | |||||||
| Favorable | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 1 (16.7) | 1 (2.2) | |
| Unfavorable | 0 (0.0) | 4 (12.1) | 2 (50.0) | 0 (0.0) | 0 (0.0) | 2 (33.3) | 8 (17.8) | |
| Neutral | 1 (100.0) | 29 (87.9) | 2 (50.0) | 1 (100.0) | 0 (0.0) | 3 (50.0) | 36 (80.0) | |
| Unknown | 23 | 87 | 18 | 6 | 1 | 47 | 182 | |
| Duration in frontline trial (months) | .28† | |||||||
| N | 21 | 110 | 20 | 7 | 1 | 12 | 171 | |
| Mean | 19 | 12.3 | 10.5 | 13.3 | 1 | 12.3 | 12.9 | |
| Median | 19.2 | 9.5 | 5.2 | 0.9 | 1 | 7.1 | 9.4 | |
| Range | 0.9-40.1 | 0.2-40.3 | 0.4-39.5 | 0.8-40.1 | 1.0-1.0 | 0.1-40.7 | 0.1-40.7 | |
| Enrolled in selected ALL studies at relapse, n (%) | .48∗ | |||||||
| No | 24 (100.0) | 111 (92.5) | 21 (95.5) | 7 (100.0) | 1 (100.0) | 52 (98.1) | 216 (95.2) | |
| Yes | 0 (0.0) | 9 (7.5) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 1 (1.9) | 11 (4.8) | |
| Sex, n (%) | .36∗ | |||||||
| Male | 17 (70.8) | 91 (75.8) | 16 (72.7) | 6 (85.7) | 0 (0.0) | 44 (83.0) | 174 (76.7) | |
| Female | 7 (29.2) | 29 (24.2) | 6 (27.3) | 1 (14.3) | 1 (100.0) | 9 (17.0) | 53 (23.3) | |
| Institution size (based on frontline trial enrollment)‡, n (%) | .93∗ | |||||||
| Institution size: ≤50 | 4 (16.7) | 16 (13.4) | 3 (13.6) | 0 (0.0) | 0 (0.0) | 10 (18.9) | 33 (14.6) | |
| Institution size: 51-100 | 7 (29.2) | 38 (31.9) | 10 (45.5) | 2 (28.6) | 0 (0.0) | 18 (34.0) | 75 (33.2) | |
| Institution size: 101-200 | 8 (33.3) | 43 (36.1) | 6 (27.3) | 4 (57.1) | 1 (100.0) | 19 (35.8) | 81 (35.8) | |
| Institution size: >200 | 5 (20.8) | 22 (18.5) | 3 (13.6) | 1 (14.3) | 0 (0.0) | 6 (11.3) | 37 (16.4) | |
| Missing | 0 | 1 | 0 | 0 | 0 | 0 | 1 | |
| Non-US, n (%) | <.0001∗ | |||||||
| No | 23 (95.8) | 104 (86.7) | 22 (100.0) | 1 (14.3) | 0 (0.0) | 45 (84.9) | 195 (85.9) | |
| Yes | 1 (4.2) | 16 (13.3) | 0 (0.0) | 6 (85.7) | 1 (100.0) | 8 (15.1) | 32 (14.1) | |
| Insurance status, n (%) | .041∗ | |||||||
| US Private | 9 (39.1) | 72 (69.2) | 13 (59.1) | 1 (100.0) | 0 (0.0) | 22 (48.9) | 117 (60.0) | |
| US Medicaid | 9 (39.1) | 18 (17.3) | 8 (36.4) | 0 (0.0) | 0 (0.0) | 10 (22.2) | 45 (23.1) | |
| US Other | 2 (8.7) | 7 (6.7) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 10 (22.2) | 20 (10.3) | |
| US, Unknown | 3 (13.0) | 7 (6.7) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (6.7) | 13 (6.7) | |
| Non-US | 1 | 16 | 0 | 6 | 1 | 8 | 32 | |
| Area-based median household income category based on quartiles, n (%) | .19∗ | |||||||
| US, ≤$50 000 | 7 (30.4) | 21 (20.2) | 10 (45.5) | 0 (0.0) | 0 (0.0) | 11 (24.4) | 49 (25.1) | |
| US, $50 001-$65 000 | 8 (34.8) | 24 (23.1) | 1 (4.5) | 1 (100.0) | 0 (0.0) | 16 (35.6) | 50 (25.6) | |
| US, $65 001-$85 000 | 6 (26.1) | 26 (25.0) | 4 (18.2) | 0 (0.0) | 0 (0.0) | 9 (20.0) | 45 (23.1) | |
| US, $85 000 | 2 (8.7) | 31 (29.8) | 7 (31.8) | 0 (0.0) | 0 (0.0) | 8 (17.8) | 48 (24.6) | |
| US, Unknown | 0 (0.0) | 2 (1.9) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 1 (2.2) | 3 (1.5) | |
| Non-US | 1 | 16 | 0 | 6 | 1 | 8 | 32 | |
| Time to relapse, n (%) | .20∗ | |||||||
| <18 months | 11 (45.8) | 78 (65.0) | 18 (81.8) | 5 (71.4) | 0 (0.0) | 35 (66.0) | 147 (64.8) | |
| 18-35 months | 7 (29.2) | 20 (16.7) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 10 (18.9) | 39 (17.2) | |
| ≥36 months | 6 (25.0) | 22 (18.3) | 2 (9.1) | 2 (28.6) | 1 (100.0) | 8 (15.1) | 41 (18.1) | |
| Sites of relapse, n (%) | .37∗ | |||||||
| Isolated BM | 9 (37.5) | 49 (40.8) | 9 (40.9) | 5 (71.4) | 0 (0.0) | 19 (35.8) | 91 (40.1) | |
| Combined BM (±CNS) | 6 (25.0) | 18 (15.0) | 2 (9.1) | 0 (0.0) | 0 (0.0) | 9 (17.0) | 35 (15.4) | |
| Isolated CNS | 5 (20.8) | 40 (33.3) | 8 (36.4) | 1 (14.3) | 0 (0.0) | 16 (30.2) | 70 (30.8) | |
| Unknown | 0 (0.0) | 1 (0.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 3 (5.7) | 4 (1.8) | |
| Other | 4 (16.7) | 12 (10.0) | 3 (13.6) | 1 (14.3) | 1 (100.0) | 6 (11.3) | 27 (11.9) | |
| WBC count at initial diagnosis (cells per μL), n (%) | .29∗ | |||||||
| <50 000 | 9 (37.5) | 39 (32.5) | 10 (45.5) | 4 (57.1) | 1 (100.0) | 12 (22.6) | 75 (33.0) | |
| 50 000-100 000 | 3 (12.5) | 19 (15.8) | 1 (4.5) | 0 (0.0) | 0 (0.0) | 5 (9.4) | 28 (12.3) | |
| >100 000 | 12 (50.0) | 62 (51.7) | 11 (50.0) | 3 (42.9) | 0 (0.0) | 36 (67.9) | 124 (54.6) | |
| CNS status at initial diagnosis, n (%) | .68∗ | |||||||
| CNS 1 | 15 (62.5) | 75 (63.0) | 17 (81.0) | 6 (85.7) | 1 (100.0) | 38 (73.1) | 152 (67.9) | |
| CNS 2 | 6 (25.0) | 24 (20.2) | 3 (14.3) | 1 (14.3) | 0 (0.0) | 10 (19.2) | 44 (19.6) | |
| CNS 3 | 3 (12.5) | 20 (16.8) | 1 (4.8) | 0 (0.0) | 0 (0.0) | 4 (7.7) | 28 (12.5) | |
| Unknown/missing | 0 | 1 | 1 | 0 | 0 | 1 | 3 | |
Bold values indicate P < .05.
Area-based median household income was based on ZIP code for US patients only.
BM, bone marrow.
P values calculated using the chi-square test.
For duration of frontline trial, P value is calculated using the Kruskal-Wallis test.
Institution size based on number of enrollments from each institution (out of the 16 115 total enrollments) in the 12 frontline COG trials.