Table 1

Characteristics of the 52 consecutive patients treated with induction chemotherapy according to OPN status

Total patients, n = 52OPN high, n = 25 (48%)OPN low, n = 27 (52%)P
Median OPN level (range) 0.20 (0.00-13.1) 0.775 (0.23-13.7) 0.00 (0.00-0.20) N/A 
Mean age, y, mean ± SD 51 ± 17 55 ± 15 48 ± 18 .2 
Male, n (%) 29 (55) 15 (60) 14 (51) .7 
Median WBC count, ×109/L (range) 11.9 (1.3-300) 15.9 (1.3-300) 7 (1.68-171) .7 
Median BM blasts, % (range) 67 (20-99) 55 (22-92) 70 (20-99) .8 
FAB, n (%)     
    M0 2 (4) 1 (4) 1 (4) N/A 
    M1 19 (36) 10 (40) 9 (33) N/A 
    M2 14 (26) 8 (32) 6 (22) N/A 
    M4 7 (13) 2 (8) 5 (18) N/A 
    M5 7 (13) 3 (12) 4 (15) N/A 
    M6 2 (7) 1 (4) 2 (7) .9 
Cytogenetic subgroup, n (%)     
    Unfavorable 11 (21) 7 (28) 4 (14) N/A 
    Intermediate 37 (71) 15 (60) 22 (81) N/A 
    Favorable 3 (6) 3 (12) 0 (0) .07 
FLT3 mutation, n (%) 14/20 (70) 5/8 (63) 9/12 (75) .6 
Induction chemotherapy, n (%) 52 (100) 25 (100) 27 (100) < .99 
Allotransplantation, n (%) 11/52 (21) 4/25 (16) 7/27 (25) .5 
Total patients, n = 52OPN high, n = 25 (48%)OPN low, n = 27 (52%)P
Median OPN level (range) 0.20 (0.00-13.1) 0.775 (0.23-13.7) 0.00 (0.00-0.20) N/A 
Mean age, y, mean ± SD 51 ± 17 55 ± 15 48 ± 18 .2 
Male, n (%) 29 (55) 15 (60) 14 (51) .7 
Median WBC count, ×109/L (range) 11.9 (1.3-300) 15.9 (1.3-300) 7 (1.68-171) .7 
Median BM blasts, % (range) 67 (20-99) 55 (22-92) 70 (20-99) .8 
FAB, n (%)     
    M0 2 (4) 1 (4) 1 (4) N/A 
    M1 19 (36) 10 (40) 9 (33) N/A 
    M2 14 (26) 8 (32) 6 (22) N/A 
    M4 7 (13) 2 (8) 5 (18) N/A 
    M5 7 (13) 3 (12) 4 (15) N/A 
    M6 2 (7) 1 (4) 2 (7) .9 
Cytogenetic subgroup, n (%)     
    Unfavorable 11 (21) 7 (28) 4 (14) N/A 
    Intermediate 37 (71) 15 (60) 22 (81) N/A 
    Favorable 3 (6) 3 (12) 0 (0) .07 
FLT3 mutation, n (%) 14/20 (70) 5/8 (63) 9/12 (75) .6 
Induction chemotherapy, n (%) 52 (100) 25 (100) 27 (100) < .99 
Allotransplantation, n (%) 11/52 (21) 4/25 (16) 7/27 (25) .5 

All patients were treated with standard AML induction therapy that included cytarabine, idarubicin, and etoposide followed by consolidation chemotherapy. Patients with APML(M3) treated with all-trans retinoic acid–based regimens were excluded. The mean age of our cohort was 51 years with a median follow-up of living patients at 5 years. The 5-year OS rate was 23%. FLT3 mutation status (internal tandem duplication of FLT3 receptor or D835 point mutation) was available for 20 patients (38%). Differences in the distribution of patients between FAB subgroups and cytogenetic risk groups were tested for categorical variables by χ2 test. Differences in continuous variables were tested with the Student t test or Mann-Whitney U test when appropriate.

WBC indicates white blood cell; N/A, not applicable; and cytogenetic subgroups, karyotype risk groups were defined according to the MRC10 criteria.

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