Characteristics of patients randomized and comparison with contemporaneous intensive patients
Characteristic . | LDAC (n = 206) . | Clofarabine (n = 200) . | Intensive (n = 1507) . | P value vs intensive . |
---|---|---|---|---|
Age (y) | ||||
<60 | 3 | 3 | 24 | <.0001* |
60-64 | 9 | 5 | 412 | <.0001† |
65-69 | 30 | 26 | 595 | |
70-74 | 65 | 68 | 373 | |
75-79 | 60 | 73 | 96 | |
≥80 | 39 | 25 | 7 | |
Median (range) | 74 (54-90) | 74 (51-87) | 67 (51-84) | |
Sex | ||||
Female | 86 | 75 | 586 | .8 |
Male | 120 | 125 | 921 | |
Diagnosis | ||||
De novo | 126 | 124 | 1083 | .0003 |
Secondary | 50 | 47 | 265 | |
High-risk MDS | 30 | 29 | 159 | |
WBC (× 109/L) | ||||
<10 | 130 | 134 | 928 | .04* |
10-49.9 | 55 | 49 | 385 | .15† |
50-99.9 | 14 | 12 | 107 | |
≥100 | 7 | 5 | 87 | |
Median | 4.6 (0.5-175.0) | 4.3 (0.5-260.6) | 5.1 (0.2-454.0) | |
Performance status | ||||
WHO PS 0 | 75 | 72 | 900 | <.0001* |
WHO PS 1 | 106 | 100 | 510 | |
WHO PS 2 | 16 | 22 | 60 | |
WHO PS 3,4 | 9 | 6 | 37 | |
Cytogenetics | ||||
Favorable | 2 | 2 | 41 | .12* |
Intermediate | 85 | 93 | 840 | |
Adverse | 33 | 31 | 260 | |
Unknown | 86 | 74 | 366 | |
Wheatley group | ||||
Good | 7 | 5 | 390 | <.0001* |
Standard | 95 | 92 | 550 | |
Poor | 104 | 103 | 567 | |
FLT3-ITD | ||||
Wild-type | 85 | 101 | 472 | .3 |
Mutant | 20 | 9 | 93 | |
Unknown | 101 | 90 | 942 | |
NPM1 | ||||
Wild-type | 85 | 95 | 390 | .6 |
Mutant | 27 | 17 | 106 | |
Unknown | 94 | 78 | 1021 | |
Comorbidity | ||||
Arrhythmia | 18/199 (9%) | 26/194 (13%) | 69/1456 (5%) | <.0001 |
Cardiac | 49/202 (24%) | 53/193 (27%) | 174/1472 (12%) | <.0001 |
Cerebrovascular | 8/202 (4%) | 11/195 (6%) | 58/1477 (4%) | .4 |
Diabetes | 26/204 (13%) | 33/195 (17%) | 121/1481 (8%) | <.0001 |
Mild hepatic | 13/203 (6%) | 10/195 (5%) | 68/1478 (5%) | .3 |
Severe hepatic | 1/203 (<0.5%) | 3/195 (2%) | 21/1480 (1%) | .5 |
Heart valve disease | 5/203 (2%) | 9/194 (5%) | 15/1472 (1%) | .0003 |
Inflammatory bowel | 2/202 (1%) | 2/199 (1%) | 37/1475 (3%) | .07 |
Infection | 27/204 (13%) | 30/194 (15%) | 193/1467 (13%) | .5 |
Obesity | 14/204 (7%) | 20/195 (10%) | 95/1476 (6%) | .15 |
Peptic ulcer | 3/203 (1%) | 5/195 (3%) | 21/1479 (1%) | .4 |
Prior tumor | 22/204 (11%) | 20/195 (10%) | 100/1480 (7%) | .01 |
Psychiatric | 7/198 (4%) | 6/195 (3%) | 32/1474 (2%) | .19 |
Severe pulmonary | 3/201 (1%) | 3/193 (2%) | 15/1461 (1%) | .4 |
Renal | 0/203 | 3/194 (2%) | 28/1480 (2%) | .11 |
Rheumatologic | 19/203 (9%) | 18/195 (9%) | 83/1477 (6%) | .008 |
Other | 92/193 (48%) | 89/183 (49%) | 425/1417 (30%) | <.0001 |
Characteristic . | LDAC (n = 206) . | Clofarabine (n = 200) . | Intensive (n = 1507) . | P value vs intensive . |
---|---|---|---|---|
Age (y) | ||||
<60 | 3 | 3 | 24 | <.0001* |
60-64 | 9 | 5 | 412 | <.0001† |
65-69 | 30 | 26 | 595 | |
70-74 | 65 | 68 | 373 | |
75-79 | 60 | 73 | 96 | |
≥80 | 39 | 25 | 7 | |
Median (range) | 74 (54-90) | 74 (51-87) | 67 (51-84) | |
Sex | ||||
Female | 86 | 75 | 586 | .8 |
Male | 120 | 125 | 921 | |
Diagnosis | ||||
De novo | 126 | 124 | 1083 | .0003 |
Secondary | 50 | 47 | 265 | |
High-risk MDS | 30 | 29 | 159 | |
WBC (× 109/L) | ||||
<10 | 130 | 134 | 928 | .04* |
10-49.9 | 55 | 49 | 385 | .15† |
50-99.9 | 14 | 12 | 107 | |
≥100 | 7 | 5 | 87 | |
Median | 4.6 (0.5-175.0) | 4.3 (0.5-260.6) | 5.1 (0.2-454.0) | |
Performance status | ||||
WHO PS 0 | 75 | 72 | 900 | <.0001* |
WHO PS 1 | 106 | 100 | 510 | |
WHO PS 2 | 16 | 22 | 60 | |
WHO PS 3,4 | 9 | 6 | 37 | |
Cytogenetics | ||||
Favorable | 2 | 2 | 41 | .12* |
Intermediate | 85 | 93 | 840 | |
Adverse | 33 | 31 | 260 | |
Unknown | 86 | 74 | 366 | |
Wheatley group | ||||
Good | 7 | 5 | 390 | <.0001* |
Standard | 95 | 92 | 550 | |
Poor | 104 | 103 | 567 | |
FLT3-ITD | ||||
Wild-type | 85 | 101 | 472 | .3 |
Mutant | 20 | 9 | 93 | |
Unknown | 101 | 90 | 942 | |
NPM1 | ||||
Wild-type | 85 | 95 | 390 | .6 |
Mutant | 27 | 17 | 106 | |
Unknown | 94 | 78 | 1021 | |
Comorbidity | ||||
Arrhythmia | 18/199 (9%) | 26/194 (13%) | 69/1456 (5%) | <.0001 |
Cardiac | 49/202 (24%) | 53/193 (27%) | 174/1472 (12%) | <.0001 |
Cerebrovascular | 8/202 (4%) | 11/195 (6%) | 58/1477 (4%) | .4 |
Diabetes | 26/204 (13%) | 33/195 (17%) | 121/1481 (8%) | <.0001 |
Mild hepatic | 13/203 (6%) | 10/195 (5%) | 68/1478 (5%) | .3 |
Severe hepatic | 1/203 (<0.5%) | 3/195 (2%) | 21/1480 (1%) | .5 |
Heart valve disease | 5/203 (2%) | 9/194 (5%) | 15/1472 (1%) | .0003 |
Inflammatory bowel | 2/202 (1%) | 2/199 (1%) | 37/1475 (3%) | .07 |
Infection | 27/204 (13%) | 30/194 (15%) | 193/1467 (13%) | .5 |
Obesity | 14/204 (7%) | 20/195 (10%) | 95/1476 (6%) | .15 |
Peptic ulcer | 3/203 (1%) | 5/195 (3%) | 21/1479 (1%) | .4 |
Prior tumor | 22/204 (11%) | 20/195 (10%) | 100/1480 (7%) | .01 |
Psychiatric | 7/198 (4%) | 6/195 (3%) | 32/1474 (2%) | .19 |
Severe pulmonary | 3/201 (1%) | 3/193 (2%) | 15/1461 (1%) | .4 |
Renal | 0/203 | 3/194 (2%) | 28/1480 (2%) | .11 |
Rheumatologic | 19/203 (9%) | 18/195 (9%) | 83/1477 (6%) | .008 |
Other | 92/193 (48%) | 89/183 (49%) | 425/1417 (30%) | <.0001 |