Age and Modified European LeukemiaNet Classification to Predict Transplant Outcomes: An Integrated Approach for Acute Myelogenous Leukemia Patients Undergoing.

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Presentation transcript:

Age and Modified European LeukemiaNet Classification to Predict Transplant Outcomes: An Integrated Approach for Acute Myelogenous Leukemia Patients Undergoing Allogeneic Stem Cell Transplantation  Betül Oran, Antonio M. Jimenez, Marcos De Lima, Uday R. Popat, Roland Bassett, Borje S. Andersson, Gautam Borthakur, Qaiser Bashir, Julianne Chen, Stefan O. Ciurea, Elias Jabbour, Jorge Cortes, Partow Kebriaei, Issa F. Khouri, Muzaffar H. Qazilbash, Farhad Ravandi, Gabriela Rondon, Xinyan Lu, Elizabeth J. Shpall, Richard E. Champlin  Biology of Blood and Marrow Transplantation  Volume 21, Issue 8, Pages 1405-1412 (August 2015) DOI: 10.1016/j.bbmt.2015.03.023 Copyright © 2015 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 LFS and OS after HSCT by modified ELN classification in younger and older AML CR1 patients. (A) LFS for patients aged < 60. (B) OS for patients aged < 60. In younger patients, 3-year LFS and OS rates were 67.8% and 70.4% in favorable, 53.4% and 57.6% in intermediate-I, 65.7% and 69.6% in intermediate-II, and 44.6% and 52.9% in adverse risk groups. (C) LFS for patients aged ≥ 60. (D) OS for patients aged ≥ 60. LFS and OS rates at 3 years for patients aged ≥ 60 were 49.8% and 54.3% in favorable, 50.7% and 55.3% in intermediate-I, 20.2% and 19.7% in intermediate-II, and 23.8% and 37.6% in adverse risk groups. Biology of Blood and Marrow Transplantation 2015 21, 1405-1412DOI: (10.1016/j.bbmt.2015.03.023) Copyright © 2015 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 LFS by lesion-specific abnormalities in adverse risk group younger AML patients after HSCT. Presence of (A) del5q/−5 and (B) abnl 17p was associated with lower LFS. Three-year LFS rates were 18.4% versus 58.1% with and without del5q/−5 (P < .001) and 20% versus 47.3% with and without abnl17p (P = .03). (C) The presence of −7 did not decrease LFS in younger adverse risk patients, whereas (D) t(v;11)(v;q23) was associated with superior 3-year LFS within the adverse risk group. (E) The presence of CK within the adverse risk group was not associated with inferior outcomes. Biology of Blood and Marrow Transplantation 2015 21, 1405-1412DOI: (10.1016/j.bbmt.2015.03.023) Copyright © 2015 American Society for Blood and Marrow Transplantation Terms and Conditions