Table 1 Table showing phenotypic and genomic differences among patients with WHO-defined MDS/MPN-RS-T and MDS/MPN-U patients with BM RS% ≥ 15 (MDS/MPN-U-RS).
Variable; Median value (range or %) | MDS/MPN-RS-T (n = 158) | MDS/MPN-U-RS (n = 25) | P-value |
---|---|---|---|
Age (years) | 71 (38–94) | 71 (37–86) | 0.9 |
Age ≥70 (years) | 96 (61) | 13 (52) | 0.4 |
Males (%) | 82 (52) | 9 (36) | 0.1 |
Clinical parameters | Evaluable = 78 | Evaluable = 25 | |
Hb; g/dL | 9.5 (6.6–14.5) | 9 (5.6–12.7) | 0.2 |
Hb ≤10 g/dL | 51 (65) | 18 (72) | 0.5 |
WBC count × 103 per µL | 7.6 (1.9–25.8) | 6.9 (1.7–48.9) | 0.5 |
Platelet count × 103 per µL | 585 (454–1741) | 559 (14–1798) | 0.7 |
PB blast% | – | 0 (0–9) | <0.0001a |
PB blasts ≥1% | – | 9 | <0.0001a |
BM blast% | 1 (0–4) | 3 (0–8) | 0.001a |
BM blast ≥5% | – | 8 | <0.0001a |
BM RS% | 47.5 (15–90) | 35 (15–80) | 0.2 |
Thrombosis % | 14 (18) | 2 (8) | 0.3 |
Arterial | 6 (43) | 1 (50) | |
Venous | 6 (43) | 1 (50) | |
Cytogenetics | Evaluable = 72 | Evaluable = 24 | |
Abnormal karyotype (except-Y) | 11 (15) | 4 (17) | 0.9 |
Monosomal karyotype | 2 (3) | 2 (8) | 0.3 |
Complex karyotype | 2 (3) | 2 (8) | 0.3 |
IPSS cytogenetics | |||
Good | 63 (88) | 20 (83) | 0.7 |
Intermediate | 4 (6) | 1 (4) | |
Poor | 5 (7) | 3 (13) | |
IPSS-R cytogenetics | |||
Very good | 5 (7) | – | 0.4 |
Good | 59 (81) | 20 (83) | |
Intermediate | 4 (5) | 1 (4) | |
Poor | 3 (4) | 1 (4) | |
Very poor | 2 (3) | 2 (8) | |
Pathogenic variants | |||
ASXL1 | Evaluable = 49; 10 (20) | Evaluable = 17; 4 (24) | 0.9 |
DNMT3A | Evaluable = 43; 6 (14) | Evaluable = 15; 2 (13) | 0.9 |
TET2 | Evaluable = 43; 3 (7) | Evaluable = 15; 2 (13) | 0.5 |
SF3B1 | Evaluable = 111; 103 (93) | Evaluable = 17; 10 (59) | 0.0005a |
SRSF2 | Evaluable = 43; 1 (2) | Evaluable = 15; 2 (13) | 0.1 |
ZRSR2 | Evaluable = 43; 1 (2) | Evaluable = 15; 0 (0) | 0.4 |
U2AF1 | Evaluable = 43; 1 (2) | Evaluable = 15; 2 (13) | 0.1 |
JAK2 V617F | Evaluable = 43; 13 (30) | Evaluable = 15; 2 (13) | 0.2 |
CALR | Evaluable = 43; 2 (5) | Evaluable = 15; 0 (0) | 0.3 |
SETBP1 | Evaluable = 40; 4 (10) | Evaluable = 15; 2 (13) | 0.7 |
TP53 | Evaluable = 39; 1 (2) | Evaluable = 15; 0 (0) | 0.4 |
Outcomes (evaluable = 183) | |||
Median follow-up (months) | 62 (45–80) | 53 (18–123) | 0.9 |
Leukemic transformation (%) | 6 (4) | – | 0.0003a |
LFS (95% CI) years | Median not reached | Median not reached | 0.4 |
OS (95% CI) years | 6 (5–9) | 7.3 (1.8–11.4) | 0.3 |