Table 1 Clinical characteristics, and cytogenetics of 176 patients with PHF6 mutated myeloid neoplasms including acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome and myeloproliferative disorders.
Variables | All patients N = 176 | Acute myeloid leukemiaa N = 67 | Chronic myelomonocytic leukemia N = 49 | Myelodysplastic syndrome N = 36 | Myeloproliferative neoplasms N = 16 | Myelodysplastic/ Myeloproliferative neoplasm N = 8 | P-value |
|---|---|---|---|---|---|---|---|
Demographics: | |||||||
Age in years; median (range) | 73 (22–92) | 71 (22–92) | 71 (35–91) | 75 (58–90) | 75.5 (54–87) | 64 (39–77) | <0.01 |
Male; n (%) | 134 (76) | 50 (75) | 36 (73) | 27 (75) | 14 (87.5) | 7 (87.5) | 0.7 |
Laboratory parameters: | |||||||
Leukocytes, x 109/L; median (range) | 4.3 (0.2–385) | 3.4 (0.2–385) | 6.2 (2–34) | 2.3(1–13.2) | 11.5(1.1–118) | 4.45 (1.5–58.4) | <0.01 |
Hemoglobin < 10 g/dL; n (%) | 90 (52) | 46 (71) | 9 (19) | 21 (58) | 10 (63) | 4 (50) | |
Platelets, x 109/L; median (range) | 57.5 (2–1208) | 41 (4–514) | 66 (6.4–285) | 44 (2–205) | 177 (19–1208) | 149 (5–985) | <0.01 |
Platelet count < 150 ×109/L; n (%) | 147 (85) | 61 (95) | 43 (90) | 34 (94) | 5 (31) | 4 (50) | |
Circulating blast %; median (range) | 0 (0–97) | 16 (0–97) | 0 (0–5) | 0 (0–2) | 0.5 (0–8) | 0 (0–6) | <0.01 |
Bone marrow blast %; median (range) | 5 (0–95) | 57 (12–95) | 3 (0–19) | 3 (0–17) | 2 (0–10) | 4 (1–15) | <0.01 |
Absolute monocyte count x 109/L; median (range) | 0.4 (0–54) | 0.15 (0–54) | 1.4 (0.4–11.2) | 0.2 (0–0.9) | 0.43 (0–44.8) | 0.35 (0.02–2.9) | <0.01 |
Mutations and cytogenetics | |||||||
Cytogenetics: | <0.01 | ||||||
Sole loss of Y chromosome; n (%) | 11 (6) | 0 (0) | 8 (16) | 3 (8) | 0 (0) | 0 (0) | |
Abnormal; n (%) | 70 (40) | 36 (54) | 11 (22) | 12 (33) | 7 (44) | 4 (50) | |
PHF6MUT Variant allele frequency; median (range) (evaluable = 168) | 30 (2–100) | 33 (5–100) | 25.5 (4–96) | 29.5 (2–98) | 14 (3–99) | 43 (6–84) | 0.1 |
PHF6MUT Variant allele frequency > 20%; n(%) (evaluable = 168) | 103 (61) | 41 (66) | 30 (65) | 20 (55) | 6 (38) | 6 (75) | |
Outcomes: | |||||||
Median follow up in monthsb (range) | 25 (0–202) | 15 (0–104) | 81 (1–208) | 26 (0–58) | 17 (1–71) | 10 (5–45) | <0.01 |
Deaths; n (%) | 110 (63) | 46 (69) | 25 (51) | 23 (64) | 10 (63) | 7 (88) | 0.1 |
Blast transformation (excluding AML)b; n (%) Relapse of leukemia (in AML)b; n (%) | 18 (17) | 11 (16) | 5 (10) | 6 (17) | 4 (25) | 3 (38) | 0.5 |
Documented Allo-SCTc; n (%) | 44 (25) | 23 (34) | 10 (20) | 6 (17) | 3 (19) | 2 (25) | 0.2 |