Table 3 Impact of genetic and clinical variables on the overall survival and blast transformation free survival of 176 patients with PHF6 mutated (PHF6MUT) myeloid neoplasms.
Variables: | Univariate analysis | Multivariate analysis | ||
---|---|---|---|---|
Hazard ratio (95% Confidence interval) | p-value | Hazard ratio (95% Confidence interval) | p-value | |
Overall survival analysis: | ||||
PHF6MUT chronic myelomonocytic leukemia; n = 49 | ||||
Hemoglobin < 10 g/dl | 5.6 (1.8–16.8) | <0.01 | 9.8 (2.4–39.9) | <0.01 |
Complex/monosomal karyotype or chromosome 7 abnormalities | 5.9 (1.3–27.5) | 0.02 | 14.9 (2.3–94.8) | <0.01 |
DNMT3AMUT | 5.1 (1.1–24.8) | 0.04 | 13.8 (2.1–91.8) | <0.01 |
NRASMUT | 0.09 (0.01–0.7) | 0.02 | 0.12 (0.01–1.1) | 0.05 |
Age ≥ 80 years | 2.5 (1.0–6.0) | 0.04 | 1.8 (0.5–6.1) | 0.3 |
ASXL1MUT | 2.5 (1.1–5.8) | 0.03 | 1.5 (0.6–3.8) | 0.3 |
All PHF6MUT myeloid neoplasms excluding chronic myelomonocytic leukemia; n = 127 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | 2.6 (1.4–4.8) | <0.01 | 2.5 (1.3–4.8) | <0.01 |
PHF6MUT variant allele fraction > 20% | 2.1 (1.2–3.6) | <0.01 | 1.8 (1.1–3.1) | 0.02 |
U2AF1MUT | 1.9 (1.1–3.4) | 0.02 | 1.9 (1.1–3.5) | 0.02 |
Hemoglobin < 10 g/dL | 1.8 (1.1–2.9) | 0.03 | 1.6 (0.9–2.7) | 0.07 |
DNMT3AMUT | 1.9 (1.0–3.6) | 0.04 | 1.8 (0.9–3.5) | 0.09 |
RUNX1MUT | 1.6 (0.98–2.6) | 0.056 | 1.5 (09–2.6) | 0.1 |
PHF6MUT acute myeloid leukemia; n = 67 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | 2.1 (0.9–4.6) | 0.05 | 1.9 (0.9–4.2) | 0.1 |
U2AF1MUT | 2.8 (1.0–7.5) | 0.04 | 2.4 (0.9–6.6) | 0.09 |
Hemoglobin < 10 g/dL | 1.5 (0.7–3.2) | 0.3 | 1.4 (0.6–3.2) | 0.3 |
DNMT3AMUT | 1.5 (0.7–3.3) | 0.2 | 1.7 (0.7–3.9) | 0.2 |
PHF6MUT variant allele fraction > 20% | 1.9 (0.8–4.4) | 0.1 | 1.6 (0.6–3.8) | 0.3 |
PHF6MUT myelodysplastic syndrome; n = 36 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | 4.0 (1.0–15.5) | 0.04 | 5.1 (1.2–20.9) | 0.02 |
PHF6MUT variant allele fraction > 20% | 2.6 (1.0–6.9) | 0.04 | 3.0 (1.1–8.1) | 0.02 |
Hemoglobin < 10 g/dL | 2.2 (0.9–5.6) | 0.09 | 2.7 (1.0–7.2) | 0.04 |
DNMT3AMUT | 4.7 (1.0–21.3) | 0.04 | 2.1 (0.2–21.9) | 0.5 |
U2AF1MUT | 1.9 (0.8–4.9) | 0.1 | 1.9 (0.7–5.1) | 0.1 |
PHF6MUT myeloproliferative neoplasm; n = 16 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | ||||
Hemoglobin < 10 g/dL | 0.4 | 1.9 (0.4–10.0) | 0.4 | |
U2AF1MUT | 1.4 (0.2–11.9) | 0.8 | 2.3 (0.2–29.0) | 0.5 |
PHF6MUT variant allele fraction > 20% | 1.0 (0.2–5.1) | 0.9 | 1.1 (0.2–6.0) | 0.9 |
DNMT3AMUT | ||||
PHF6MUT myelodysplastic / myeloproliferative neoplasm; n = 8 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | 1.7 (0.1–16.8) | 0.6 | 0.9 (0.08–9.8) | 0.9 |
PHF6MUT variant allele fraction > 20% | 0.06 | 0.07 | ||
Hemoglobin < 10 g/dL | 1.2 (0.2–8.2) | 0.8 | 1.2 (0.2–8.7) | 0.8 |
DNMT3AMUT | ||||
U2AF1MUT | 3.1 (0.3–34.8) | 0.3 | 2.1 (0.2–23.7) | 0.5 |
Blast transformation free survival analysis: | ||||
PHF6 mutated chronic myelomonocytic leukemia (CMML); n = 49 | ||||
Complex/monosomal karyotype or chromosome 7 abnormalities | <0.01 | <0.01 | ||
ASXL1MUT | <0.01 | <0.01 | ||
All PHF6MUT myeloid neoplasms excluding acute myeloid leukemia and CMML; n = 60 | ||||
Circulating blast >2% | 6.0 (1.4–24.9) | 0.01 | 5.9 (1.3–26.1) | 0.01 |
Abnormal karyotype except isolated loss of Y chromosome | 3.3 (1.1–10.3) | 0.03 | 2.9 (0.9–9.2) | 0.07 |
Female gender | 2.9 (0.97–8.8) | 0.05 | 2.3 (0.7–7.1) | 0.1 |
PHF6MUT myelodysplastic syndrome; n = 36 | ||||
Female gender | 12.9 (1.4–116.5) | 0.02 | 26.8 (1.9–368.3) | 0.01 |
Abnormal karyotype except isolated loss of Y chromosome | 2.6 (0.5–13.2) | 0.2 | 7.4 (0.7–76.3) | 0.09 |
Circulating blast >2% | ||||
PHF6MUT myeloproliferative neoplasm; n = 16 | ||||
Female gender | 0.9 | 0.9 | ||
Abnormal karyotype except isolated loss of Y chromosome | 4.0 (0.3–46.5) | 0.2 | 5.1 (0.3–98.1) | 0.2 |
Circulating blast >2% | 9.4 (0.8–108.7) | 0.07 | 8.4 (0.7–96.7) | 0.08 |
PHF6MUT myelodysplastic/ myeloproliferative neoplasm; n = 8 | ||||
Female gender | 1.9 (0.2–23.6) | 0.5 | ||
Abnormal karyotype except isolated loss of Y chromosome | 0.05 | |||
Circulating blast >2% | 0.9 (0.08–10.3) | 0.9 |