Table 1 Baseline characteristics of NPM1-mut adult AML patients included in the HARMONY database, comparing the training cohort to the internal validation cohort.
Training cohort (n = 1001) | Internal validation cohort (n = 762) | p-value | |
|---|---|---|---|
Female sex | 543 (54.2%) | 419 (55%) | 0.7938 |
Median age in years (range) | 52.9 (18–81) | 57 (18 - 86) | <0.0001 |
Age ≥ 60 years | 269 (26.8%) | 320 (42%) | <0.0001 |
AML type | |||
De novo AML | 963 (96.2%) | 573 (90.5%) | <0.0001 |
Secondary AML | 38 (3.8%) | 60 (9.5%) | |
Prior HM | 15 (1.5%) | 48 (7.6%) | <0.0001 |
Therapy-related AML | 23 (2.3%) | 12 (1.6%) | 0.2811 |
Hemoglobin (g/dL) | 8.9 [Q1 = 7.6, Q3 = 10.3] | 9.2 [Q1 = 8.2, Q3 = 10.5] | 0.0037 |
WBC (x10^9/L) | 23.8 [Q1 = 6.9, Q3 = 62.8] | 36.8 [Q1 = 13.4, Q3 = 85.6] | <0.0001 |
WBC > 100 ×10^9/L | 136 (13.6%) | 144 (20.4%) | |
Platelets (x10^9/L) | 66.5 [Q1 = 38, Q3 = 116] | 66.5[Q1 = 38.2, Q3 = 111] | 0.8798 |
Bone marrow % of blasts | 75 [Q1 = 45, Q3 = 89] | 72.75 [Q1 = 52, Q3 = 87] | 0.9417 |
ELN 2022 | |||
Favorable | 601 (60%) | 405 (53.2%) | 0.0185 |
Intermediate | 391 (39.1%) | 346 (45.4%) | |
Adverse | 9 (0.9%) | 11 (1.4%) | |
FLT3-ITD | 393 (39.3%) | 349 (45.8%) | 0.0068 |
Treatment response | |||
CRc | 874 (87.3%) | 606 (79.5%) | <0.0001 |
Refractory | 89 (8.9%) | 95 (12.5%) | |
Not evaluable (early death) | 38 (3.8%) | 61 (8%) | |
Early death | |||
30-day mortality | 38 (3.8%) | 61 (8%) | 0.0002 |
60-day mortality | 62 (6.2%) | 88 (11.5%) | <0.0001 |
Allogeneic HSCT | 341 (34.1%) | 215 (29.3%) | 0.0419 |
In CR1 | 242 (24.2%) | 130 (17.1%) | 0.0104 |
In other situations | 99 (9.9%) | 85 (11.1%) | |
Median survival in years (95% CI) | 8.25 (5.14–9.77) | 2.84 (2.06–4.09) | <0.0001 |