Table 1 Baseline characteristics of NPM1-mut adult AML patients included in the HARMONY database, comparing the training cohort to the internal validation cohort.

From: Unravelling co-mutational patterns with prognostic implications in NPM1 mutated adult acute myeloid leukemia – a HARMONY study

 

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

  1. AML acute myeloid leukemia, HM hematological malignancy, WBC white blood count, ELN European LeukemiaNet, ITD internal tandem duplication, CRc composite complete remission, HSCT hematopoietic stem cell transplantation, CR1 first complete remission, CI confidence interval.