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100 1 _ |a Kayser, Sabine
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245 _ _ |a Pretransplant NPM1 MRD levels predict outcome after allogeneic hematopoietic stem cell transplantation in patients with acute myeloid leukemia.
260 _ _ |a London [u.a.]
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520 _ _ |a The objective was to evaluate the prognostic impact of pre-transplant minimal residual disease (MRD) as determined by real-time quantitative polymerase chain reaction in 67 adult NPM1-mutated acute myeloid leukemia patients receiving allogeneic hematopoietic stem cell transplantation (HSCT). Twenty-eight of the 67 patients had a FLT3-ITD (42%). Median age at transplantation was 54.7 years, median follow-up for survival from time of allografting was 4.9 years. At transplantation, 31 patients were in first, 20 in second complete remission (CR) and 16 had refractory disease (RD). Pre-transplant NPM1 MRD levels were measured in 39 CR patients. Overall survival (OS) for patients transplanted in CR was significantly longer as compared to patients with RD (P=0.004), irrespective of whether the patients were transplanted in first or second CR (P=0.74). There was a highly significant difference in OS after allogeneic HSCT between pre-transplant MRD-positive and MRD-negative patients (estimated 5-year OS rates of 40 vs 89%; P=0.007). Multivariable analyses on time to relapse and OS revealed pre-transplant NPM1 MRD levels >1% as an independent prognostic factor for poor survival after allogeneic HSCT, whereas FLT3-ITD had no impact. Notably, outcome of patients with pre-transplant NPM1 MRD positivity >1% was as poor as that of patients transplanted with RD.
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700 1 _ |a Benner, A.
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700 1 _ |a Thiede, C.
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700 1 _ |a Martens, U.
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700 1 _ |a Huber, J.
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700 1 _ |a Stadtherr, P.
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700 1 _ |a Janssen, J. W. G.
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700 1 _ |a Röllig, C.
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700 1 _ |a Uppenkamp, M. J.
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700 1 _ |a Bochtler, T.
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700 1 _ |a Hegenbart, U.
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700 1 _ |a Ehninger, G.
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700 1 _ |a Ho, A. D.
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700 1 _ |a Dreger, P.
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700 1 _ |a Krämer, Alwin
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773 _ _ |a 10.1038/bcj.2016.46
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