Home > Publications database > Pretransplant NPM1 MRD levels predict outcome after allogeneic hematopoietic stem cell transplantation in patients with acute myeloid leukemia. > print |
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024 | 7 | _ | |a 10.1038/bcj.2016.46 |2 doi |
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100 | 1 | _ | |a Kayser, Sabine |0 P:(DE-He78)ce3cd0df5fbbdf8768f6f1cd543bce72 |b 0 |e First author |u dkfz |
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.] |c 2016 |b Nature Publishing Group |
336 | 7 | _ | |a article |2 DRIVER |
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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. |0 P:(DE-He78)e15dfa1260625c69d6690a197392a994 |b 1 |u dkfz |
700 | 1 | _ | |a Thiede, C. |b 2 |
700 | 1 | _ | |a Martens, U. |b 3 |
700 | 1 | _ | |a Huber, J. |b 4 |
700 | 1 | _ | |a Stadtherr, P. |b 5 |
700 | 1 | _ | |a Janssen, J. W. G. |b 6 |
700 | 1 | _ | |a Röllig, C. |b 7 |
700 | 1 | _ | |a Uppenkamp, M. J. |b 8 |
700 | 1 | _ | |a Bochtler, T. |0 P:(DE-He78)c741dc7f974390ad4310349f29aac40b |b 9 |u dkfz |
700 | 1 | _ | |a Hegenbart, U. |b 10 |
700 | 1 | _ | |a Ehninger, G. |b 11 |
700 | 1 | _ | |a Ho, A. D. |b 12 |
700 | 1 | _ | |a Dreger, P. |b 13 |
700 | 1 | _ | |a Krämer, Alwin |0 P:(DE-He78)493c5fbf69f1b20df6f048712f3ad4a0 |b 14 |e Last author |u dkfz |
773 | _ | _ | |a 10.1038/bcj.2016.46 |g Vol. 6, no. 7, p. e449 - |0 PERI:(DE-600)2600560-8 |n 7 |p e449 - |t Blood cancer journal |v 6 |y 2016 |x 2044-5385 |
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