Clinical significance of complex karyotype at diagnosis in pediatric and adult patients with de novo acute promyelocytic leukemia treated with ATRA and chemotherapy


Por: Labrador, J, Luno, E, Vellenga, E, Brunet, S, Gonzalez-Campose, J, Chillon, MC, Holowiecka, A, Esteve, J, Bergua, J, Gonzalez-Sanmiguel, JD, Gil, C, Tormo, M, Salamero, O, Manso, F, Fernandez, I, de laSerna, J, Moreno, MJ, Perez-Encinas, M, Krsnik, I, Ribera, JM, Cervera, J, Calasanz, MJ, Boluda, B, Sobas, M, Lowenberg, B, Sanz, MA, Montesinos, P, Palmer, L, Ciarlo, S, Bezares, F, Rojas, F, Longoni, H, Gelemur, M, Fazio, P, Canepa, C, Saba, S, Balladares, G, Negri, P, Giunta, M, Milone, J, Prates, MV, Lafalse, D, Sossa, C, Jaramillo, F, Mayer, J, Protivankova, M, Scwarz, J, Jakubas, B, Skret-Norwicz, A, Bizgalska-Skrzypek, P, Pluta, A, Becht, R, Kielbinski, M, Watek, M, Paluszewska, M, Gadomska, A, Rzenno, E, Piszcz, J, Ejduk, A, Dobrzanska, J, Calbecka, M, Kostyra, A, Malek, M, Grosicki, S, Knopinska, W, de Heredia, JMB, Hernandez, JM, Arias, J, Ramos, F, Roman, A, Negri, S, Rayon, C, Fernandez-Calvo, FJ, Diaz-Mediavilla, J, Olave, M, Amutio, E, Pedro, C, Gorosquieta, A, Viguria, M, Zudaire, M, Molero, T, Sayas, MJ, Guardia, R, Rivas, C, Esquembre, C, Garcia, R, Alcala, A, Lopez, JA, Rubio, V, Amigo, ML, Linares, M, San Miguel, JDG, Deben, G, Escoda, L, de la Camara, R, Molines, A, Loureiro, C, Allegue, MJ, Amador, L, Marti, JM, Madero, L, Lassaletta, A, Cabezudo, M, Garcia-Larana, J, Rojas, R, Ortega, F, Penarrubia, MJ, Puente, F, Lopez-Ibor, B, Ibanez, J, Sanchez, P, Novo, A, Font, LL, Guinea, JM, Montero, A, Gonzalez, M, Martin, G, Martinez, J, Verdeguer, A, Garcia, P, Conde, E, Garcia, J, Capote, FJ, Krsnik, I, Bueno, J, Bastida, P, Rubio, A, Fuster, JL, Perez, I, Molina, J, Mateos, MC, Ardaiz, MA, Rodriguez-calvillo, M, Poderos, C, Arnan, M, Duarte, R, Hernandez, JA, Diaz-Morfa, M, Martin-Chacon, E, Calvo-Villas, JM, Garcia-Belmonte, D, Hernandez-Maraver, D, Ossenkoppele, GJ, van der Lelie, J, Sonneveld, P, Zijlmans, M, Maertens, J, de Valk, B, Wijermans, PW, de Groot, MR, Schouten, HC, Biesma, DH, Kooy, MV, de Lisa, E

Publicada: 16 abr 2019
Resumen:
Although additional cytogenetic abnormalities (ACA) do not affect the prognosis of patients with t(15;17) acute promyelocytic leukemia (APL), the role of a complex karyotype (CK) is yet to be clarified. We aimed to investigate the relationship of CK with relapse incidence in 1559 consecutive APL patients enrolled in three consecutive trials. Treatment consisted of AIDA induction followed by risk-adapted consolidation. A CK (CK) was defined as the presence of >= 2 ACA, and a very CK (CK+) as >= 3 ACA. Eighty-nine patients (8%) had a CK, of whom 41 (4%) had CK+. The 5-year cumulative incidence of relapse (CIR) in patients with CK was 18%, and 12% in those with <2 ACA (p=.09). Among patients with CK+, the 5-year CIR was 27% vs 12% (p=.003), retaining the statistical significance in multivariate analysis. This study shows an increased risk of relapse among APL patients with CK + treated with ATRA plus chemotherapy front-line regimens.

Filiaciones:
Labrador, J:
 Hosp Univ Burgos, Burgos, Spain

Luno, E:
 Hosp Univ Cent Asturias, Dept Hematol, Oviedo, Spain

Vellenga, E:
 Hosp Univ Burgos, Burgos, Spain

 Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands

 Erasmus Univ, Med Ctr, Rotterdam, Netherlands

 Univ Med Ctr Groningen, Groningen, Netherlands

Brunet, S:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, IIB St Pau, Barcelona, Spain

 Univ Autonoma Barcelona, Jose Carreras Leukemia Res Inst, Barcelona, Spain

 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Gonzalez-Campose, J:
 Hosp Univ Virgen del Rocio, Seville, Spain

Chillon, MC:
 Univ Hosp Salamanca, Inst Invest Biomed Salamanca, Salamanca, Spain

 Inst Carlos III, CIBERONC, Madrid, Spain

Holowiecka, A:
 Silesian Med Univ, Dept Haematol & BMT, Katowice, Poland

Esteve, J:
 Hosp Clin Barcelona, Barcelona, Spain

Bergua, J:
 Hosp San Pedro Alcantara, Caceres, Spain

 Hosp San Pedro de Alcantara, Caceres, Spain

Gonzalez-Sanmiguel, JD:
 Hosp Insular, Las Palmas Gran Canaria, Spain

Gil, C:
 Hosp Gen Alicante, Alicante, Spain

 Hosp Clin San Carlos, Madrid, Spain

Tormo, M:
 Hosp Clin Univ Valencia, Valencia, Spain

 Hosp Clin Univ, Valencia, Spain

Salamero, O:
 Hosp Univ Vall dHebron, Barcelona, Spain

Manso, F:
 Hosp Gen, Albacete, Spain

 Hosp Gen Albacete, Albacete, Spain

Fernandez, I:
 Fundaleu, Buenos Aires, DF, Argentina

de laSerna, J:
 Hosp 12 Octubre, Madrid, Spain

Moreno, MJ:
 Hosp Virgen Victoria, Malaga, Spain

Perez-Encinas, M:
 Hosp Clin Univ, Santiago De Compostela, Spain

 Hosp Clin Univ Santiago de Compostela, Santiago De Compostela, Spain

Krsnik, I:
 Hosp Puerta de Hierro, Madrid, Spain

 Hosp Univ Puerta de Hierro, Madrid, Spain

Ribera, JM:
 Univ Autonoma Barcelona, ICO Hosp Univ Germans Trias & Pujol, Josep Carreras Leukemia Res Inst, Barcelona, Spain

Cervera, J:
 Hosp Univ & Politecn La Fe, Hematol Dept, Avinguda Fernando Abril Martorell 106, Valencia 46026, Spain

Calasanz, MJ:
 Inst Carlos III, CIBERONC, Madrid, Spain

 CIMA Lab Diagnost, Pamplona, Spain

 Univ Navarra, Pamplona, Spain

Boluda, B:
 Inst Carlos III, CIBERONC, Madrid, Spain

 Hosp Univ & Politecn La Fe, Hematol Dept, Avinguda Fernando Abril Martorell 106, Valencia 46026, Spain

Sobas, M:
 Wroclaw Med Univ, Dept Haematol Blood Neoplasms & Bone Marrow Trans, Wroclaw, Poland

Lowenberg, B:
 Erasmus Univ, Med Ctr, Rotterdam, Netherlands

Sanz, MA:
 Inst Carlos III, CIBERONC, Madrid, Spain

 Hosp Univ & Politecn La Fe, Hematol Dept, Avinguda Fernando Abril Martorell 106, Valencia 46026, Spain

 Univ Valencia, Dept Med, Valencia, Spain

Montesinos, P:
 Inst Carlos III, CIBERONC, Madrid, Spain

 Hosp Univ & Politecn La Fe, Hematol Dept, Avinguda Fernando Abril Martorell 106, Valencia 46026, Spain

 Univ La Fe, Valencia, Spain

Palmer, L:
 Complejo Med Policia Fed, GATLA, La Plata, Buenos Aires, Argentina

Ciarlo, S:
 Hosp Clemente Alvarez, Rosario, Santa Fe, Argentina

Bezares, F:
 Hosp Clemente Alvarez, Rosario, Santa Fe, Argentina

Rojas, F:
 Hosp Clin Buenos Aires, Buenos Aires, DF, Argentina

Longoni, H:
 Hosp Clin Buenos Aires, Buenos Aires, DF, Argentina

Gelemur, M:
 Hosp Gen San Martin, La Plata, Buenos Aires, Argentina

Fazio, P:
 Hosp Gen San Martin, La Plata, Buenos Aires, Argentina

Canepa, C:
 Hosp Rossi, La Plata, Buenos Aires, Argentina

Saba, S:
 Hosp Rossi, La Plata, Buenos Aires, Argentina

Balladares, G:
 Hosp Rossi, La Plata, Buenos Aires, Argentina

Negri, P:
 Hosp San Martin Parana, Parana, Entre Rios, Argentina

Giunta, M:
 Inst Privado Hematol, Parana, Argentina

Milone, J:
 Inst Trasplante Medula Osea, La Plata, Buenos Aires, Argentina

Prates, MV:
 Inst Trasplante Medula Osea, La Plata, Buenos Aires, Argentina

Lafalse, D:
 Hosp Tornu, Buenos Aires, DF, Argentina

Sossa, C:
 Inst FOSCAL, Bucaramanga, Colombia

Jaramillo, F:
 Fdn Valle del Lili, Cali, Colombia

Mayer, J:
 Fac Hosp, Brno, Czech Republic

Protivankova, M:
 Fac Hosp, Brno, Czech Republic

Scwarz, J:
 IHBT, Prague, Czech Republic

Jakubas, B:
 Jagiellonian Univ, Coll Med, Krakow, Poland

Skret-Norwicz, A:
 City Hosp, Rzeszow, Poland

Bizgalska-Skrzypek, P:
 City Hosp, Poznan, Poland

Pluta, A:
 Med Univ, Lodz, Poland

Becht, R:
 Univ Hosp, Szczecin, Poland

Kielbinski, M:
 Univ Hosp, Wroclaw, Poland

Watek, M:
 Ctr Oncol, Kielce, Poland

Paluszewska, M:
 Med Univ, Warsaw, Poland

Gadomska, A:
 City Hosp, Bydgoszcz, Poland

Rzenno, E:
 City Hosp, Krakow, Poland

Piszcz, J:
 Med Univ, Bialystok, Poland

Ejduk, A:
 Inst Hematol, Warsaw, Poland

Dobrzanska, J:
 Inst Hematol, Warsaw, Poland

Calbecka, M:
 City Hosp, Tornu, Poland

Kostyra, A:
 City Hosp, Tornu, Poland

Malek, M:
 Med Univ, Lublin, Poland

Grosicki, S:
 City Hosp, Chorzow, Poland

Knopinska, W:
 Med Univ Sch, Gdansk, Poland

de Heredia, JMB:
 Basurtuko Ospitalea, PETHEMA, Programa Espanol Tratamiento Hemopatias Malignas, Bilbao, Spain

Hernandez, JM:
 Complejo Hosp Segovia, Segovia, Spain

Arias, J:
 Complexo Hosp Xeral Calde, Lugo, Spain

Ramos, F:
 Hosp Univ, Leon, Spain

Roman, A:
 Fdn Jimenez Diaz, Madrid, Spain

Negri, S:
 Hosp Carlos Haya, Malaga, Spain

Rayon, C:
 Hosp Univ Cent Asturias, Oviedo, Spain

Fernandez-Calvo, FJ:
 Hosp Clin Valladolid, Valladolid, Spain

Diaz-Mediavilla, J:
 Hosp Clin San Carlos, Madrid, Spain

Olave, M:
 Hosp Clin Univ Lozano Blesa, Zaragoza, Spain

Amutio, E:
 Hosp Cruces, Baracaldo, Spain

Pedro, C:
 Hosp del Mar, Barcelona, Spain

Gorosquieta, A:
 Hosp Navarra, Pamplona, Spain

Viguria, M:
 Hosp Navarra, Pamplona, Spain

Zudaire, M:
 Hosp Navarra, Pamplona, Spain

Molero, T:
 Hosp Dr Negrin, Las Palmas Gran Canaria, Spain

Sayas, MJ:
 Hosp Dr Peset, Valencia, Spain

Guardia, R:
 Hosp Dr Trueta, Girona, Spain

Rivas, C:
 Hosp Gen Alicante, Alicante, Spain

Esquembre, C:
 Hosp Gen Alicante, Oncol Pediat, Alicante, Spain

Garcia, R:
 Hosp Gen Castellon, Castellon De La Plana, Spain

Alcala, A:
 Hosp Gen Especialidades Ciudad Jaen, Jaen, Spain

Lopez, JA:
 Hosp Gen Especialidades Ciudad Jaen, Jaen, Spain

Rubio, V:
 Hosp Gen Jerez de la Frontera, Jerez de la Frontera, Spain

Amigo, ML:
 Hosp Gen Murcia, Murcia, Spain

Linares, M:
 Hosp Gen Valencia, Valencia, Spain

San Miguel, JDG:
 Hosp Insular Las Palmas, Las Palmas Gran Canaria, Spain

Deben, G:
 Hosp Juan Canalejo, La Coruna, Spain

Escoda, L:
 Hosp Joan 23, Tarragona, Spain

de la Camara, R:
 Hosp La Princesa, Madrid, Spain

Molines, A:
 Hosp Maternoinfantil Las Palmas, Las Palmas Gran Canaria, Spain

Loureiro, C:
 Hosp Meixoeiro, Vigo, Spain

Allegue, MJ:
 Hosp Montecelo, Pontevedra, Spain

Amador, L:
 Hosp Montecelo, Pontevedra, Spain

Marti, JM:
 Hosp Mutua de Terrasa, Terrassa, Spain

Madero, L:
 Hosp Nino Jesus, Madrid, Spain

Lassaletta, A:
 Hosp Nino Jesus, Madrid, Spain

Cabezudo, M:
 Hosp Ntra Sra de Sonsoles, Avila, Spain

Garcia-Larana, J:
 Hosp Ramon & Cajal, Madrid, Spain

Rojas, R:
 Hosp Reina Sofia, Cordoba, Spain

Ortega, F:
 Hosp Rio Carrion, Palencia, Spain

Penarrubia, MJ:
 Hosp Rio Hortega, Valladolid, Spain

Puente, F:
 Hosp San Jorge, Huesca, Spain

Lopez-Ibor, B:
 Hosp San Rafael, Madrid, Spain

Ibanez, J:
 Hosp Santa Maria del Rosell, Cartagena, Spain

Sanchez, P:
 Hosp Severo Ochoa, Leganes, Spain

Novo, A:
 Hosp Son Dureta, Palma de Mallorca, Spain

Font, LL:
 Hosp Tortosa, Tortosa, Spain

Guinea, JM:
 Hosp Txagorritxu, Vitoria, Spain

Montero, A:
 Hosp Univ Aire, Madrid, Spain

Gonzalez, M:
 Hosp Univ Salamanca, Salamanca, Spain

Martin, G:
 Univ La Fe, Valencia, Spain

Martinez, J:
 Univ La Fe, Valencia, Spain

Verdeguer, A:
 Hosp Univ La Fe, Hosp Infantil, Valencia, Spain

Garcia, P:
 Hosp Univ La Paz, Hosp Infantil, Madrid, Spain

Conde, E:
 Hosp Univ Marques de Valdecilla, Santander, Spain

Garcia, J:
 Hosp Univ Principe Asturias, Alcala De Henares, Spain

Capote, FJ:
 Hosp Univ Puerta del Mar, Cadiz, Spain

Krsnik, I:
 Hosp Puerta de Hierro, Madrid, Spain

 Hosp Univ Puerta de Hierro, Madrid, Spain

Bueno, J:
 Hosp Univ Vall dHebron, Barcelona, Spain

Bastida, P:
 Hosp Univ Maternoinfantil Vall DHebron, Barcelona, Spain

Rubio, A:
 Hosp Univ Virgen de la Arrixaca, Murcia, Spain

Fuster, JL:
 Hosp Univ Virgen de la Arrixaca, Pediat, Murcia, Spain

Perez, I:
 Hosp Univ Virgen de la Victoria, Malaga, Spain

Molina, J:
 Hosp Virgen del Camino Infantil, Pamplona, Spain

Mateos, MC:
 Hosp Virgen del Camino Adultos, Pamplona, Spain

Ardaiz, MA:
 Hosp Virgen del Camino Adultos, Pamplona, Spain

Rodriguez-calvillo, M:
 Clin San Miguel, Pamplona, Spain

Poderos, C:
 Hosp Xeral Cies, Vigo, Spain

Arnan, M:
 Inst Catala Oncol, Lhospitalet De Llobregat, Spain

Duarte, R:
 Inst Catala Oncol, Lhospitalet De Llobregat, Spain

Hernandez, JA:
 Hosp Fuenlabrada, Fuenlabrada, Spain

Diaz-Morfa, M:
 Hosp Gen Guadalajara, Guadalajara, Spain

Martin-Chacon, E:
 Hosp Juan Ramon Jimenez, Huelva, Spain

Calvo-Villas, JM:
 Hosp Doctor Jose Molina Orosa, Lanzarote, Spain

Garcia-Belmonte, D:
 Hosp Madrid Norte Sanchinarro, Madrid, Spain

Hernandez-Maraver, D:
 Hosp Univ La Paz, Madrid, Spain

Ossenkoppele, GJ:
 VU Med Ctr Amsterdam, Amsterdam, Netherlands

van der Lelie, J:
 Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands

Sonneveld, P:
 Erasmus Univ, Med Ctr, Rotterdam, Netherlands

Zijlmans, M:
 Erasmus Univ, Med Ctr, Rotterdam, Netherlands

Maertens, J:
 Gasthuisberg Hosp, Leuven, Belgium

de Valk, B:
 OLVG Hosp, Amsterdam, Netherlands

Wijermans, PW:
 Den Haag Hosp, Leyenburg, Netherlands

de Groot, MR:
 Med Spectrum Twente Hosp, Enschede, Netherlands

Schouten, HC:
 Acad Hosp Maastricht, Maastricht, Netherlands

Biesma, DH:
 St Antonius Hosp, Nieuwegein, Netherlands

Kooy, MV:
 Sophia Hosp, Zwolle, Netherlands

de Lisa, E:
 Hosp Maciel, Montevideo, Uruguay

Silesian Med Univ, PALG, Katowice, Poland
ICO Hosp Germans Trias & Pujol, Badalona, Spain
ISSN: 10428194
Editorial
TAYLOR & FRANCIS LTD, 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 60 Número: 5
Páginas: 1146-1155
WOS Id: 000465176200008
ID de PubMed: 30526152
imagen Open Access

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