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
Open Access
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