دورية أكاديمية
An adapted European LeukemiaNet genetic risk stratification for acute myeloid leukemia patients undergoing allogeneic hematopoietic cell transplant. A CIBMTR analysis.
العنوان: | An adapted European LeukemiaNet genetic risk stratification for acute myeloid leukemia patients undergoing allogeneic hematopoietic cell transplant. A CIBMTR analysis. |
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المؤلفون: | Jimenez Jimenez, Antonio M., De Lima, Marcos, Komanduri, Krishna V., Wang, Trent P., Zhang, Mei-Jie, Chen, Karen, Abdel-Azim, Hisham, Abid, Muhammad Bilal, Aljurf, Mahmoud, Alkhateeb, Hassan, Assal, Amer, Bacher, Ulrike, Baron, Frédéric, Battiwalla, Minoo, Beitinjaneh, Amer, Bejanyan, Nelli, Bhatt, Vijaya Raj, Byrne, Michael, Cahn, Jean-Yves, Cairo, Mitchell, Castillo, Paul, Copelan, Edward, DeFilipp, Zachariah, Perez, Miguel Angel Diaz, Elsawy, Mahmoud, Gale, Robert Peter, George, Biju, Grunwald, Michael R., Hildebrandt, Gerhard C., Hogan, William J., Kanakry, Christopher G., Kansagra, Ankit, Kharfan-Dabaja, Mohamed A., Khera, Nandita, Krem, Maxwell M., Lazaryan, Aleksandr, Maakaron, Joseph, Martino, Rodrigo, McGuirk, Joseph, Michelis, Fotios V., Milone, Giuseppe, Mishra, Asmita, Murthy, Hemant S., Mussetti, Alberto, Nathan, Sunita, Nishihori, Taiga, Olsson, Richard F., Palmisiano, Neil, Patel, Sagar, Saad, Ayman, Seo, Sachiko, Sharma, Akshay, Solh, Melhem, Verdonck, Leo F., Wirk, Baldeep, Yared, Jean A., Litzow, Mark, Kebriaei, Partow, Hourigan, Christopher S., Saber, Wael, Weisdorf, Daniel |
المصدر: | Bone Marrow Transplantation, 56, 3068-3077 (2021) |
بيانات النشر: | Nature Publishing Group |
سنة النشر: | 2021 |
المجموعة: | University of Liège: ORBi (Open Repository and Bibliography) |
مصطلحات موضوعية: | Human health sciences, Hematology, Sciences de la santé humaine, Hématologie |
الوصف: | peer reviewed ; Cytogenetic and molecular abnormalities are known to influence post-transplant outcomes in acute myeloid leukemia (AML) but data assessing the prognostic value of combined genetic models in the HCT setting are limited. We developed an adapted European LeukemiaNet (aELN) risk classification based on available genetic data reported to the Center for International Blood and Marrow Transplant Research, to predict post-transplant outcomes in 2289 adult AML patients transplanted in first remission, between 2013 and 2017. Patients were stratified according to aELN into three groups: favorable (Fav, N = 181), intermediate (IM, N = 1185), and adverse (Adv, N = 923). Univariate analysis demonstrated significant differences in 2-year overall survival (OS) (Fav: 67.7%, IM: 64.9% and Adv: 53.9%; p < 0.001); disease-free survival (DFS) (Fav: 57.8%, IM: 55.5% and Adv: 45.3; p < 0.001) and relapse (Fav: 28%, IM: 27.5% and Adv: 37.5%; p < 0.001). Multivariate analysis (MVA) revealed no differences in outcomes between the Fav and IM groups, thus they were combined. On MVA, patients in the Adv risk group had the highest risk of relapse (HR 1.47 p ≤ 0.001) and inferior DFS (HR 1.35 p < 0.001) and OS (HR 1.39 p < 0.001), even using myeloablative conditioning or in those without the pre-HCT measurable-residual disease. Novel approaches to mitigate relapse in this high-risk group are urgently needed. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
تدمد: | 0268-3369 1476-5365 |
العلاقة: | urn:issn:0268-3369; urn:issn:1476-5365; https://orbi.uliege.be/handle/2268/264837Test; info:hdl:2268/264837; https://orbi.uliege.be/bitstream/2268/264837/1/An%20adapted%20European%20LeukemiaNet%20genetic%20risk%20stratification%20for%20acute%20myeloid%20leukemia%20patients%20undergoing%20allogeneic%20hematopoietic%20cell%20transplant%20A%20CIBMTR%20analysis.pdfTest; scopus-id:2-s2.0-85115850097; info:pmid:34584240 |
DOI: | 10.1038/s41409-021-01450-3 |
الإتاحة: | https://doi.org/10.1038/s41409-021-01450-3Test https://orbi.uliege.be/handle/2268/264837Test https://orbi.uliege.be/bitstream/2268/264837/1/An%20adapted%20European%20LeukemiaNet%20genetic%20risk%20stratification%20for%20acute%20myeloid%20leukemia%20patients%20undergoing%20allogeneic%20hematopoietic%20cell%20transplant%20A%20CIBMTR%20analysis.pdfTest |
حقوق: | open access ; http://purl.org/coar/access_right/c_abf2Test ; info:eu-repo/semantics/openAccess |
رقم الانضمام: | edsbas.563D82A3 |
قاعدة البيانات: | BASE |
تدمد: | 02683369 14765365 |
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DOI: | 10.1038/s41409-021-01450-3 |