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Acute myeloid leukemia with inv(3)(q21.3q26.2)/t(3;3)(q21.3;q26.2): Study of 61 patients treated with intensive protocols
Author(s) -
Sitges Marta,
Boluda Blanca,
Garrido Ana,
Morgades Mireia,
Granada Isabel,
Barragan Eva,
Arnan Montserrat,
Serrano Josefina,
Tormo Mar,
Miguel Bergua Juan,
Colorado Mercedes,
Salamero Olga,
Esteve Jordi,
Benavente Celina,
PérezEncinas Manuel,
Coll Rosa,
MartíTutusaus JosepMaria,
Brunet Salut,
Sierra Jorge,
Ángel Sanz Miguel,
Montesinos Pau,
Ribera JosepMaria,
Vives Susana
Publication year - 2020
Publication title -
european journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 84
eISSN - 1600-0609
pISSN - 0902-4441
DOI - 10.1111/ejh.13417
Subject(s) - medicine , cumulative incidence , myeloid leukemia , hematopoietic stem cell transplantation , induction chemotherapy , oncology , chemotherapy , myeloid , incidence (geometry) , transplantation , cohort , gastroenterology , physics , optics
Abstract Introduction Inv(3)(q21.3q26.2)/t(3;3)(q21.3;q26.2) is a rare poor prognosis cytogenetic abnormality present in acute myeloid leukemia (AML) and other myeloid neoplasms. Objective The aim of this study was to evaluate the outcome of a cohort of 61 patients with newly diagnosed AML with inv(3)/t(3;3) treated with homogeneous intensive chemotherapy protocols conducted by the Spanish PETHEMA and CETLAM cooperative groups between 1999 and 2017. Methods In this retrospective study the main clinical and biologic parameters were collected. The complete response (CR) rate, the cumulative incidence of relapse (CIR) and the overall survival (OS) were calculated. An analysis of prognostic factors for survival was performed. Results Sixty‐one patients received induction and only 18 (29%) achieved CR (median age, 46 years). Allogeneic hematopoietic stem cell transplantation (alloHSCT) was performed in 36 patients (59%), 15 with active disease. One‐ and 4‐year CIR were 52% and 56%. One‐ and 4‐year OS probabilities were 41% and 13%. By multivariate analysis monosomal karyotype (MK) was associated with poorer OS (HR 2.0, P = .017). Conclusion Inv(3)/t(3;3) AML is a poor prognosis entity with low response to standard chemotherapy and to alloHSCT because of frequent and early relapse. MK was associated with a poorer prognosis. Improved therapeutic strategies are clearly needed.