Acute myeloid leukaemia (AML) with t(6;9)(p23;q34) is associated with poor outcome in childhood AML regardless of FLT3-ITD status: A report from the Children's Oncology Group

  • Katherine Tarlock
  • , Todd A. Alonzo
  • , Pilar P. Moraleda
  • , Robert B. Gerbing
  • , Susana C. Raimondi
  • , Betsy A. Hirsch
  • , Yaddanapudi Ravindranath
  • , Beverly Lange
  • , William G. Woods
  • , Alan S. Gamis
  • , Soheil Meshinchi

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

Summary: Acute myeloid leukaemia (AML) with t(6;9)(p23;q34) is a rare subtype associated with FLT3-internal tandem duplication (ITD) and poor outcomes. The clinical outcomes of paediatric patients with t(6;9) with and without FLT3-ITD treated on six consecutive cooperative trails were evaluated. In contrast to patients without t(6;9), those with t(6;9) had a significantly lower complete remission rate, higher relapse rate (RR), and poor overall survival (OS). Within t(6;9) patients, those with and without FLT3-ITD had an OS of 40% and 27% respectively (P > 0·9), demonstrating that t(6;9) is a high-risk cytogenetic feature in paediatric AML and its clinical impact is independent of the presence of FLT3-ITD.

Original languageEnglish (US)
Pages (from-to)254-259
Number of pages6
JournalBritish journal of haematology
Volume166
Issue number2
DOIs
StatePublished - Jul 2014

Keywords

  • Acute myeloid leukaemia
  • Clinical outcome
  • FLT3-ITD
  • Paediatric
  • T(6; 9)(p23; q34)

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