Research Article

Peripheral Blood WT1 Expression Predicts Relapse in AML Patients Undergoing Allogeneic Stem Cell Transplantation

Table 1

Characteristics and relapse incidence of AML patients grouped according to PB-WT1/ABL × 104 ≥ 5 or <5 before allo-SCT.

VariableTotalPB-WT1/ABL × 104 ≥ 5 PB-WT1/ABL × 104 < 5
()()()

Median age range51 (24–63)49 (42–63)51 (24–63)NS
Disease phase at allo-SCT
 First CR22 (92%)10 (91%)12 (92%)NS
 Second 2 (8%)1 (9%)1 (8%)
 or subsequent remission
Specific molecular marker
 Flt3-ITD4 (17%)04 (31%)0.04
 NPM-1 mutation6 (25%)5 (45%)1 (8%)0.03
Donor source
 Sibling8 (33%)6 (55%)2 (15%)0.04
 MUD16 (67%)5 (45%)11 (85%)
Conditioning
 MAC11 (46%)5 (45%)6 (46%)NS
 RIC13 (54%)6 (55%)7 (54%)
Stem cells source
 BM3 (12%)03 (23%)NS
 PB21 (88%)11 (100%)10 (77%)
Posttransplant relapse12 (50%)8 (73%)4 (31%)0.04
Median time65 months6 monthsNS
(range) (2–12) (2–9) (6–12)

CR: complete remission; MUD: matched unrelated donor; UCB: umbilical cord blood; MAC: myeloablative conditioning; RIC: reduced-intensity conditioning; BM: bone marrow; PBSC: peripheral blood stem cells; NS: nonsignificant.