Clinical outcomes of patients diagnosed with <i>SETBP1</i> mutated myeloid neoplasms
SETBP1 mutations (m) have been previously reported in myeloid neoplasms and are associated with poor prognostic co-mutations and cytogenetic abnormalities. We retrospectively analyzed the charts of 113 patients diagnosed with myeloid neoplasms with SETBP1m. The most common diagnosis was MDS (31%). Cytogenetics were abnormal in 51 cases (46.4%), with monosomy 7 being the most common (41.1%). The most frequent co-mutations were ASXL1 (71.7%), SRSF2 (46.9%), TET2 (20.4%). Higher SETBP1m VAF was associated with proliferative features (<i>p</i> < 0.05). Most SETBP1m (96.5%) were in one of three hotspots (Asp868, Gly870, Ile871), with Asp868m being most frequent (51.3%). Patients with Ile871m had higher number of co-mutations (median= 4) compared to Asp868m and Gly870m (<i>p</i> = 0.07). On multivariate analysis, age ≥ 70 years (<i>p</i> = 0.004) and higher peripheral blood blasts (<i>p</i> = 0.02) had worse OS. Patients with Ile871m had lower OS when compared with Asp868m and Gly870m (5.5 months vs. 17.4 and 17 months, respectively, <i>p</i> = 0.1).
Authors
- Antoine N. Saliba (ORCID: https://orcid.org/0000-0001-5134-7336)
- Aref Al‐Kali (ORCID: https://orcid.org/0000-0002-0824-3715)
- Abhishek Avinash Mangaonkar (ORCID: https://orcid.org/0000-0003-2458-9887)
- Mithun Vinod Shah (ORCID: https://orcid.org/0000-0002-5359-336X)
- Dragan Jevremović (ORCID: https://orcid.org/0000-0002-1792-5822)
- James M. Foran (ORCID: https://orcid.org/0000-0003-1673-1708)
- Rong He
- Anmol Baranwal (ORCID: https://orcid.org/0000-0002-3432-0489)
- Jeanne Palmer (ORCID: https://orcid.org/0000-0002-2185-1504)
- Hassan B. Alkhateeb (ORCID: https://orcid.org/0000-0002-3609-8404)
- Mehrdad Hefazi (ORCID: https://orcid.org/0000-0001-8860-3380)
- Mrinal M. Patnaik (ORCID: https://orcid.org/0000-0001-6998-662X)
- Patricia T. Greipp (ORCID: https://orcid.org/0000-0002-5536-9011)
- Kebede H. Begna (ORCID: https://orcid.org/0000-0003-2730-8593)
- William J. Hogan (ORCID: https://orcid.org/0000-0002-5841-4105)
- Kurt Bessonen
- Yazan Jabban
- Mahmoud Yacout
- David S. Viswanatha
Institutions
- WinnMed (US)
- Cancer Centers of Southwest Oklahoma (US)
- Mayo Clinic in Arizona (US)
- Mayo Clinic in Florida (US)
Publication Details
- Journal
- Leukemia & lymphoma/Leukemia and lymphoma
- Published
- 2024-11-06
- DOI
- https://doi.org/10.1080/10428194.2024.2425048
- Citations
- 1
- Primary Topic
- Acute Myeloid Leukemia Research
- Type
- article
- Field-Weighted Citation Impact
- 0.45