Clinical impact of tyrosine kinases related mutations in NPM1 mutated acute myeloid leukaemia: A report from the Northern Italy Leukaemia Group (NILG) multicentre randomized trial 02/06
Co-mutational patterns play a role in the clinical outcome of nucleophosmin-1 (NPM1) mutated acute myeloid leukaemia (AML). Tyrosine kinase (TK) related gene mutations are included in these additional mutations, but their impact on prognosis of NPM1-mutated AML is unknown. We analyzed the outcomes of patients with NPM1 AML with TK related mutations treated with intensive chemotherapy in the prospective randomized trial NILG AML 02/06, with regards to NPM1-FLT3-ITD and NPM1-isolated. Data show that additional TK related mutations do not impact the favorable prognosis on NPM1-mutated AML, unlike NPM1-FLT3-ITD mutated AML, for which consolidation with allogeneic stem cell transplantation should be considered for all young and fit patients in first complete remission.
Authors
- Renato Bassan (ORCID: https://orcid.org/0000-0001-8214-2894)
- Orietta Spinelli (ORCID: https://orcid.org/0000-0003-0374-1536)
- Elena Oldani
- Chiara Pavoni (ORCID: https://orcid.org/0000-0001-6720-1606)
- Marco Frigeni (ORCID: https://orcid.org/0000-0003-2493-7749)
- Federico Lussana (ORCID: https://orcid.org/0000-0002-6510-8616)
- Alessandro Rambaldi (ORCID: https://orcid.org/0000-0002-3739-7502)
- Roberta Cavagna (ORCID: https://orcid.org/0000-0003-4353-2210)
- Tamara Intermesoli (ORCID: https://orcid.org/0000-0001-8067-8257)
- Anna Grassi (ORCID: https://orcid.org/0000-0001-7273-4263)
- Clara Belotti
- Martina Milani
- Gianluca Cavallaro
- Silvia Salmoiraghi (ORCID: https://orcid.org/0000-0001-9274-0177)
Institutions
- Ospedale Papa Giovanni XXIII (IT)
- Ospedale dell' Angelo (IT)
Publication Details
- Journal
- Leukemia Research
- Published
- 2025-04-20
- DOI
- https://doi.org/10.1016/j.leukres.2025.107702
- Citations
- 1
- Primary Topic
- Acute Myeloid Leukemia Research
- Type
- article
- Field-Weighted Citation Impact
- 1.77
Funders
- Fondazione Italiana per la Ricerca sul Cancro