CSF3R MUTATIONS IN CONGENITAL NEUTROPENIA, A LONG STORY: DATA FROM THE ITALIAN REGISTRY
50% h-ATG vs. 46% r-ATG) and at last follow-up (41% vs. 39%) were comparable between two groups.The median ANC at diagnosis was lower in non-responders (70/l) than that of responders (218/ l, p<0.01).HSCT was performed in 59% (h-ATG) and 55% (r-ATG) of patients.Clonal evolution occurred in three patients (all r-ATG).Five-year overall survival (OS) favored h-ATG (95% vs. 85%, p=0.07), while failure-free survival was similar between two groups.Responders at 6 months had superior OS (97% vs. 79%, p<0.01).Non-responders with an ANC of <200/l at day 90 tended to have poorer OS compared to those with an ANC of >200/l (75% vs. 90%, p = 0.09).Conclusions: Although the response rates and FFS were similar between the two ATG groups, OS was higher in patients receiving h-ATG, indicating a potential advantage of h-ATG.Patients with persistent severe neutropenia may benefit from early HSCT.
Authors
- Francesco Pegoraro (ORCID: https://orcid.org/0000-0002-4954-5744)
- Angelica Barone (ORCID: https://orcid.org/0009-0004-1623-3842)
- Marinella Veltroni
- Giorgio Costagliola (ORCID: https://orcid.org/0000-0002-4160-3727)
- Francesco Saettini (ORCID: https://orcid.org/0000-0003-0767-3905)
- Antonio Marzollo (ORCID: https://orcid.org/0000-0003-2177-8500)
- Giovanna Giagnuolo (ORCID: https://orcid.org/0000-0001-9240-0930)
- Laura Giunti (ORCID: https://orcid.org/0009-0009-8081-3039)
- Maria Carla Giarratana
- Marta Pillon (ORCID: https://orcid.org/0000-0002-1190-3198)
- Maria Fay Cortella
- Francesca Fioredda (ORCID: https://orcid.org/0000-0003-1504-5511)
- Baldassarre Martire
- Carlo Dufour
- Elena Mastrodicasa
- Agnese Roveta
Institutions
- University of Parma (IT)
- University of Padua (IT)
- Istituto Giannina Gaslini (IT)
- Ospedale di Rivoli (IT)
- Fondazione Matilde Tettamanti Menotti De Marchi (IT)
- Meyer Children's Hospital (IT)
- Santobono Children's Hospital (IT)
- Azienda Ospedaliera Universitaria Pisana (IT)
- University of Florence (IT)
- Misericordia University (US)
Publication Details
- Journal
- EJC Paediatric Oncology
- Published
- 2025-11-05
- DOI
- https://doi.org/10.1016/j.ejcped.2025.100399
- Primary Topic
- Cerebrospinal fluid and hydrocephalus
- Type
- article
- Field-Weighted Citation Impact
- 0.00