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These Mutations are Linked with Worse Survival in CMML

Am J Hematol; 2017 Jan; Patnaik, Barraco, et al

DNMT3A mutations were linked with worse overall and leukemia-free survival in people chronic myelomonocytic leukemia (CMML), according to a study involving 261 individuals.

Investigators looked at the impact of such mutations on survival. Among the findings:

  • DNMT3A mutations were seen in 6% of patients.
  • 8 in every 10 DNMT3A mutations were missense.
  • 31% patients had an abnormal karyotype.
  • Patients with DNMT3A mutation survived a median of 8 months, vs 27 months in those with wildtype.
  • DNMT3A mutations were predictive of a shortened leukemia-free survival.

Citation:

Patnaik M, Barraco D, Lasho T, et al. DNMT3A mutations are associated with inferior overall and leukemia-free survival in chronic myelomonocytic leukemia. Am J Hematol. 2017;92(1):56–61. doi:10.1002/ajh.24581.