Clinical Edge

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Survival and Mortality in Promyelocytic Leukemia

Are rates the same in sAPL and de novo APL?

There is no difference in overall survival (OS) or early mortality rate between secondary acute promyelocytic leukemia (sAPL) and de novo APL, according to a study of 90 patients with sAPL and 1600 patients with de novo APL. Researchers found:

• Patients with sAPL were more likely than patients with de novo APL to be older, White, and diagnosed after 2005.

• Mortality rate at 1 month (28.9% vs 23.0%) and 5-year OS 42% vs 50%) were similar between sAPL and de novo APL.

• sAPL was associated with similar OS as de novo APL (hazard ratio, 1.11).

Citation: Giri S, Pathak R, Martin MG, Bhatt VR. Survival of de novo and secondary acute promyelocytic leukemia: a propensity-matched analysis of the SEER database. [Published online ahead of print July 25, 2015]. Leuk Lymphoma. doi:10.3109/10428194.2015.1063142.