Table 3 Factors associated with impacted/improved overall survival and progression-free survival.

From: Allogeneic Hematopoietic Cell Transplantation in Advanced Systemic Mastocytosis: A retrospective analysis of the DRST and GREM registries

  

Overall survival

  

Progression-free survival

 

Factors

n

HR (95% CI)

P

n

HR (95% CI)

P

Demographics

Age (years)

< 60 vs. ≥ 60

70

1.1 (0.6–2.1)

0.768

70

1.2 (0.7–2.1)

0.589

Sex

male vs. female

70

1.3 (0.7–2.7)

0.434

70

1.2 (0.6–2.3)

0.623

Karnofsky index

≤90% vs. >90%

70

1.4 (0.7–2.8)

0.363

70

1.3 (0.7–2.4)

0.437

Diagnosis before alloHCT

Diagnosis of MCL ± AHN

yes vs. no

70

2.0 (0.9–4.4)

0.088

70

3.5 (1.7–7.5)

<0.001

Diagnosis of AML

yes vs. no

70

1.4 (0.7–2.7)

0.309

70

1.3 (0.7–2.3)

0.401

Cytogenetics

Aberran

yes vs. no

60

1.6 (0.8–3.3)

0.188

60

1.6 (0.8–3.1)

0.156

Complex aberrant

yes vs. no

60

4.2 (1.8–10.0)

0.001

60

3.0 (1.4–6.6)

0.006

Mutations

Absence of KIT D816V

yes vs. no (or unknown)

61

2.8 (1.2–6.5)

0.016

61

2.5 (1.2–5.4)

0.021

Presence of S/A/R

yes vs. no

47

0.8 (0.4–1.7)

0.599

56

0.6 (0.3–1.2)

0.146

≥3 additional somatic mutations

yes vs. no

56

1.3 (0.6–2.8)

0.432

56

1.0 (0.5–2.1)

0.904

Treatment before alloHCT

With tyrosine kinase inhibitors

yes vs. no

70

0.6 (0.3–1.1)

0.091

70

0.5 (0.2–0.9)

0.014

Response status before alloHCTa

For SM

yes vs. no

41

0.4 (0.2–0.9)

0.035

41

0.6 (0.3–1.2)

0.143

For AHN including AML

yes vs. no

43

0.3 (0.1–0.7)

0.004

43

0.5 (0.2–1.0)

0.067

Time to alloHCT

From SM (years)

≥1 vs. <1

70

1.0 (0.5–1.9)

0.946

70

0.8 (0.4–1.4)

0.377

From AHN (years)

≥1 vs. <1

70

1.5 (0.7–3.0)

0.297

70

1.4 (0.7–2.6)

0.332

Biomarkers at alloHCT

Tryptase (µg/L)

≥100 vs. <100

50

0.9 (0.4–1.9)

0.748

50

1.0 (0.5–2.1)

0.928

Mast cell infiltration (%)

≥25 vs. <25

53

1.3 (0.6–2.7)

0.468

53

1.7 (9.9–3.4)

0.123

Transplantation

Conditioning

Reduced intensity vs. myeloablative

69

0.9 (0.5–1.8)

0.871

69

0.9 (0.5–1.7)

0.802

Total body irradiation ≥ 8 Gy

yes vs. no

17

0.9 (0.2–3.1)

0.807

17

0.7 (0.2–2.1)

0.480

HLA match

10/10 vs. others

62

1.2 (0.6–2.5)

0.571

62

1.2 (0.6–2.4)

0.527

alloHCT before 2009

yes vs. no

70

1.1 (0.4–3.1)

0.799

70

1.3 (0.5–3.5)

0.545

alloHCT at a center with above-average numbers of alloHCT in AdvSM b

yes vs. no

70

1.0 (0.5–2.0)

0.964

70

1.1 (0.6–2.0)

0.802

Full donor chimerism (≥95% donor signal within 30 days)

yes vs. no

43

0.5 (0.1–1.9)

0.136

43

0.2 (0.1–1.6)

0.051

  1. alloHCT allogeneic stem cell transplantation, AHN associated hematologic neoplasm, AML acute myeloid leukemia, MCL±AHN mast cell leukemia with/without an associated hematologic neoplasm, S/A/R, SRSF2/ASXL1/RUNX1; SM systemic mastocytosis.
  2. an = 9 patients with upfront alloHCT without any induction therapy were excluded from this analysis.
  3. bCenter performed and reported ≥7 alloHCT.
  4. Significant results are highlighted in bold.