Table 3 Multivariate analysis of transplant outcomes.

From: Impact of pre-transplant induction cycles on post-transplant outcomes in patients with ALL: a study from the ALWP EBMT

  

aGvHD II-IV

aGvHD III-IV

cGvHD

Extensive cGvHD

RI

NRM

Covariate

Group

OR (95% CI)

p

OR (95% CI)

p

HR (95% CI)

p

OR (95% CI)

p

HR (95% CI)

p

HR (95% CI)

p

Number of induction cycles

1

            

2

0.87 (0.66–1.15)

0.33

0.82 (0.51–1.32)

0.41

1.01 (0.78–1.3)

0.93

1.15 (0.79–1.65)

0.46

1.45 (1.11–1.91)

0.007

1.22 (0.86–1.73

0.27

≥3

1.27 (0.87–1.86)

0.22

1.05 (0.54–2.03)

0.88

1.23 (0.83–1.84)

0.29

1.27 (0.73–2.21)

0.39

1.64 (1.06–2.52)

0.025

1.72 (0.97–3.02)

0.06

Patient age (per 10 years)

 

1.03 (0.96–1.11)

0.36

0.94 (0.84–1.07)

0.35

1.11 (1.04–1.19)

0.002

1.09 (0.99–1.2)

0.07

1.07 (0.98–1.16)

0.12

1.31 (1.18–1.46)

<0.001

Karnofsky performance status score

≥90

            

<90

0.87 (0.73–1.05)

0.15

0.99 (0.73–1.34)

0.93

1.11 (0.94–1.32)

0.21

1.12 (0.87–1.42)

0.38

1.03 (0.84–1.27)

0.75

1.17 (0.91–1.52)

0.21

Female donor to male recipient

Yes

1.02 (0.83–1.24)

0.88

1.17 (0.83–1.64)

0.37

1.35 (1.12–1.63)

0.001

1.29 (0.99–1.7)

0.06

0.98 (0.77–1.25)

0.88

0.88 (0.64–1.21)

0.43

Type of ALL

T

            

Ph+

0.97 (0.78–1.21)

0.77

0.96 (0.67–1.38)

0.83

1.06 (0.86–1.32)

0.57

1.08 (0.79–1.47)

0.63

0.96 (0.73–1.26)

0.78

1.05 (0.76–1.47)

0.76

Ph -

0.99 (0.78–1.24)

0.9

0.73 (0.49–1.09)

0.12

0.98 (0.78–1.23)

0.83

1.03 (0.75–1.43)

0.85

1.04 (0.78–1.37)

0.8

0.97 (0.68–1.39)

0.88

Ph NA

0.8 (0.58–1.09)

0.16

0.66 (0.38–1.15)

0.14

0.97 (0.72–1.3)

0.83

0.86 (0.55–1.36)

0.52

0.94 (0.65–1.37)

0.74

1.11 (0.71–1.72)

0.65

Type of conditioning

RIC

            

MAC-TBI

1.53 (1.18–1.99)

0.001

1.2 (0.77–1.86)

0.41

1.31 (1.03–1.67)

0.026

1.17 (0.83–1.65)

0.36

0.48 (0.37–0.63)

<0.001

1.62 (1.13–2.34)

0.009

MAC-chemo

1.08 (0.77–1.5)

0.67

0.89 (0.51–1.54)

0.66

1.27 (0.94–1.72)

0.12

1.14 (0.74–1.76)

0.55

0.75 (0.54–1.04)

0.08

1.73 (1.11–2.69)

0.015

Stem cell source

Bone marrow

            

Peripheral blood

1.01 (0.82–1.24)

0.95

1.01 (0.72–1.42)

0.95

1.36 (1.11–1.66)

0.003

1.65 (1.21–2.25)

0.002

0.86 (0.68–1.09)

0.21

1.23 (0.91–1.67)

0.17

Year of transplant (per 5 years)

 

0.9 (0.83–0.97)

0.008

0.87 (0.76–0.99)

0.04

0.78 (0.72–0.85)

<0.001

0.87 (0.78–0.98)

0.02

0.84 (0.76–0.92)

<0.001

0.69 (0.61–0.78)

<0.001

  

LFS

OS

GRFS

Covariate

Group

HR (95% CI)

p

HR (95% CI)

p

HR (95% CI)

p

Number of induction cycles

1

      

2

1.35 (1.09–1.68)

0.007

1.34 (1.06–1.7)

0.016

1.18 (0.98–1.43)

0.07

≥3

1.67 (1.18–2.35)

0.004

1.86 (1.28–2.68)

0.001

1.31 (0.98–1.76)

0.06

Patient age (per 10 years)

 

1.16 (1.08–1.24)

<0.001

1.24 (1.15–1.33)

<0.001

1.08 (1.02–1.14)

0.008

Karnofsky performance status score

≥90

      

<90

1.1 (0.93–1.29)

0.27

1.18 (0.98–1.41)

0.07

1.09 (0.96–1.25)

0.19

Female donor to male recipient

Yes

0.94 (0.77–1.14)

0.53

0.92 (0.74–1.15)

0.47

1.07 (0.92–1.26)

0.37

Type of ALL

T

      

Ph+

0.99 (0.8–1.22)

0.93

0.76 (0.6–0.96)

0.019

0.96 (0.8–1.14)

0.6

Ph -

1.01 (0.81–1.26)

0.91

0.95 (0.75–1.21)

0.69

0.93 (0.78–1.12)

0.44

Ph NA

1.01 (0.76–1.35)

0.93

1.06 (0.78–1.44)

0.7

0.87 (0.68–1.11)

0.25

Type of conditioning

RIC

      

MAC-TBI

0.77 (0.62–0.95)

0.015

0.91 (0.72–1.16)

0.4

0.87 (0.72–1.04)

0.12

MAC-chemo

1.02 (0.79–1.33)

0.88

1.25 (0.93–1.68)

0.13

0.95 (0.76–1.19)

0.65

Stem cell source

Bone marrow

      

Peripheral blood

0.99 (0.82–1.2)

0.93

1.07 (0.86–1.32)

0.56

1.12 (0.96–1.32)

0.154

Year of transplant (per 5 years)

 

0.77 (0.72–0.84)

<0.001

0.72 (0.66–0.79)

<0.001

0.87 (0.82–0.93)

<0.001

  1. ALL acute lymphoblastic leukemia, Ph Philadelphia chromosome, MAC myeloablative conditioning, RIC reduced intensity conditioning, TBI total body irradiation, aGVHD acute graft-versus-host-disease, cGVHD chronic graft-versus-host-disease, NRM non-relapse mortality, RI relapse incidence, LFS leukemia-free survival, OS overall survival, GRFS GVHD-free relapse-free survival.