Table 3 Multivariate analysis of transplant outcomes.
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 |