Table 2 Univariate Cox regression analysis of bone markers in renal cell carcinoma after 18 months of ZOL treatment

From: Biochemical markers of bone turnover and clinical outcome in patients with renal cell and bladder carcinoma with bone metastases following treatment with zoledronic acid: The TUGAMO study

Variable

HR

95% CI (HR)

P-value

Death

Abnormal baseline β-CTX levels (>0.548 ng ml−1)

2.834

1.076–7.465

0.035a

High baseline β-CTX levels (>0.7 ng ml−1, ROC cutoff)

6.146

2.223–16.990

<0.001a

No normalisation of β-CTX levels in v1b

Abnormal baseline BALP levels (>15 UI l−1)

1.226

0.475–3.165

0.674

High baseline BALP levels (>17.9 UI l−1, ROC cutoff)

0.886

0.35–2.24

0.798

No normalisation of BALP levels in v1

2.283

0.54–9.662

0.262

Abnormal baseline PINP levels (>62 ng ml−1)

1.644

0.655–4.123

0.29

High baseline PINP levels (>110.3 ng ml−1, ROC cutoff)

2.810

0.903–8.747

0.074

No normalisation of PINP levels in v1

2.511

0.614–10.275

0.2

Disease progression

Abnormal baseline β-CTX levels (>0.548 ng ml−1)

4.036

1.364–11.938

0.012a

High baseline β-CTX levels (>0.641 ng ml−1, ROC cutoff)

8.055

2.524–25.71

<0.001a

No normalisation of β-CTX levels in v1b

Abnormal baseline BALP levels (>15 UI l−1)

1.028

0.355–2.976

0.96

High baseline BALP levels (>12.4 UI l−1, ROC cutoff)

1.981

0.549–7.151

0.296

No normalisation of BALP levels in v1

1.097

0.227–5.315

0.908

Abnormal baseline PINP levels (>62 ng ml−1)

1.681

0.589–4.793

0.331

High baseline PINP levels (>87.5 ng ml−1, ROC cutoff)

1.723

0.599–4.957

0.312

No normalisation of PINP levels in v1

2.523

0.709–8.982

0.153

Skeletal-related events

Abnormal baseline β-CTX levels (>0.548 ng ml−1)

0.881

0.268–2.897

0.834

High baseline β-CTX levels (>0.157 ng ml−1, ROC cutoff)

2.992

0.386–23.211

0.294

No normalisation of β-CTX levels in v1b

Abnormal baseline BALP levels (>15 UI l−1)

2.107

0.694–6.393

0.188

High baseline BALP levels (>95.1 UI l−1, ROC cutoff)

3.634

1.071–12.323

0.038a

No normalisation of BALP levels in v1

3.050

0.699–13.303

0.138

Abnormal baseline PINP levels (>62 ng ml−1)

3.155

0.91–10.934

0.070

High baseline PINP levels (>53 ng ml−1, ROC cutoff)

3.253

0.886–11.939

0.075

No normalisation of PINP levels in v1

1.99

0.559–7.079

0.288

  1. Abbreviations: BALP=bone alkaline phosphatase; β-CTX=beta-isomer of carboxy-terminal telopeptide of type I collagen; CI=confidence interval; HR=hazard ratio; PINP=procollagen type I amino-terminal propeptide; ROC=receiver operating characteristic; v1=visit 1; ZOL=zoledronic acid.
  2. Relative changes between v1 and v0 did not show statistically significant results, and they are not shown.
  3. aStatistically significant results.
  4. bThere were no patients with abnormal levels in v1.