Table 3 Uni- and multivariate Cox proportional hazards analysis findings for overall survival rate and time to castration resistance in metastatic and non-metastatic CRPC cases.

From: Longitudinal change in castration-resistant prostate cancer biomarker AST/ALT ratio reflects tumor progression

Characteristics

Overall survival

Time to castration resistance

Univariate

Multivariate

Univariate

Multivariate

HR (95% CI)

p value

HR (95% CI)

p value

HR (95% CI)

p value

HR (95% CI)

p value

Non-metastatic CRPC

 Age (≥ 73.5 years)

4.072 (1.35–12.3)

0.013

3.892 (1.16–13.1)

0.028

2.032 (1.01–3.84)

0.029

1.938 (0.99–3.81)

0.055

 Body mass index (≥ 23.0 kg/m2)

0.476 (0.17–1.30)

0.148

1.646 (0.90–3.02)

0.108

 ECOG PS (≥ 1)

3.037 (1.10–8.42)

0.033

3.398 (1.12–10.3)

0.031

0.646 (0.30–1.40)

0.267

 Hemoglobin (≥ 13.2 g/dL)

0.837 (0.27–2.60)

0.758

0.353 (0.18–0.71)

0.004

0.249 (0.11–0.56)

 < 0.001

 White blood cells (≥ 6000 × 109/L)

1.478 (0.55–3.95)

0.436

1.983 (1.01–3.66)

0.028

2.925 (1.49–5.76)

0.002

 Lactate dehydrogenase (≥ 215 U/L)

1.149 (0.42–3.18)

0.789

0.558 (0.31–1.01)

0.055

 Alkaline phosphatase (≥ 242 U/L)

0.481 (0.14–1.69)

0.253

0.975 (0.52–1.81)

0.937

 Total protein (≥ 7.4 g/dL)

1.157 (0.42–3.20)

0.779

1.061 (0.60–1.88)

0.840

 Albumin (≥ 4.1 g/dL)

0.818 (0.30–2.23)

0.695

0.672 (0.37–1.21)

0.187

 AST (≥ 21 IU)

2.378 (0.80–7.06)

0.119

1.092 (0.61–1.97)

0.771

 ALT (≥ 15 IU)

0.433 (0.17–1.13)

0.088

0.831 (0.46–1.52)

0.546

 CRP (≥ 0.2 mg/dL)

0.966 (0.37–2.55)

0.945

1.534 (0.85–2.77)

0.156

 PSA levels (≥ 99.1 ng/mL)

0.847 (0.23–3.07)

0.800

1.586 (0.85–2.95)

0.145

 AST/ALT ratio (≥ 1.467)

4.738 (1.65–13.6)

0.004

3.461 (1.16–10.3)

0.026

1.201 (0.67–2.17)

0.546

 Clinical T stage (T4)

1.028 (0.13–7.96)

0.979

1.961 (0.77–5.03)

0.161

 Gleason score (≥ 9)

1.040 (0.38–2.85)

0.939

1.847 (1.01–3.39)

0.047

1.600 (0.86–2.99)

0.141

 Regional lymph node metastasis

2.441 (0.65–9.16)

0.186

2.894 (1.31–6.40)

0.009

4.915 (2.03–11.9)

 < 0.001

 Local therapy

3.039 (0.84–11.0)

0.091

0.868 (0.45–1.66)

0.669

Metastatic CRPC

 Age (≥ 73.5 years)

1.465 (0.80–2.70)

0.219

1.465 (0.80–2.70)

0.219

 Body mass index (≥ 23.0 kg/m2)

0.524 (0.26–1.04)

0.066

0.997 (0.63–1.57)

0.990

 ECOG PS (≥ 1)

1.695 (0.89–3.22)

0.107

0.831 (0.50–1.38)

0.477

 Hemoglobin (≥ 13.2 g/dL)

0.592 (0.32–1.08)

0.089

0.772 (0.50–1.20)

0.249

 White blood cells (≥ 6000 × 109/L)

1.489 (0.81–2.74)

0.202

0.946 (0.61–1.48)

0.808

 Lactate dehydrogenase (≥ 215 U/L)

1.141 (0.62–2.10)

0.673

1.077 (069–1.69)

0.747

 Alkaline phosphatase (≥ 242 U/L)

1.628 (0.85–3.13)

0.144

1.083 (0.69–1.70)

0.728

 Total protein (≥ 7.4 g/dL)

1.059 (0.58–1.94

0.852

0.854 (0.54–1.35)

0.496

 Albumin (≥ 4.1 g/dL)

0.621 (0.34–1.15)

0.128

0.662 (0.93–2.26)

0.104

 AST (≥ 21 IU)

1.143 (0.62–2.12)

0.672

1.446 (0.80–2.73)

0.219

 ALT (≥ 15 IU)

0.779 (0.41–1.47)

0.441

1.054 (0.67–1.66)

0.819

 CRP (≥ 0.2 mg/dL)

1.240 (0.67–2.28)

0.491

1.190 (0.76–1.86)

0.445

 PSA level (≥ 99.1 ng/mL)

0.935 (0.50–1.75)

0.800

0.959 (0.61–1.50)

0.586

 AST/ALT ratio (≥ 1.467)

3.043 (1.43–6.47)

0.004

2.446 (1.10–5.43)

0.028

1.968 (1.21–3.20)

0.006

1.491 (0.88–2.54)

0.140

 Clinical T stage (T4)

1.864 (0.90–3.86)

0.094

2.001 (1.11–3.62)

0.022

1.073 (0.56–2.08)

0.833

 Gleason score (≥ 9)

2.349 (1.24–4.44)

0.009

2.053 (1.08–3.92)

0.029

1.789 (1.13–2.84)

0.014

1.406 (0.87–2.28)

0.169

 Regional lymph node metastasis

2.688 (1.39–5.19)

0.003

1.841 (0.93–3.66)

0.082

2.489 (1.55–3.99)

 < 0.001

2.048 (1.21–3.47)

0.008

 Bone metastasis

4.442 (0.60–32.7)

0.143

2.000 (0.72–5.56)

0.184

 Any viscera metastasis

0.611 (0.31–1.20)

0.151

0.656 (0.39–1.10)

0.107

 Tumor burden (high)

1.841 (0.88–3.87)

0.107

1.547 (0.94–2.55)

0.088

  1. HR hazard ratio, CRPC castration-resistant prostate cancer, ECOG PS Eastern Cooperative Oncology Group Performance Status scale, AST aspartate aminotransferase, ALT alanine aminotransferase, CRP c-reacted protein, PSA prostate-specific antigen, AA antiandrogen.