Table 4.
Effect of increasing mean total MPA Css as fixed covariate on clinical outcomes occurring after day 25a
Donor Type | ||||
---|---|---|---|---|
Related (N=132) | Unrelated (N=176) | |||
OR/HR (95% CI) | P-value | OR/HR (95% CI) | P-value | |
Day 28 T cell chimerism < 50% | 0.83 (0.38–1.82) | 0.63 | 1.39 (0.82–2.37) | 0.23 |
Acute GVHD 2–4 | 0.86 (0.56–1.32) | 0.48 | 0.79 (0.59–1.07) | 0.13 |
Acute GVHD 3–4 | 1.50 (0.62–3.65) | 0.37 | 0.54 (0.29–1.01) | 0.05 |
Chronic GVHD | 0.68 (0.47–0.99) | 0.04 | 0.97 (0.75–1.27) | 0.84 |
Relapse | 1.07 (0.74–1.55) | 0.73 | 1.06 (0.76–1.47) | 0.75 |
Neutrophil nadir | 1.53 (0.90–2.61) | 0.12 | 0.87 (0.62–1.24) | 0.45 |
CMV reactivation | 1.00 (0.63–1.59) | 0.99 | 0.88 (0.64–1.19) | 0.40 |
Non-relapse mortality | 0.68 (0.35–1.34) | 0.27 | 0.58 (0.39–0.86) | 0.007 |
Overall mortality | 1.01 (0.72–1.43) | 0.96 | 0.78 (0.61–1.01) | 0.06 |
MPA Css fit as continuous variable (truncated at 97.5th percentile to avoid outliers); HR per unit of MPA Css (μg/mL), adjusted for Kahl disease risk, antigen/2-allele mismatch, mean CNI concentration during week 2, year of transplant, female donor to male patient, tacrolimus prophylaxis, and fludarbine in conditioning (related donors only). Mean CNI week 2 fit as continuous variable, rescaled as standard deviation units to account for difference between cyclosporine and tacrolimus concentrations.