Table 3.
Univariate and multivariable analysis of prognostic potential of biomarkers. Columns represent a univariate analysis in validation cohort followed by results when adjusting for risk in all patients and in each treatment arm separately. Univariate analysis of risk of progression in all patients and in each treatment arm separately is displayed in the fifth row of each cohort. HRs for biomarkers refer to increase in risk per unit increase in concentration.
| Univariate analysis | Multivariable analysis | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||
| +adj for risk | +adjusted for risk (standard arm) |
+adjusted for risk (experimental arm) |
||||||||
| Level | HR (95% CI) | p-value | HR (95% CI) | p-value | HR (95% CI) | p-value | HR (95% CI) | p-value | ||
|
Validation cohort I
| ||||||||||
| Mesothelin (nM) | Risk | (-) | 1.08 (1.03,1.14) | 0.002 | 1.08 (1.02,1.14) | 0.005 | 1.04 (0.97,1.12) | 0.23 | 1.30 (1.13,1.50) | <0.001 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 1.05 (0.61,1.8) | 0.871 | 1.08 (0.51,2.28) | 0.84 | 0.82 (0.37,1.82) | 0.623 | |||
|
| ||||||||||
| FLT4 (ng/mL) | Risk | (-) | 1.02 (1.01,1.04) | 0.008 | 1.02 (1.00,1.04) | 0.011 | 1.02 (1.00,1.04) | 0.063 | 1.02 (1.00,1.05) | 0.102 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 1.14 (0.69,1.90) | 0.602 | 1.17 (0.58,2.38) | 0.663 | 1.14 (0.54,2.42) | 0.726 | |||
|
| ||||||||||
| AGP (g/L) | Risk | (-) | 2.29 (1.40,3.75) | 0.001 | 2.25 (1.37,3.69) | 0.001 | 2.06 (1.04,4.08) | 0.038 | 2.65 (1.21,5.82) | 0.015 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 1.17 (0.71,1.95) | 0.538 | 1.27 (0.62,2.59) | 0.514 | 1.05 (0.48,2.27) | 0.906 | |||
|
| ||||||||||
| CA-125 (ku/L) | Risk | (-) | 1.05 (1.03,1.08) | <0.001 | 1.05 (1.03,1.07) | <0.001 | 1.04 (1.01,1.08) | 0.024 | 1.07 (1.03,1.11) | 0.001 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 1.40 (0.85,2.31) | 0.189 | 1.37 (0.67,2.82) | 0.384 | 1.48 (0.70,3.13) | 0.302 | |||
|
| ||||||||||
| Risk | (-) | (-) | (-) | (-) | (-) | |||||
| Not high | 1 | (-) | 1 | 1 | ||||||
| High | 1.51 (0.92.2.48) | 0.103 | (-) | 1.28 (0.64,2.61) | 0.482 | 1.86 (0.92,3.76) | 0.0842 | |||
|
| ||||||||||
|
Validation cohort II
| ||||||||||
| Mesothelin | Risk | (-) | 1.10 (1.07,1.14) | <0.001 | 1.06 (1.02,1.1) | 0.002 | 1.01 (0.96,1.06) | 0.663 | 1.06 (0.96,1.17) | 0.216 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 3.30 (2.00,5.47) | <0.001 | 6.80 (2.69,17.22) | <0.001 | 2.69 (1.43,5.03) | 0.002 | |||
|
| ||||||||||
| FLT4 | Risk | (-) | 1.01 (1.00,1.02) | 0.050 | 1.01 (0.99,1.02) | 0.286 | 1.01 (0.99,1.03) | 0.32 | 1.01 (0.99,1.03) | 0.423 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 3.96 (2.47,6.33) | <0.001 | 7.51 (3.41,16.54) | <0.001 | 2.86 (1.57,5.22) | 0.001 | |||
|
| ||||||||||
| AGP | Risk | (-) | 2.03 (1.44,2.86) | <0.001 | 1.44 (0.95,2.16) | 0.083 | 1.67 (0.96,2.93) | 0.071 | 1.33 (0.74,2.37) | 0.341 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 3.48 (2.11,5.74) | <0.001 | 6.75 (3.04,14.99) | <0.001 | 2.61 (1.34,5.05) | 0.005 | |||
|
| ||||||||||
| CA-125 | Risk | (-) | 1.03 (1.01,1.04) | <0.001 | 1.02 (1.00,1.03) | 0.028 | 1.00 (0.98,1.02) | 0.792 | 1.06 (1.02,1.10) | 0.001 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 3.81 (2.37,6.15) | <0.001 | 7.83 (3.46,17.68) | <0.001 | 2.54 (1.37,4.68) | 0.003 | |||
|
| ||||||||||
| Risk | (-) | (-) | (-) | (-) | (-) | |||||
| Not high | 1 | (-) | 1 | 1 | ||||||
| High | 4.11 (2.58,6.54) | <0.001 | (-) | 7.56 (3.47,16.5) | <0.001 | 3.03 (1.69,5.43) | <0.001 | |||
|
| ||||||||||
|
Validation cohorts I
and II combined | ||||||||||
| Mesothelin | Risk | (-) | 1.10 (1.07,1.13) | <0.001 | 1.07 (1.04,1.11) | <0.001 | 1.05 (1.02,1.09) | 0.004 | 1.11 (1.03,1.21) | 0.01 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 2.04 (1.42,2.91) | <0.001 | 2.10 (1.2,3.68) | 0.009 | 2.00 (1.22,3.28) | 0.006 | |||
|
| ||||||||||
| FLT4 | Risk | (-) | 1.01 (1.00,1.02) | 0.003 | 1.01 (1.00,1.02) | 0.009 | 1.01 (1.00,1.03) | 0.014 | 1.01 (1.00,1.02) | 0.183 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 2.46 (1.77,3.44) | <0.001 | 2.98 (1.78,5) | <0.001 | 2.33 (1.48,3.68) | <0.001 | |||
|
| ||||||||||
| AGP | Risk | (-) | 2.16 (1.63,2.86) | <0.001 | 1.86 (1.38,2.51) | <0.001 | 2.12 (1.41,3.18) | <0.001 | 1.69 (1.08,2.65) | 0.021 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 2.14 (1.52,3.02) | <0.001 | 2.68 (1.62,4.46) | <0.001 | 2.00 (1.23,3.26) | 0.005 | |||
|
| ||||||||||
| CA-125 | Risk | (-) | 1.03 (1.02,1.04) | <0.001 | 1.00 (1.00,1.00) | <0.001 | 1.01 (1.00,1.03) | 0.045 | 1.05 (1.03,1.08) | <0.001 |
| Not high | (-) | 1 | 1 | 1 | ||||||
| High | (-) | 2.32 (1.65,3.26) | <0.001 | 2.53 (1.52,4.24) | <0.001 | 2.13 (1.34,3.37) | 0.001 | |||
|
| ||||||||||
| Risk | (-) | (-) | (-) | (-) | (-) | |||||
| Not high | 1 | (-) | 1 | 1 | ||||||
| High | 2.53 (1.81,3.52) | <0.001 | (-) | 2.69 (1.62,4.46) | <0.001 | 2.51 (1.61,3.91) | <0.001 | |||