Table 3.
No. of patients | Slow platelet engraftment |
Univariate analysis
|
|||
---|---|---|---|---|---|
N = 106 | (%) | OR | 95% CI | P-value | |
Disease status at transplantation | |||||
Active disease with circulating blasts | 31 | 77 | 5.6 | 1.9–16.4 | 0.002 |
Active disease without circulating blasts | 38 | 60 | 2.5 | 0.99–6.4 | 0.05 |
CR | 37 | 38 | 1.0 | NA | |
Donor/patient CMV serostatus | |||||
Non-reactive/non-reactive | 10 | 30 | NA | ||
Reactive/non-reactive | 6 | 17 | NA | ||
Reactive/reactive | 48 | 69 | NA | ||
Non-reactive/reactive | 38 | 53 | NA | ||
Patient R/vs all other | 4.8 | 1.4–16.2 | 0.01 | ||
Number of previous chemotherapy regimens | |||||
At least the median | 38 | 68 | 2.0 | 0.9–4.7 | 0.09 |
Less than the median | 68 | 51 | 1.0 | NA | |
Age, years | |||||
At least 55 | 56 | 66 | 2.1 | 0.96–4.6 | 0.06 |
Less than 55 | 50 | 48 | 1.0 | NA | |
Patient sex | |||||
Female | 42 | 45 | 0.4 | 0.2–0.96 | 0.04 |
Male | 64 | 66 | 1.0 | NA | |
Donor/patient sex match | |||||
M/M | 38 | 63 | 1.0 | NA | |
F/F | 15 | 33 | 0.3 | 0.1–0.96 | 0.04 |
M/F | 27 | 52 | 1.0 | NA | |
F/M | 25 | 72 | 1.0 | NA | |
Karyotype risk group | |||||
High | 40 | 62 | 1.4 | 0.6–3.2 | 0.4 |
Intermediate | 59 | 54 | 1.0 | NA | |
Low | 4 | 75 | |||
Unknown | 3 | 33 | |||
Dose of melphalan, mg/m2 | |||||
100 | 20 | 35 | 0.3 | 0.1–0.9 | 0.03 |
140/180 | 86 | 63 | 1.0 | NA | |
Mylotarg | |||||
Yes | 10 | 70 | 1.8 | 0.4–7.4 | 0.4 |
No | 96 | 56 | 1.0 | NA | |
Use of ATG in conditioninga | |||||
Yes | 18 | 61 | 1.2 | 0.4–3.9 | 0.8 |
No | 30 | 57 | 1.0 | NA | |
Post-SCT day +30 ALC | |||||
Less than 500 × 106/l | 39 | 72 | 2.6 | 1.1–6.1 | 0.03 |
At least 500 × 106/l | 67 | 49 | 1.0 |
Abbreviations: CI = confidence interval; F = female; M = male; MSD = matched sibling donor; MUD = matched unrelated donor; NA = not applicable; OR = odds ratio; PB = peripheral blood; R = reactive.
Early acute GVHD refers to acute GVHD diagnosed before post transplant day +30.
Slow platelet engraftment is defined as occurring at or after post-SCT day + 15 in recipients of a MSD/PB graft, and at or after day +21 in recipients of a BM/MUD graft.
Totals are less than 106 for some variables because of missing data.
Among recipients of a BM graft.