Table 5.
Tumor sample |
Dichotomousb |
Continuous |
|||||
---|---|---|---|---|---|---|---|
N | HR | 95% CI | P ≤ | HR | 95% CI | P≤ | |
All alkylator-treated AG | 84 | 2.57 | [1.505; 4.39] | 0.001 | 1.072 | [1.039; 1.107] | 0.001 |
Exclude outlier MGMTc | 78 | 2.34 | [1.343; 4.07] | 0.003 | 1.109 | [1.032; 1.192] | 0.005 |
Exclude upper and lower 10% of PFS | 68 | 1.88 | [1.074; 3.28] | 0.03 | 1.064 | [1.025; 1.104] | 0.01 |
Exclude 1p 19q deleted | 71 | 2.94 | [1.664; 5.19] | 0.001 | 1.072 | [1.038; 1.109] | 0.001 |
Prior treatment | |||||||
None and surgery or biopsy aloned | 57 | 2.57 | [1.309; 5.03] | 0.006 | 1.124 | [1.071; 1.180] | 0.001 |
Surgery or biopsy followed by RT | 27 | 2.26 | [0.911; 5.63] | 0.08 | 1.045 | [0.933; 1.10] | 0.09 |
By diagnosis | |||||||
Anaplastic Astrocytoma | 35 | 2.40 | [1.102; 5.21] | 0.027 | 1.050 | [1.005; 1.097] | 0.029 |
Anaplastic oligodendroglioma | 24 | 3.58 | [1.283; 9.92] | 0.015 | 1.110 | [1.027; 1.199] | 0.008 |
Anaplastic oligo-astrocytoma | 25 | 2.90 | [1.010; 8.31] | 0.048 | 1.130 | [1.036; 1.234] | 0.006 |
Progression after RT | |||||||
No | 45 | 2.50 | [1.113; 5.62] | 0.027 | 1.112 | [1.027; 1.204] | 0.009 |
Yese | 39 | 3.51 | [1.620; 7.61] | 0.001 | 1.065 | [1.027; 1.106] | 0.001 |
Prior low-grade glioma | |||||||
No | 54 | 2.43 | [1.252; 4.71] | 0.009 | 1.061 | [1.023; 1.100] | 0.002 |
Yes | 30 | 2.39 | [1.000; 5.77] | 0.054 | 1.127 | [1.036; 1.225] | 0.005 |
By alkylator treatment | |||||||
PCV | 42 | 3.72 | [1.825; 7.58] | 0.001 | 1.112 | [1.051; 1.176] | 0.001 |
All other alkylatorsf | 42 | 2.07 | [0.959; 4.85] | 0.064 | 1.061 | [1.019; 1.106] | 0.004 |
None (i.e., RT only) | 49 | 0.746 | [0.357; 1.556] | 0.43 | 0.985 | [0.943; 1.029] | 0.50 |
Overall survivalg | 83 | 1.02 | [0.614; 1.69] | 0.94 | 1.028 | [0.988; 1.070] | 0.17 |
The relationship between MGMT activity in AGs and PFS following alkylating agent therapy was examined by using Cox proportional hazards regression analysis.
Tumor activity was dichotomized at the median of each diagnosis (Table 4).
Limiting activities within the 95% confidence interval for the data eliminated the 6 highest MGMT activities.
Includes seven previously operated and 4 previously biopsied tumors.
Includes the 27 tumors re-operated for recurrence after surgery or biopsy and RT.
Includes 23 tumors treated with chemo-RT, 15 with TMZ and 4 with BCNU.
Date of initial surgery not available for one tumor.