Table 4.
Factors influencing survival of AML patients relapsing after alloHCT
| Univariate | Multivariate | |||||
|---|---|---|---|---|---|---|
| Variable | N | RR (95% CI) | P-value | RR (95% CI) | P-value | |
| Time from HCT to relapse | <0.0001 | <0.0001 | ||||
| < 6m | 774 | 1.00 | 1.00 | |||
| 6m-2y | 702 | 0.60 (0.53–0.66) | <0.0001 | 0.55 (0.50–0.62) | <0.0001 | |
| 2–3y | 138 | 0.40 (0.33–0.50) | <0.0001 | 0.39 (0.32–0.49) | <0.0001 | |
| ≥ 3y | 174 | 0.30 (0.24–0.37) | <0.0001 | 0.28 (0.23–0.35) | <0.0001 | |
| Year of HCT | ||||||
| 1990–2000 | 745 | 1.00 | NS | NS | ||
| 2001–2010 | 1043 | 1.19 (1.08–1.32) | 0.0006 | |||
| Age | <0.0001 | <0.0001 | ||||
| ≤ 18y | 656 | 1.00 | 1.00 | |||
| 19–40y | 433 | 0.86 (0.75–0.98) | 0.02 | 1.00 (0.87–1.15) | 0.10 | |
| ≥41y | 699 | 1.27 (1.13–1.42) | <0.0001 | 1.42 (1.24–1.64) | <0.0001 | |
| Gender | ||||||
| Male | 988 | 1.00 | NS | NS | ||
| Female | 800 | 0.98 (0.88–1.08) | 0.63 | |||
| Cytogenetics | <0.0001 | 0.02 | ||||
| Favorable | 138 | 1.00 | 1.00 | |||
| Intermediate/Norm | 805 | 1.27 (1.04–1.56) | 0.02 | 1.15 (0.94–1.41) | 0.18 | |
| Unfavorable | 334 | 1.64 (1.32–2.04) | <0.0001 | 1.37 (1.09–1.71) | 0.01 | |
| Unknown | 511 | 1.22 (0.99–1.51) | 0.06 | 1.13 (0.91–1.39) | 0.27 | |
| Conditioning | ||||||
| MA | 1374 | 1.00 | 1.00 | |||
| RIC/NMA | 414 | 1.18 (1.05–1.33) | 0.01 | 0.77 (0.66–0.88) | 0.0002 | |
| Donor Type | <0.0001 | 0.0007 | ||||
| RD/URD-Matched | 1387 | 1.00 | 1.00 | |||
| URD-Mismatched | 56 | 1.65 (1.25–2.17) | 0.0003 | 1.61 (1.22–2.13) | 0.0008 | |
| URD-Unknown | 113 | 1.10 (0.90–1.35) | 0.37 | 1.10 (0.89–1.36) | 0.37 | |
| Cord Blood | 232 | 1.38 (1.19–1.60) | <0.0001 | 1.23 (1.06–1.42) | 0.01 | |
| Active GVHD at relapse | 0.20 | 0.0002 | ||||
| No | 1028 | 1.00 | 1.00 | |||
| Yes | 727 | 1.10 (0.99–1.21) | 0.07 | 1.25 (1.13–1.39) | <0.0001 | |
| Unknown | 33 | 1.01 (0.70–1.47) | 0.95 | 1.05 (0.72–1.52) | 0.80 | |