Table 4.
Multivariate analysis of factors associated with risk of NRM, acute GvHD, chronic GvHD, relapse, PFS and OS.
| Variable | HR (95% Confidence interval) | P-value |
|---|---|---|
| Non relapse mortalitya | ||
| MUD | Ref | Poverall=0.08 |
| UCB | 1.22 (0.87-1.72) | 0.24 |
| MMUD | 1.32 (1.03-1.69) | 0.02 |
| MMUD vs. UCB | 1.07 (0.76-1.52) | 0.68 |
| Grade II-IV acute GvHDb | ||
| MUD | Ref | Poverall<0.001 |
| UCB | 0.68 (0.46-1.00) | 0.050 |
| MMUD | 1.44 (1.18-1.75) | <0.001 |
| MMUD vs UCB | 2.12 (1.52-2.95) | <0.001 |
| Chronic GvHDc | ||
| MUD | Ref | Poverall<0.001 |
| UCB | 0.35 (0.21-0.56) | <0.001 |
| MMUD | 1.15 (0.90-1.48) | 0.240 |
| MMUD vs UCB | 3.32 (1.99-5.54) | <0.001 |
| Relapsed | ||
| MUD | Ref | Poverall=0.11 |
| UCB | 1.08 (0.72-1.63) | 0.70 |
| MMUD | 0.75 (0.58-0.98) | 0.03 |
| MMUD vs UCB | 0.69 (0.42-1.14) | 0.15 |
| Progression-free survivale | ||
| MUD | Ref | Poverall=0.24 |
| UCB | 1.22 (0.96-1.54) | 0.09 |
| MMUD | 1.07 (0.88-1.29) | 0.49 |
| MMUD vs UCB | 0.88 (0.67-1.13) | 0.31 |
| Overall Survivalf | ||
| MUD | Ref | Poverall=0.16 |
| UCB | 1.14 (0.89-1.47) | 0.29 |
| MMUD | 1.19 (0.98-1.45) | 0.08 |
| MMUD vs UCB | 1.04 (0.77-1.40) | 0.77 |
Abbreviations: HCT hematopoietic cell transplantation, UCB umbilical cord blood; MUD matched unrelated donor, MMUD 1 Ag or allele mismatched unrelated donor, GvHD graft versus host disease, ATG antithymocyte globulin, CsA cyclosporine, MAC myeloablative conditioning, RIC reduced intensity conditioning.
Other prognostic factors in the models
Age, time from diagnosis to HCT, race, conditioning regimen, prior auto HCT, & year of HCT
ATG/alemtuzumab use, GvHD prophylaxis, time from diagnosis to HCT, & disease status.
ATG/alemtuzumab use
ATG/alemtuzumab use
Year of HCT
Age, time from diagnosis to HCT, conditioning regimen, & year.