Table 5.
Factors Associated with Day 28 CR/PR, 6 Month Mortality and TRM: Multivariate Analysis
Factors | N | Odds Ratio of day 28 CR/PR (95% CI) | P | Relative Risk of Mortality (95% CI) | P | Relative Risk of TRM (95% CI) | P |
---|---|---|---|---|---|---|---|
Age | |||||||
<20* | 421 | 1.0 | 1.0 | 1.0 | |||
21–40** | 459 | 0.8 (0.6–1.1) | 0.10 | 1.3 (1.0–1.8) | 0.03 | 1.6 (1.2–2.1) | 0.004 |
41+ | 843 | 0.8 (0.6–1.1) | 0.15 | 1.7 (1.3–2.3) | <0.001 | 2.4 (1.8–3.3) | <0.001 |
Disease Risk† | |||||||
Standard* | 812 | 1.0 | 1.0 | 1.0 | |||
High | 717 | 1.1 (0.9–1.4) | 0.45 | 1.2 (1.0–1.5) | 0.05 | 1.1 (0.9–1.3) | 0.52 |
Non–malignant | 191 | 0.9 (0.6–1.3) | 0.47 | 1.06 (0.8–1.5) | 0.74 | 1.8 (1.3–2.5) | 0.001 |
Conditioning Regimen | |||||||
Myeloablative* | 1273 | 1.0 | 1.0 | 1.0 | |||
Reduced Intensity | 450 | 1.2 (0.9–1.6) | 0.24 | 1.0 (0.8–1.2) | 0.78 | 0.9 (0.6–1.1) | 0.25 |
Donor Type | |||||||
Matched Sibling* | 598 | 1.0 | 1.0 | 1.0 | |||
Other related | 73 | 0.9 (0.5–1.5) | 0.62 | 1.5 (1.0–2.2) | 0.07 | 1.6 (1.0–2.6) | 0.42 |
Matched URD | 626 | 0.7 (0.6–0.9) | 0.01 | 1.5 (1.2–1.8) | <0.001 | 1.6 (1.2–2.0) | <0.001 |
Mismatched URD | 164 | 0.3 (0.2–0.5) | <0.001 | 2.2 (1.6–2.9) | <0.001 | 2.4 (1.7–3.2) | <0.001 |
UCB | 262 | 0.9 (0.7–1.3) | 0.45 | 1.1 (0.8–1.4) | 0.67 | 1.0 (0.7–1.4) | 0.81 |
Days from HCT to Initial Steroid Rx | |||||||
<28 days* | 717 | 1.0 | 1.0 | 1.0 | |||
≥28 days | 1006 | 1.2 (1.0–1.5) | 0.06 | 0.8 (0.7–0.9) | 0.006 | 0.8 (0.7–1.0) | 0.02 |
GVHD Risk†† | |||||||
Standard Risk* | 1454 | 1.0 | 1.0 | 1.0 | |||
High Risk | 269 | 0.3 (0.2–0.4) | <0.001 | 2.1 (1.7–2.6) | <0.001 | 2.5 (2.0–3.2) | <0.001 |
reference group
comparison of 21–40 vs. 41+: for CR/PR, P=0.27; for mortality, P=0.02; for TRM, P<0.001.
Standard-risk indicates acute leukemia in CR1 or CR2, CML in first chronic phase, MDS without excess blasts, or non-malignant disease. High risk indicates all others.
As defined in Table 3 with Standard Risk = single organ involvement (stage 1–3 skin or stage 1–2 GI) or two organ involvement (stage 1–3 skin plus stage 1 GI; or stage 1–3 skin plus stage 1–4 liver). All other patients are High Risk.