Table 2. Kaplan-Meier and multivariable Cox regression analysis of potential factors associated with time-to-discontinuation of all first-line DMTs and the initial DMT prescribed.
All DMTs | Initial DMT | ||||||||
---|---|---|---|---|---|---|---|---|---|
Covariate (at index) | n | Median Time to Discontinuation (y) (95% CI) | p value a | Hazard Ratio (95% CI) | p value b | Median Time to Discontinuation (y) (95% CI) | p value a | Hazard Ratio (95% CI) | p value b |
Overall | 1,471 | 11.1 (10.4–12.0) | 8.6 (7.7–9.5) | ||||||
Age (y) | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||
18–30 | 274 | 7.8 (6.0–9.9) | 1.00 | 5.0 (3.7–6.3) | 1.00 | ||||
30–73 | 1,197 | 11.8 (11.0–12.4) | 0.61 (0.50–0.76) | 9.4 (8.3–10.3) | 0.63 (0.52–0.76) | ||||
Gender | 0.50 | 0.69 | 0.56 | 0.06 | |||||
Women | 1,108 | 11.3 (10.6–12.1) | 1.00 | 8.3 (7.4–9.7) | 1.00 | ||||
Men | 363 | 10.6 (8.9–12.4) | 0.96 (0.80–1.16) | 9.1 (6.8–10.3) | 0.85 (0.71–1.01) | ||||
EDSS | 0.02 | 0.0006 | 0.003 | 0.0001 | |||||
0–1.5 | 475 | 12.3 (10.8–13.6) | 1.00 | 8.9 (7.0–10.9) | 1.00 | ||||
2–3.5 | 797 | 11.6 (10.3–12.3) | 0.43 | 1.21 (1.00–1.46) | 0.05 | 8.9 (7.9–10.0) | 0.90 | 1.09 (0.92–1.30) | 0.30 |
4–8 | 193 | 9.0 (6.9–10.8) | 0.004 | 1.66 (1.28–2.14) | 0.0001 | 5.6 (3.9–8.6) | 0.003 | 1.64 (1.30–2.07) | <0.0001 |
MS Duration (y) | — | — | 0.22 | 1.00 c (0.99–1.01) | 0.96 | — | 0.08 | 1.00 c (0.98–1.01) | 0.45 |
Initial DMT | 0.01 | 0.07 | 0.0001 | 0.008 | |||||
GA | 906 | 12.1 (10.8–12.6) | 1.00 | 9.2 (8.1–10.7) | 1.00 | ||||
IFN-β | 565 | 10.4 (9.5–11.1) | 1.11 (1.00–1.23) | 7.3 (5.7–8.9) | 1.29 (1.11–1.50) | ||||
Initiation Period | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||
1996–2000 | 440 | 12.5 (11.4–13.3) | 1.00 | 10.1 (8.9–11.3) | 1.00 | ||||
2001–2005 | 546 | 11.8 (10.9–12.4) | 0.58 | 1.10 (0.89–1.35) | 0.38 | 10.3 (9.3–11.8) | 0.75 | 0.99 (0.82–1.19) | 0.89 |
2006–2011 | 485 | 6.0 (5.5–6.6) | <0.0001 | 2.45 (1.95–3.09) | <0.0001 | 4.6 (4.0–5.5) | <0.0001 | 2.24 (1.83–2.75) | <0.0001 |
GOF test | χ2, 9 = 5.09, p = 0.83 | χ2, 9 = 11.60, p = 0.24 |
DMT = disease modifying therapy; EDSS = Expanded Disability Status Scale; GA = glatiramer acetate; IFN-β = interferon-beta; y = years, GOF = goodness-of-fit; n = 1465 in multivariable models.
aLog-rank test.
bWald test from multivariable Cox regression model adjusted for all covariates.
cPer one-unit increase in MS duration.