Table 2.
Association of the MICA-129 genotype with the outcome of HSCT
Cohort n = 452 | Effect of MICA-129Meta | Adjusted covariatesc | |||
---|---|---|---|---|---|
HR/OR | 95%-CI | P-value | Risk modelb | ||
Overall survival | 0.77 | [0.60, 0.99] | 0.0445 | additive | MUD, TCD, diagnosis |
Treatment-related mortality | 0.51 | [0.22, 1.07] | 0.0907 | recessive | MUD, TCD, diagnosis |
Mortality due to aGVHD | 0.57 | [0.32, 0.95] | 0.0400 | additive | MUD, TCD, diagnosis |
Mortality due to relapse | 1.64 | [0.71, 4.01] | 0.2607 | additive | MUD, TCD, FtoM, diagnosis |
Occurrence of aGVHD | 1.92 | [1.05, 3.63] | 0.0371 | recessive | MUD, TCD, diagnosis |
Severity of aGVHDd | 0.55 | [0.23, 1.21] | 0.1570 | recessive | MUD, TCD, diagnosis |
Occurrence of cGVHD | 1.30 | [0.96, 1.77] | 0.0884 | additive | MUD, TCD, TBI, diagnosis |
Occurrence of relapse | 0.87 | [0.61, 1.23] | 0.4313 | additive | MUD, TBI, diagnosis |
w/o T-cell depletion n = 197e | Effect of MICA-129Meta | Effect of no T-cell depletionf | ||||
---|---|---|---|---|---|---|
HR/OR | 95%-CI | P-value | Risk modelb | HR/OR | P-value | |
Overall survival | 0.67 | [0.46, 0.98] | 0.0382 | additive | 1.59 | 0.0165 |
Treatment-related mortality | 0.35 | [0.08,1.17] | 0.1220 | recessive | 1.60 | 0.0991 |
Mortality due to aGVHD | 0.44 | [0.18, 0.92] | 0.0420 | additive | 2.16 | 0.0559 |
Mortality due to relapse | 3.43 | [0.82, 26.1] | 0.1450 | additive | 4.92 | 0.0285 |
Occurrence of aGVHD | 1.54 | [0.59, 4.53] | 0.4037 | recessive | 2.16 | 0.0011 |
Severity of aGVHDd | 0.30 | [0.06, 1.02] | 0.0768 | recessive | 1.57 | 0.1720 |
Occurrence of cGVHD | 1.18 | [0.76, 1.81] | 0.4600 | additive | 2.59 | 0.0001 |
Occurrence of relapse | 0.65 | [0.37, 1.11] | 0.1257 | additive | 1.01 | 0.9670 |
T-cell depletion n = 252e | Effect of MICA-129Meta | Effect of T-cell depletionf | ||||
---|---|---|---|---|---|---|
HR/OR | 95%-CI | P-value | Risk modelb | HR/OR | P-value | |
Overall survival | 0.88 | [0.62, 1.25] | 0.4821 | additive | 0.63 | 0.0165 |
Treatment-related mortality | 0.65 | [0.22, 1.61] | 0.3799 | recessive | 0.62 | 0.0991 |
Mortality due to aGVHD | 0.71 | [0.31, 1.50] | 0.3941 | additive | 0.46 | 0.0559 |
Mortality due to relapse | 1.68 | [0.45, 7.60] | 0.4565 | additive | 0.20 | 0.0285 |
Occurrence of aGVHD | 2.46 | [1.13, 5.66] | 0.0271 | recessive | 0.46 | 0.0011 |
Severity of aGVHDd | 0.89 | [0.29, 2.52] | 0.8365 | recessive | 0.64 | 0.1720 |
Occurrence of cGVHD | 1.44 | [0.92, 2.25] | 0.1039 | additive | 0.39 | 0.0001 |
Occurrence of relapse | 1.14 | [0.71, 1.81] | 0.5720 | additive | 0.99 | 0.9670 |
Significant effects (HR/OR) with P-values ≤ 0.05 are highlighted in bold.
For each outcome, statistics are given for the most powerful genetic model. A recessive MICA-129 effect was quantified for the Met/Met genotype compared to the pooled Val/Met and Val/Val genotypes. An additive MICA-129 effect was quantified per Met allele.
In addition, all analyses were adjusted for a binary indicator distinguishing whether patient and donor had the same MICA-129 genotype or not. The following abbreviations for covariates are used: FtoM, female donor for male recipient; MUD, HLA-matched unrelated donor; TBI, total body irradiation; and TCD, T-cell-depleting treatment. Analyses for the strata not receiving (w/o T-cell depletion) and receiving ATG (T-cell depletion) were adjusted for the same covariates except for TCD.
To analyze severity of aGVHD, grades I and II were compared versus grades III and IV.
Three patients were omitted in the stratified analyses because of missing information on T-cell depletion.
Effects of applying or not applying a T-cell-depleting treatment with ATG were analyzed irrespective of the MICA genotype with adjustment for the relevant covariates to confirm the expected effects of applying or omitting ATG treatment on outcome in the cohort. The HR/OR in these strata are reciprocal values having the same P-value.