Table 3.
Clinical Outcomes by MMF Dose
Variable | Univariable | Multivariable | ||||||
---|---|---|---|---|---|---|---|---|
N | Estimate (%) |
95% CI | P-value | RR | 95% CI | P-value | ||
Neutrophil Engraftment | ||||||||
MMF | 0.96 | |||||||
2g | 93 | 94 | 91–97 | 1.0 | ||||
3g | 175 | 93 | 88–98 | 0.96 | 0.71–1.28 | 0.76 | ||
HLA disparity | 0.20 | |||||||
4/6 | 155 | 93 | 89–97 | 1.0 | ||||
5/6 | 97 | 95 | 91–99 | 1.18 | 0.89–1.57 | 0.25 | ||
6/6 | 16 | 100 | 1.64 | 0.91–2.97 | 0.10 | |||
Age | 0.02 | |||||||
<34 | 26 | 100 | 1.0 | |||||
35–59 | 176 | 95 | 92–98 | 1.07 | 0.80–1.43 | 0.25 | ||
60+ | 66 | 89 | 81–97 | 0.69 | 0.49–0.96 | 0.03 | ||
CD34 dose | 0.02 | |||||||
<3.5×107 | 64 | 89 | 81–97 | 1.0 | ||||
≥3.5×107 | 204 | 95 | 92–98 | 1.40 | 1.03–1.90 | 0.03 | ||
Platelet Engraftment (20K) | ||||||||
MMF | 0.16 | |||||||
2g | 93 | 68 | 56–80 | 1.0 | ||||
3g | 175 | 75 | 66–84 | 1.26 | 0.93–1.70 | 0.14 | ||
HLA disparity | 0.03 | -- | -- | -- | ||||
4/6 | 155 | 71 | 62–80 | |||||
5/6 | 97 | 75 | 63–87 | |||||
6/6 | 16 | 75 | 46–100 | |||||
HCT-CI | 0.04 | |||||||
None | 67 | 82 | 64–87 | 1.0 | ||||
1–2 | 66 | 76 | 62–80 | 0.82 | 0.55–1.22 | 0.33 | ||
3+ | 129 | 67 | 57–78 | 0.67 | 0.47–0.94 | 0.02 | ||
CD34 dose | <0.01 | |||||||
<3.5–107 | 64 | 58 | 44–72 | 1.0 | ||||
≥3.5×107 | 204 | 77 | 69–86 | 1.81 | 1.29–2.55 | <0.01 | ||
Chronic GVHD | ||||||||
MMF | 0.17 | |||||||
2g | 93 | 27 | 17–36 | 1.0 | ||||
3g | 175 | 20 | 14–26 | 0.69 | 0.41–1.15 | 0.15 | ||
Gender | 0.14 | |||||||
Male | 163 | 26 | 19–33 | 1.0 | ||||
Female | 105 | 17 | 10–25 | 0.41 | 0.28–0.84 | 0.01 | ||
Female donor to male recipient | 0.93 | |||||||
No | 141 | 22 | 15–29 | 1.0 | ||||
Yes | 127 | 23 | 15–31 | 0.54 | 0.28–1.04 | 0.07 | ||
NRM | ||||||||
MMF | 0.74 | |||||||
2g | 93 | 15 | 8–22 | 1.0 | ||||
3g | 175 | 14 | 9–19 | 0.93 | 0.48–1.81 | 0.83 | ||
Disease risk | 0.02 | |||||||
Standard | 126 | 9 | 4–14 | 1.0 | ||||
High | 142 | 19 | 13–26 | 2.28 | 1.13–4.61 | 0.02 | ||
ATG | 0.07 | -- | -- | -- | ||||
No | 182 | 12 | 7–16 | |||||
Yes | 86 | 20 | 11–28 | |||||
Relapse | ||||||||
MMF | 0.78 | |||||||
2g | 93 | 40 | 29–51 | 1.0 | ||||
3g | 175 | 43 | 35–51 | 1.14 | 0.77–1.69 | 0.52 | ||
Female donor to male recipient | 0.16 | |||||||
No | 141 | 38 | 29–46 | 1.0 | ||||
Yes | 127 | 46 | 36–55 | 1.33 | 0.92–1.92 | 0.13 | ||
ATG | 0.05 | |||||||
No | 182 | 47 | 39–55 | 1.0 | ||||
Yes | 86 | 31 | 20–41 | 0.56 | 0.36–0.87 | 0.01 | ||
DFS | ||||||||
MMF | 0.88 | |||||||
2g | 93 | 40 | 30–50 | 1.0* | ||||
3g | 175 | 37 | 30–44 | 1.05* | 0.77–1.43 | 0.74 | ||
CD34 dose | 0.02 | |||||||
<3.5×107 | 64 | 29 | 19–41 | 1.0* | ||||
≥3.5×107 | 204 | 41 | 34–48 | 0.69* | 0.49–0.96 | 0.03 | ||
OS | ||||||||
MMF | 0.85 | |||||||
2g | 93 | 62 | 52–71 | 1.0$ | ||||
3g | 175 | 61 | 53–67 | 1.03$ | 0.72–1.47 | 0.87 | ||
CD34 dose | 0.03 | |||||||
<3.5×107 | 64 | 50 | 37–61 | 1.0$ | ||||
≥3.5×107 | 204 | 65 | 58–71 | 0.70$ | 0.48–1.02 | 0.07 |
Denotes relative risk of death/relapse
Denotes relative risk of death