Table 3.
Multivariable analysis of patients who underwent allogeneic transplants for AML, ALL, CML, MDS and had Invasive fungal infection within 12 months prior to transplant vs. those who had no documented invasive fungal infection within 12 months prior to transplant, reported to the CIBMTR, from 2001 to 2009
Variable | 2 yr OS RR (95% CI) | p | 2 yr PFS RR (95% CI) | p | 2 yr NRM RR (95% CI) | p | 2 yr Relapse RR (95% CI) | p |
---|---|---|---|---|---|---|---|---|
| ||||||||
Main Effect | <0.0001 | <0.0001 | 0.002 | NS | ||||
Control | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Pre-HSCT IFI | 1.33 (1.19 – 1.48) | 1.24 (1.11 – 1.38) | 1.27 (1.09 – 1.49) | 1.04 (0.91 – 1.18) | ||||
| ||||||||
Age, years | <0.0001 | <0.0001 | <0.0001 | NS | ||||
≤ 10 | 1.00 | 1.00 | 1.00 | |||||
11 – 20 | 1.21 (1.06 – 1.39) | 0.0051 | 1.21 (1.06 – 1.37) | 0.0039 | 1.75 (1.41 – 2.17) | <0.0001 | ||
21 – 30 | 1.28 (1.12 – 1.48) | 0.0004 | 1.33 (1.17 – 1.51) | <0.0001 | 1.79 (1.43 – 2.24) | <0.0001 | ||
31 – 40 | 1.47 (1.28 – 1.69) | <0.0001 | 1.44 (1.27 – 1.65) | <0.0001 | 2.32 (1.86 – 2.89) | <0.0001 | ||
41 – 50 | 1.58 (1.38 – 1.81) | <0.0001 | 1.56 (1.37 – 1.77) | <0.0001 | 2.48 (1.99 – 3.08) | <0.0001 | ||
> 50 | 1.81 (1.59 – 2.06) | <0.0001 | 1.70 (1.50 – 1.93) | <0.0001 | 2.86 (2.30 – 3.55) | <0.0001 | ||
| ||||||||
Ex vivo TCD | 0.0008 | <0.0001 | NS | <0.0001 | ||||
None | 1.00 | 1.00 | 1.00 | |||||
ATG | 1.09 (1.02 – 1.18) | 0.0128 | 1.37 (1.06 – 1.22) | 0.0002 | 1.12 (1.03 – 1.22) | 0.0109 | ||
Alemtuzumab | 1.28 (1.11 – 1.48) | 0.0006 | 1.58 (1.37 – 1.81) | <0.0001 | 1.71 (1.46 – 2.01) | <0.0001 | ||
| ||||||||
D/R CMV status | <0.0001 | 0.0003 | 0.0136 | 0.0295 | ||||
Neg/Neg | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Pos/Pos | 1.19 (1.10 – 1.29) | <0.0001 | 1.16 (1.07 – 1.25) | 0.0002 | 1.16 (1.02 – 1.31) | 0.0206 | 1.10 (1.00 – 1.21) | 0.0540 |
Pos/Neg | 1.12 (1.00 – 1.26) | 0.0459 | 1.07 (0.96 – 1.20) | 0.1948 | 1.17 (0.99 – 1.38) | 0.0614 | 1.00 (0.87 – 1.15) | 0.9923 |
Neg/Pos | 1.21 (1.10 – 1.32) | <0.0001 | 1.19 (1.10 – 1.29) | <0.0001 | 1.17 (1.03 – 1.33) | 0.0127 | 1.14 (1.03 – 1.26) | 0.0113 |
Missing | 1.20 (1.12 – 1.41) | 0.0319 | 1.15 (0.98 – 1.35) | 0.0873 | 1.44 (1.15 – 1.80) | 0.0015 | 0.93 (0.75 – 1.14) | 0.4886 |
| ||||||||
Disease | <0.0001 | <0.0001 | <0.0001 | <0.0001 | ||||
AML | 1.00 | 1.00 | 1.00 | 1.00 | ||||
ALL | 1.10 (1.02 – 1.19) | 0.0119 | 1.17 (1.08 – 1.26) | <0.0001 | 1.36 (1.21 – 1.53) | <0.0001 | 0.95 (0.87 – 1.04) | 0.2955 |
CML | 0.84 (0.78 – 0.93) | 0.0004 | 1.02 (0.93 – 1.11) | 0.6934 | 1.32 (1.15 – 1.50) | <0.0001 | 0.82 (0.73 – 0.92) | 0.0006 |
MDS | 0.64 (0.56 – 0.73) | <0.0001 | 0.67 (0.59 – 0.75) | <0.0001 | 1.02 (0.85 – 1.23) | 0.8239 | 0.60 (0.52 – 0.69) | <0.0001 |
| ||||||||
Disease Stage | <0.0001 | <0.0001 | 0.0286 | <0.0001 | ||||
Early | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Intermediate | 1.27 (1.18 – 1.36) | <0.0001 | 1.24 (1.15 – 1.33) | <0.0001 | 1.15 (1.03 – 1.28) | 0.0094 | 1.24 (1.14 – 1.36) | <0.0001 |
Advanced | 2.24 (2.01 – 2.42) | <0.0001 | 2.13 (1.98 – 2.30) | <0.0001 | 1.10 (0.97 – 12.3) | 0.1289 | 2.33 (2.13 – 2.54) | <0.0001 |
| ||||||||
Donor | <0.0001 | <0.0001 | <0.0001 | <0.0001 | ||||
HLA ID-sib | 1.00 | 1.00 | 1.00 | 1.00 | ||||
Other related | 1.64 (1.38 – 1.93) | <0.0001 | 1.47 (1.25 – 1.72) | <0.0001 | 1.82 (1.47 – 2.27) | <0.0001 | 0.93 (0.77 – 1.13) | 0.4968 |
Cord | 1.32 (1.18 – 1.47) | <0.0001 | 1.21 (1.09 – 1.35) | 0.0004 | 2.01 (1.70 – 2.38) | <0.0001 | 0.77 (0.67 – 0.89) | 0.0004 |
WM unrelated | 0.88 (0.81 – 0.95) | 0.0015 | 0.87 (0.80 – 0.93) | 0.0002 | 1.11 (0.98 – 1.25) | 0.0870 | 0.76 (0.69 – 0.84) | <0.0001 |
Other unrelated | 1.14 (1.04 – 1.25) | 0.0038 | 1.04 (0.95 – 1.13) | 0.3625 | 1.78 (1.56 – 2.01) | <0.0001 | 0.66 (0.59 – 0.74) | <0.0001 |
| ||||||||
Karnosky PS | <0.0001 | <0.0001 | <0.0001 | <0.0001 | ||||
≥ 90% | 1.00 | 1.00 | 1.00 | 1.00 | ||||
< 90% | 1.38 (1.29 – 1.47) | <0.0001 | 1.32 (1.24 – 1.41) | <0.0001 | 1.26 (1.14 – 1.39) | <0.0001 | 1.21 (1.12 – 1.31) | <0.0001 |
Missing | 1.27 (1.04 – 1.40) | 0.0114 | 1.14 (1.00 – 1.31) | 0.0588 | 1.15 (0.94 – 1.42) | 0.1807 | 1.12 (0.95 – 1.33) | 0.1746 |
| ||||||||
Conditioning | NS | <0.0001 | <0.0001 | <0.0001 | ||||
Myeloablative | 1.00 | 1.00 | 1.00 | |||||
RIC/NMA | 1.15 (1.07 – 1.23) | 0.79 (0.71 – 0.88) | 1.36 (1.25 – 1.47) |