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. Author manuscript; available in PMC: 2018 Jul 1.
Published in final edited form as: Lancet Haematol. 2017 Jun 13;4(7):e325–e333. doi: 10.1016/S2352-3026(17)30104-7

Table 3.

Adjusted clinical outcomes by degree of HLA-A, -B, -C and –DRB1 mismatch

Number
Events/Evaluable
Hazard ratio
(95% confidence interval)
P-value
Mortality*
HLA matched 44/234 1·00
1 allele mismatch 63/266 1·18 (0·80 – 1·72) 0·388
2 allele mismatch 88/303 1·55 (1·08 – 2·21) 0·018
3 allele mismatch 105/261 2·04 (1·44 – 2·89) 0·0001
≥4 allele mismatch 69/135 3·15 (2·16 – 4·58) <0·0001
Graft failure
HLA matched 39/233 1·00
1 allele mismatch 59/264 1·34 (0·90 – 1·98) 0·149
2 allele mismatch 72/302 1·50 (1·02 – 2·20) 0·037
3 allele mismatch 78/260 1·86 (1·27 – 2·73) 0·001
≥4 allele mismatch 35/135 1·62 (1·02 – 2·57) 0·041
Grade II-IV acute GVHD
HLA matched 52/228 1·00
1 allele mismatch 68/249 1·24 (0·87 – 1·78) 0·235
2 allele mismatch 85/291 1·36 (0·97 – 1·92) 0·077
3 allele mismatch 81/249 1·55 (1·09 – 2·20) 0·014
≥4 allele mismatch 47/130 1·72 (1·17 – 2·53) 0·006
Chronic GVHD§
HLA matched 51/228 1·00
1 allele mismatch 52/252 0·92 (0·63 – 1·34) 0·659
2 allele mismatch 68/296 1·06 (0·74 – 1·52) 0·757
3 allele mismatch 57/253 1·00 (0·69 – 1·47) 0·982
≥4 allele mismatch 33/133 1·15 (0·74 – 1·77) 0·539

Abbreviations: GVHD = graft versus host disease

*

Mortality risks for degree of HLA mismatch were adjusted for recipient cytomegalovirus serostatus, transplant conditioning regimen intensity, total nucleated cell dose of the cord blood unit and transplant period

Graft failure risks for degree of HLA mismatch were adjusted for transplant conditioning regimen intensity

Model adjusted for transplant period and stratified by transplant conditioning regimen intensity and GVHD prophylaxis

§

Chronic GVHD risks were adjusted for GVHD prophylaxis