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. 2017 Oct 16;131(1):121–130. doi: 10.1182/blood-2017-07-793760

Table 4.

Post-CAR-T-cell infusion factors and risk for first infection within 28 days using Cox proportional hazards regression

Post-CAR–T-cell infusion variables Unadjusted HR* (95% CI) P
CART-cell dose level, cells per kg
 2 × 107 vs 2 × 105 3.19 (1.07-9.51) .038
 2 × 107 vs 2 × 106 3.15 (1.24-8.01) .016
ANC < 500 cells per mm3 on day of infection 2.04 (0.85-4.89) .11
CRS grade
 0 vs 1-3 vs 4-5 3.38 (1.99-5.73) <.001
Neurotoxicity grade
 0 vs 1-2 vs 3-5 1.76 (1.11-2.78) .015
Tocilizumab use§ 3.45 (1.23-9.67) .019
Corticosteroid use§ 1.50 (0.43-5.23) .5
ICU admission 4.35 (1.78-10.65) .001

HR, hazard ratio.

*

Data shown are from the univariate model only. CRS was the only significant variable in a stepwise multivariable model. Other baseline characteristics with P < .1 but not significant at the P < .05 level included prior antitumor treatment regimens ≥4. There was collinearity between CAR–T-cell dose level, CRS grade, neurotoxicity grade, tocilizumab use, corticosteroid use, and ICU admission.

For each increase in CRS severity category from 0 (none) to grades 1-3 to grades 4-5, there was a 3.38 increase in the hazard of infection.

For each increase in neurotoxicity severity category from 0 (none) to grades 1-2 to grades 3-5, there was a 1.76 increase in the hazard of infection.

§

These were analyzed as dichotomous variables (ie, yes vs no).