Table 4.
Patient Characteristics and 6-Year Probability of MMR, 4-Log Reduction in Transcript Levels, and CMR at Diagnosis
Variable at Diagnosis | No. of Patients | Response |
|||||
---|---|---|---|---|---|---|---|
MMR |
4-Log Reduction |
CMR |
|||||
% | P | % | P | % | P | ||
Sex | |||||||
Male | 49 | 68.1 | .45 | 53.8 | .2 | 26.9 | .29 |
Female | 38 | 70.3 | 59.5 | 39.1 | |||
Age, years | |||||||
≤ 45 | 42 | 66.4 | .056 | 44.2 | .07 | 21.0 | .052 |
> 45 | 45 | 80.2 | 65.8 | 46.1 | |||
RR | 1.020 | .06 | 1.013 | .27 | 1.015 | .15 | |
Sokal risk group | .49 | .98 | .36 | ||||
Low | 33 | 77.8 | 67.8 | 54.1 | |||
Intermediate | 32 | 69.4 | 47.0 | 31.1 | |||
High | 22 | 61.3 | 47.1 | 24.8 | |||
Hemoglobin, g/L | |||||||
≤ 115 | 40 | 59.2 | .036 | 39.5 | .03 | 14.7 | .011 |
> 115 | 47 | 80.7 | 69.1 | 47.6 | |||
RR | 1.186 | .012 | 1.323 | .01 | 1.209 | .07 | |
Leukocytes, × 109/L | |||||||
≤ 140 | 44 | 78.8 | .012 | 56.7 | .022 | 35.4 | .017 |
> 140 | 43 | 63.1 | 37.6 | 28.1 | |||
RR | 0.996 | .008 | 0.996 | .015 | .996 | .11 | |
BCR-ABL1 transcript type | |||||||
e14a2 | 40 | 78.1 | .05 | 56.9 | .024 | 34.1 | .29 |
e13a2 | 33 | 63.5 | 35.7 | 20.3 | |||
e13a2 and e14a2 | 14 | 76.5 | 57.6 | 38.5 | |||
BCR-ABL1/ABL1 ratio, % | |||||||
≤ 100 | 44 | 71.4 | .25 | 53.0 | .038 | 32.7 | .1 |
> 100 | 43 | 52.6 | 26.6 | 8.4 | |||
RR | .996 | .44 | .971 | .002 | .979 | .13 | |
hOCT1 transcript level | |||||||
≤ 0.16 | 30 | 55.2 | < .001 | 42.0 | .01 | 16.6 | .02 |
> 0.16 | 30 | 81.4 | 64.8 | 45.3 | |||
RR | 2.199 | < .001 | 1.990 | .001 | 1.665 | .04 | |
MDR1 polymorphism | |||||||
C/C | 75 | 71.1 | .9 | 57.8 | .35 | 30.8 | .8 |
T/C | 12 | 68.7 | 36.5 | 37.1 |
Abbreviations: MMR, major molecular response; CMR, complete molecular response; RR, relative risk; hOCT1, human organic cation transporter-1; MDR1, multidrug resistance gene-1.
Samples were not available in 27 patients. For this reason, we repeated the multivariate analysis excluding this variable. The adherence rate and WBC were the only independent predictors for the achievement of MMR; adherence rate was the only independent predictor for the achievement of a 4-log reduction and CMR. In three patients, the trough plasma level was not available.