Table 3.
Training cohorta | Validation cohortb | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n = 589 |
n = 688 |
|||||||||||
OS |
NRM* |
Relapse* |
OS |
NRM* |
Relapse* |
|||||||
HR 95% CI | P | HR 95% CI | P | HR 95% CI | P | HR 95% CI | P | HR 95% CI | P | HR 95% CI | P | |
Covariate | ||||||||||||
Free IL-18 per 1-log2 increasec | 1.25 (1.06–1.47) | 0.008 | 1.39 (1.07–1.81) | 0.01 | 1.11 (0.93–1.32) | 0.27 | 1.22 (1.06–1.41) | 0.006 | 1.24 (1.03–1.50) | 0.02 | 1.15 (0.95–1.40) | 0.14 |
Age per 1-year increase | 1.01 (1.00–1.02) | 0.22 | 1.03 (1.01–1.05) | 0.003 | 1.00 (0.99–1.01) | 0.76 | 1.01 (1.00–1.02) | 0.04 | 1.01 (1.00–1.03) | 0.02 | 1.00 (0.99–1.02) | 0.57 |
Disease staged | ||||||||||||
Early/intermediate | Ref | <0.001 | Ref | 0.53 | Ref | <0.001 | Ref | <0.001 | Ref | <0.001 | Ref | 0.05 |
Late | 1.60 (1.24–2.05) | 1.14 (0.76–1.70) | 1.87 (1.41–2.48) | 1.72 (1.37–2.16) | 1.71 (1.28–2.29) | 1.38 (1.01–1.91) | ||||||
Donor | ||||||||||||
RD/MUD | Ref | 0.03 | Ref | 0.01 | Ref | 0.42 | Ref | <0.001 | Ref | <0.001 | Ref | 0.76 |
MMUD | 1.38 (1.03–1.83) | 1.77 (1.14–2.75) | 1.15 (0.82–1.61) | 1.57 (1.26–1.97) | 1.75 (1.31–2.33) | 1.05 (0.78–1.46) | ||||||
Donor sex | ||||||||||||
Female | Ref | 0.80 | Ref | 0.77 | Ref | 0.70 | Ref | 0.35 | Ref | 0.95 | Ref | 0.78 |
Male | 0.97 (0.74–1.25) | 0.94 (0.63–1.41) | 1.06 (0.79–1.44) | 0.90 (0.72–1.13) | 0.99 (0.74–1.33) | 1.04 (0.77–1.42) | ||||||
Patient sex | ||||||||||||
Female | Ref | 0.74 | Ref | 0.80 | Ref | 0.12 | Ref | 0.46 | Ref | 0.59 | Ref | 0.47 |
Male | 0.96 (0.75–1.23) | 1.05 (0.71–1.56) | 0.80 (0.60–1.06) | 0.92 (0.74–1.14) | 0.93 (0.70–1.22) | 0.90 (0.67–1.20) | ||||||
Diagnosise | ||||||||||||
Myeloid | Ref | 0.27 | Ref | 0.13 | Ref | 0.07 | Ref | <0.001 | Ref | 0.001 | Ref | 0.11 |
Lymphoid | 1.17 (0.89–1.53) | 1.38 (0.91–2.11) | 1.33 (0.98–1.81) | 1.52 (1.21–1.93) | 1.65 (1.22–2.23) | 1.30 (0.95–1.78) | ||||||
ATG treatment | ||||||||||||
No | Ref | 0.21 | Ref | 0.005 | Ref | 0.39 | Ref | 0.06 | Ref | 0.02 | Ref | 0.55 |
Yes | 0.83 (0.63–1.11) | 0.53 (0.34–0.83) | 0.87 (0.63–1.20) | 0.81 (0.65–1.01) | 0.72 (0.54–0.95) | 0.91 (0.68–1.22) | ||||||
Conditioningf | ||||||||||||
MAC | Ref | 0.04 | Ref | 0.003 | Ref | 0.70 | Ref | 0.03 | Ref | 0.02 | Ref | 0.59 |
RIC | 0.70 (0.51–0.98) | 0.46 (0.27–0.77) | 0.93 (0.63–1.37) | 1.41 (1.04–1.92) | 1.72 (1.11–2.64) | 0.90 (0.62–1.32) |
Abbreviations: ATG, antithymocyte globulin; IL-18, interleukin-18; MAC: myeloablative conditioning; MMUD, mismatched unrelated donor; MUD, matched unrelated donor; RD, related donor; RIC: reduced intensity conditioning.
Cause-specific hazards from a competing risks analysis for relapse and NRM.
Number of events: OS, n = 268; NRM, n = 110; relapse, n = 206.
Number of events: OS, n = 375; NRM, n = 223; relapse, n = 203.
Doubling of serum pre-transplant free IL-18 concentration.
According to Gratwohl et al. [17].
Myeloid: acute myeloid leukaemia, myelodysplastic and myeloproliferative syndromes; lymphoid: acute lymphoblastic leukaemia, chronic lymphocytic leukaemia, lymphoma and multiple myeloma.