Table 2.
Uni‐ and multivariate analyses of clinicopathological factors and ctDNA load.
N | PFS | OS | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Univariate analysis | Multivariate analysis | Univariate analysis | Multivariate analysis | ||||||||||||
Events | HR | 95% CI | P‐value | HR | 95% CI | P‐value | Events | HR | 95% CI | P‐value | HR | 95% CI | P‐value | ||
Age (in years) | |||||||||||||||
≤ 55 | 34 | 31 | 1.00 | 1.00 | 16 | 1.00 | 1.00 | ||||||||
56–70 | 91 | 84 | 0.94 | 0.62–1.42 | 0.775 | 0.91 | 0.60–1.39 | 0.671 | 43 | 0.65 | 0.36–1.17 | 0.146 | 0.99 | 0.53–1.87 | 0.996 |
> 70 | 39 | 36 | 1.64 | 1.01–2.68 | 0.047 | 1.65 | 0.99–2.76 | 0.056 | 25 | 0.82 | 0.43–1.57 | 0.549 | 1.47 | 0.73–2.98 | 0.280 |
DFI (in months) | |||||||||||||||
≤ 12 | 44 | 40 | 1.00 | 1.00 | 24 | 1.00 | 1.00 | ||||||||
> 12 | 120 | 111 | 0.98 | 0.68–1.41 | 0.903 | 0.62 | 0.40–0.97 | 0.038 | 60 | 0.10 | 0.06–0.18 | < 0.001 | 0.06 | 0.03–0.12 | < 0.001 |
Visceral metastasis | |||||||||||||||
No | 48 | 41 | 1.00 | 1.00 | 21 | 1.00 | 1.00 | ||||||||
Yes | 116 | 110 | 1.45 | 1.01–2.08 | 0.043 | 1.49 | 1.02–2.17 | 0.040 | 63 | 0.91 | 0.55–1.50 | 0.717 | 1.38 | 0.81–2.36 | 0.234 |
(Neo)Adjuvant therapy | |||||||||||||||
No | 72 | 63 | 1.00 | 1.00 | 40 | 1.00 | 1.00 | ||||||||
Yes | 92 | 88 | 1.31 | 0.95–1.82 | 0.102 | 1.70 | 1.14–2.54 | 0.010 | 44 | 0.78 | 0.50–1.19 | 0.246 | 1.59 | 0.95–2.64 | 0.076 |
Number of lines of therapy for metastatic disease | |||||||||||||||
≤ 2 | 111 | 101 | 1.00 | 1.00 | 50 | 1.00 | 1.00 | ||||||||
> 2 | 53 | 50 | 1.31 | 0.93–1.84 | 0.126 | 1.42 | 0.99–2.04 | 0.057 | 34 | 1.13 | 0.73–1.76 | 0.576 | 0.77 | 0.48–1.25 | 0.296 |
PR status primary | |||||||||||||||
Negative/unknowna | 40 | 37 | 1.00 | 1.00 | 19 | 1.00 | 1.00 | ||||||||
Positive | 124 | 114 | 0.84 | 0.57–1.21 | 0.344 | 0.85 | 0.58–1.24 | 0.402 | 65 | 1.14 | 0.68–1.92 | 0.621 | 1.45 | 0.84–2.48 | 0.182 |
ECOG screening visit status | |||||||||||||||
ECOG = 0 | 64 | 59 | 1.00 | 1.00 | 28 | 1.00 | 1.00 | ||||||||
ECOGb = 1 or 2 | 100 | 92 | 1.25 | 0.90–1.75 | 0.178 | 1.10 | 0.77–1.55 | 0.607 | 56 | 1.19 | 0.75–1.87 | 0.459 | 1.52 | 0.94–2.46 | 0.085 |
Number of mutant ctDNA molecules per mL plasma | |||||||||||||||
≤ 54 molecules (no/low ctDNA load) | 102 | 91 | 1.00 | 1.00 | 41 | 1.00 | 1.00 | ||||||||
> 54 molecules (high ctDNA load) | 62 | 60 | 1.66 | 1.19–2.31 | 0.003 | 1.64 | 1.16–2.33 | 0.006 | 43 | 2.20 | 1.42–3.39 | < 0.001 | 1.83 | 1.17–2.87 | 0.008 |
Number of hotspot mutations | |||||||||||||||
< 3 mutations | 135 | 123 | 1.00 | 1.00 | 64 | 1.00 | |||||||||
≥ 3 mutations | 29 | 28 | 1.86 | 1.22–2.83 | 0.004 | 2.20 | 1.43–3.38 | < 0.001 | 20 | 1.50 | 0.91–2.49 | 0.112 | 1.62 | 0.97–2.70 | 0.067 |
Combined ctDNA load and number of hotspot mutations | |||||||||||||||
Both low | 91 | 80 | 1.00 | 1.00 | 34 | 1.00 | 1.00 | ||||||||
High/low or low/high | 55 | 54 | 1.53 | 1.08–2.18 | 0.017 | 1.58 | 1.10–2.29 | 0.014 | 37 | 2.54 | 1.58–4.09 | < 0.001 | 2.37 | 1.44–3.91 | 0.001 |
Both high | 18 | 17 | 2.79 | 1.63–4.78 | < 0.001 | 2.78 | 1.61–4.79 | < 0.001 | 13 | 2.10 | 1.10–3.99 | 0.024 | 1.82 | 0.95–3.52 | 0.069 |
PR status is unknown for 11 patients.
92 patients with ECOG = 1, 8 patients with ECOG = 2.