表3. 155例在第1次完全缓解且微小残留病阴性(CR1/MRD−)状态下接受allo-HSCT患者的总生存和无复发生存影响因素的多因素分析.
| 因素 | 总生存 |
无复发生存 |
||
| HR(95%CI) | P值 | HR(95%CI) | P值 | |
| 年龄(<38岁,≥38岁) | 0.564(0.212~1.553) | 0.232 | 0.653(0.324~1.462) | 0.263 |
| ECOG体能评分(1分,2~3分) | 0.342(0.453~1.252) | 0.364 | 0.626(0.365~1.375) | 0.453 |
| 预处理方案(RIC,MAC) | 0.925(0.523~1.654) | 0.921 | 1.532(0.623~1.734) | 0.917 |
| 诱导化疗后获得CR1/MRD−(是,否) | 0.837(0.338~1.834) | 0.649 | 0.686(0.311~1.562) | 0.664 |
| 移植前巩固化疗疗程(<2个,≥2个) | 1.780(0.791~2.085) | 0.747 | 1.179(0.575~2.467) | 0.761 |
| CR1/MRD−后接受巩固化疗(是,否) | 0.313(0.464~1.168) | 0.376 | 0.675(0.486~1.482) | 0.457 |
| 获得CR1/MRD−至移植间隔(时依协变量) | 0.750(0.423~1.257) | 0.294 | 0.731(0.476~1.294) | 0.253 |
| 染色体核型(低危,中/高危) | 0.623(0.372~1.081) | 0.185 | 0.534(0.328~1.158) | 0.195 |
| NPM1突变 | 0.495(0.291~0.849) | 0.126 | 0.550(0.367~1.158) | 0.241 |
| FLT3-ITDhigh | 1.972(1.144~3.401) | 0.018 | 2.008(1.168~3.461) | 0.012 |
| RUNX1突变 | 0.999(0.993~1.005) | 0.721 | 0.875(0.513~1.464) | 0.572 |
| ASXL1突变 | 0.997(0.998~1.007) | 0.589 | 0.992(0.890~1.008) | 0.442 |
| TP53突变 | 1.251(0.672~2.231) | 0.032 | 1.275(0.524~2.571) | 0.041 |
注:allo-HSCT:异基因造血干细胞移植;RIC:减低剂量预处理;MAC:清髓预处理;FLT3-ITDhigh:等位基因高频突变(≥0.5)