Table 2.
Association between HLA-B*57:01 carriage and ALT elevation in pazopanib-treated patients with cancer
Discovery study |
Confirmatory study |
Combined analysis |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ALT measure | N | Noncarriers, n | Carriers,a n | Effect (95% CI) | P | N | Noncarriers, n | Carriers,a n | Effect (95% CI) | P | N | Noncarriers, n | Carriers, n | Effect (95% CI) | P |
MaxALTb | 1,188 | 1,124 | 64 | 1.6 (1.3–2.0) | 5.0 × 10−5 | 1,002 | 935 | 67 | 1.2 (0.97–1.51) | 0.085 | 2,190 | 2,059 | 131 | 1.4 (1.2–1.6) | 4.3 × 10−5 |
Time to >3× ULNc | 242 | 219 | 23 | HR = 2.4 (1.5–3.8) | 4.8 × 10−4 | 187 | 169 | 18 | HR = 3.3 (1.7–6.2) | 8.1 × 10−4 | 429 | 388 | 41 | HR = 2.5 (1.7–3.6) | 5.1 × 10−6 |
Censored | 498 | 481 | 17 | 452 | 430 | 22 | 950 | 911 | 39 | ||||||
Time to >5× ULNc | 138 | 121 | 17 | HR = 3.6 (2.1–6.2) | 4.1 × 10−5 | 93 | 86 | 7 | HR = 4.6 (1.7–12.6) | 9.8 × 10−3 | 231 | 207 | 24 | HR = 3.4 (2.1–5.5) | 5.8 × 10−6 |
Censored | 498 | 481 | 17 | 452 | 430 | 22 | 950 | 911 | 39 | ||||||
>3× ULN | 242 | 219 | 23 | OR = 2.3 (1.3–4.1) | 0.0039 | 187 | 169 | 18 | OR = 1.8 (0.93–3.5) | 0.086 | 429 | 388 | 41 | OR = 2.0 (1.3–3.1) | 0.0014 |
≤3× ULN | 946 | 905 | 41 | 815 | 766 | 49 | 1,761 | 1,671 | 90 | ||||||
>5× ULN | 138 | 121 | 17 | OR = 3.1 (1.7–5.8) | 7.2 × 10−4 | 93 | 86 | 7 | OR = 1.2 (0.45–3.1) | 0.75 | 231 | 207 | 24 | OR = 2.1 (1.3–3.6) | 0.0058 |
≤5× ULN | 1,050 | 1,003 | 47 | 909 | 849 | 60 | 1,959 | 1,852 | 107 |
Carriers are patients who carry one or two HL4-B*57:01 alleles. Two and zero patients were HL4-B*57:01 homozygote in the discovery and confirmatory study, respectively. HLA-B*57:01 carriage frequencies were 5%, 7%, and 6% in the discovery, confirmatory, and combined datasets, respectively.
Regression was performed using log10 MaxALT; effect was presented as multiplicative (fold-change) effect on MaxALT.
Patients with ULN < ALT ≤ 3× ULN were not included in the time-to-event analysis; censored patients had all ALT measures ≤ ULN.