TABLE 2.
Cox proportional hazards regression model showing the association of variables with the occurrence of QTc prolongationa in the 24-week treatment
| Variable | n (%) | Results for:b |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Univariable |
Multivariable |
||||||||||
| HR (95% CI) | P value | Model A |
Model B |
Model C |
Model D |
||||||
| HR (95% CI) | P value | HR (95% CI) | P value | HR (95% CI) | P value | HR (95% CI) | P value | ||||
| Factors selected | |||||||||||
| Sex | |||||||||||
| Male | 856 (70.5) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| Female | 359 (29.5) | 1.53 (1.15–2.02) | 0.003 | 1.53 (1.15–2.04) | 0.003 | 1.52 (1.17–2.05) | 0.003 | 1.63 (1.23–2.16) | <0.001 | 1.52 (1.15–2.03) | 0.003 |
| QTc baseline numeric, ms | |||||||||||
| QTc squared | 0.32 (0.27–0.39) | <0.001 | 0.77 (0.73–0.82) | <0.001 | |||||||
| QTc | 1.00 (1.00–1.00) | <0.001 | 1.00 (1.00–1.00) | 0.052 | |||||||
| QTc baseline, categorical | |||||||||||
| 395-424. ms | 569 (46.8) | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||||
| <395 ms | 267 (22.0) | 4.12 (2.97–5.7.3) | <0.001 | 4.48 (3.21–6.23) | <0.001 | 4.64 (3.33–6.48) | <0.001 | ||||
| >425 ms | 379 (31.2) | 3.65 (2.67–5.00) | <0.001 | 3.43 (2.50–4.73) | <0.001 | 3.48 (2.53–4.78) | <0.001 | ||||
| Drug resistance | |||||||||||
| Pre-XDR | 963 (79.3) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| XDR | 252 (20.7) | 1.90 (1.42–2.54) | <0.001 | 1.64 (1.26–2.14) | <0.001 | 1.53 (1.17–2.01) | <0.001 | 1.62 (1.24–2.11) | <0.001 | 1.60 (1.23–2.09) | <0.001 |
| Creatinine | |||||||||||
| ≥60 mmol/L | 816 (67.2) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| <60 mmol/L | 399 (32.8) | 1.49 (1.17–1.89) | <0.001 | 1.43 (1.08–1.89) | 0.011 | 1.42 (1.08–1.86) | 0.017 | 1.29 (0.97–1.70) | 0.073 | 1.44 (1.10–1.90) | 0.009 |
| Clofazimine | |||||||||||
| No | 539 (44.4) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| Yes | 676 (55.6) | 2.93 (2.21–3.89) | <0.001 | 2.93 (2.19–3.92) | <0.001 | 3.23 (2.42–4.32) | <0.001 | 2.83 (2.11–3.80) | <0.001 | 2.74 (2.04–3.67) | <0.001 |
| Levofloxacin | |||||||||||
| No | 815 (67.1) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| Yes | 400 (32.9) | 1.02 (0.79–1.31) | 0.889 | 1.29 (0.99–1.69) | 0.061 | 1.35 (1.03–1.76) | 0.062 | 1.13 (0.97–1.70) | 0.138 | 1.26 (0.96–1.65) | 0.092 |
| Moxifloxacin | |||||||||||
| No | 975 (80.2) | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||
| Yes | 240 (19.8) | 0.87 (0.64–1.19) | 0.378 | 1.15 (0.82–1.61) | 0.412 | 1.18 (0.84–1.65) | 0.257 | 1.18 (0.85–1.67) | 0.445 | 1.13 (0.81–1.59) | 0.461 |
| Age, yrs | 1.04 (1.01–1.07) | 0.006 | 1.03 (1.00–1.06) | 0.035 | 1.03 (1.01–1.07) | 0.009 | |||||
| BMI (kg/m2) | 0.95 (0.90–0.99) | 0.049 | 0.96 (0.92–1.00) | 0.098 | |||||||
| Previous TB | |||||||||||
| No | 303 (24.9) | 1 [Reference] | 1 [Reference] | ||||||||
| Yes | 912 (75.1) | 1.37 (1.02–1.85) | <0.036 | 1.28 (0.94–1.73) | 0.071 | ||||||
| Diabetes | |||||||||||
| No | 910 (74.9) | 1 [Reference] | 1 [Reference] | 1 [Reference] | |||||||
| Yes | 305 (25.1) | 0.48 (0.27–0.83) | 0.030 | 0.69 (0.43–1.09) | 0.102 | 0.59 (0.38–0.94) | 0.059 | ||||
| Blood potassium (mmol/L) | |||||||||||
| 3.8–4.2 | 526 (43.3) | 1 [Reference] | |||||||||
| <3.8 | 291 (24.0) | 1.17 (0.83–1.65) | 0.360 | 1.39 (1.03–1.87) | 0.033 | ||||||
| >4.2 | 398 (32.8) | 1.24 (0.82–1.55) | 0.451 | 1.27 (0.95–1.70) | 0.101 | ||||||
| Factors not selected | |||||||||||
| Blood calcium (mmol/L) | |||||||||||
| <2.2 | 422 (34.7) | 1 [Reference] | |||||||||
| >2.2 | 793 (32.8) | 1.13 (0.85–1.50) | 0.418 | ||||||||
| Linezolid | |||||||||||
| No | 149 (12.3) | 1 [Reference] | |||||||||
| Yes | 1066 (87.7) | 1.36 (0.91–2.02) | 0.133 | ||||||||
| Cycloserine | |||||||||||
| No | 195 (16.0) | 1 [Reference] | |||||||||
| Yes | 1020 (84.0) | 0.99 (0.72–1.36) | 0.938 | ||||||||
QTc prolongation, the first occurrence of a QTc prolongation event, defined as an QTc interval of ≥500 ms or an increase in an QTc interval of ≥60 ms compared with the baseline QTc at admission.
Reference represents the reference group to be compared.