Table 3:
Overall Survival | Time-to-Relapse | |||||||
---|---|---|---|---|---|---|---|---|
N | Events | HR (95% CI) | p-value | Events | HR (95% CI) | p-value | ||
Residual disease | ||||||||
Flow MRD | Negative | 35 | 7 | reference | 0.05 | 3 | reference | 0.016 |
Positive | 42 | 16 | 2.44 (1–5.97) | 14 | 4.62(1.32–16.09) | |||
Multi-gene NGS | Negative | 52 | 13 | reference | 0.059 | 6 | reference | 0.003 |
Positive | 31 | 13 | 2.1 (0.97–4.55) | 12 | 4.35 (1.63–11.6) | |||
Tandem assessment | F−/M− | 24 | 3 | reference | 0.072 | 2 | reference | 0.008 |
F−/M+ or F−/M | 18 | 7 | 3.96 (1.02–15.37) | 3 | 2.31 (0.38–13.84) | |||
F+/M+ | 20 | 8 | 4.53 (1.19–17.18) | 10 | 8.39 (1.83–38.38) | |||
Blasts >5% | No | 90 | 28 | reference | 0.011 | 16 | reference | 0.007 |
Yes | 14 | 8 | 2.78 (1.26–6.14) | 6 | 3.64 (1.42–9.33) | |||
Disease variables | ||||||||
T-AML | No | 91 | 28 | reference | 0.009 | 18 | reference | 0.165 |
Yes | 13 | 8 | 2.87 (1.3–6.35) | 4 | 2.16 (0.73–6.41) | |||
Secondary AML | No | 65 | 18 | reference | 0.076 | 12 | reference | 0.343 |
Yes | 39 | 18 | 1.81 (0.94–3.48) | 10 | 1.5 (0.65–3.47) | |||
HCT-CI | <3 | 51 | 12 | reference | 0.006 | 9 | reference | 0.184 |
≥3 | 53 | 24 | 2.67 (1.33–5.37) | 13 | 1.78 (0.76–4.17) | |||
DRI | Low/Intermed | 73 | 21 | reference | 0.013 | 10 | reference | 0.001 |
High/very high | 31 | 15 | 2.34 (1.2–4.57) | 12 | 3.98 (1.71–9.25) | |||
Transplant variables | ||||||||
Stem cell source | CB | 19 | 7 | reference | 0.982 | 1 | reference | 0.315 |
BM | 12 | 4 | 0.92 (0.27–3.15) | 3 | 4.92(0.51–47.34) | |||
PB | 73 | 25 | 0.92 (0.4–2.13) | 18 | 4.7 (0.63–35.2) | |||
HLA matched | Yes | 72 | 23 | reference | 0.337 | 18 | reference | 0.253 |
No | 32 | 13 | 1.4 (0.71–2.76) | 4 | 0.53 (0.18–1.57) | |||
CD34+ selection | No | 75 | 25 | reference | 0.86 | 18 | reference | 0.228 |
Yes | 29 | 11 | 0.94 (0.46–1.91) | 4 | 0.51 (0.17–1.52) | |||
Conditioning | Ablative | 59 | 18 | reference | 0.237 | 9 | reference | 0.1 |
RIC | 45 | 18 | 1.48 (0.77–2.86) | 13 | 2.04 (0.87–4.78) |
T-AML: therapy related AML, CB: Cord blood, BM: Bone marrow, PB: peripheral blood; RIC: reduced intensity conditioning, DRI: disease risk index, F: flow MRD, M: Residual mutations using NGS, HLA matched: matched sibling or matched unrelated donors assessed at 10 alleles (A, B, C, DR, DQ) and non-matched includes all mismatched related, unrelated and cord blood transplant.