Impact of chromosomal abnormalities among adult ALL patients according to the allo-HCT period: multivariate analyses
1990-1999 . | 2000-2009 . | 2010-2019 . | ||||||
---|---|---|---|---|---|---|---|---|
Covariates . | HR . | 95% CI . | Covariates . | HR . | 95% CI . | Covariates . | HR . | 95% CI . |
Overall mortality | Overall mortality | Overall mortality | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.87 | 0.55-1.37 | High-risk non-Ph† | 1.19 | 0.93-1.52 | High-risk non-Ph† | 1.52 | 1.20-1.93 |
Ph+ | 1.36 | 1.12-1.65 | Ph+ | 1.02 | 0.92-1.14 | Ph+ | 0.86 | 0.76-0.96 |
Death or relapse | Death or relapse | Death or relapse | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.91 | 0.58-1.43 | High-risk non-Ph† | 1.23 | 0.97-1.57 | High-risk non-Ph† | 1.39 | 1.11-1.75 |
Ph+ | 1.37 | 1.12-1.67 | Ph+ | 1.08 | 0.97-1.20 | Ph+ | 0.94 | 0.84-1.05 |
RR | RR | RR | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 1.23 | 0.64-2.36 | High-risk non-Ph† | 1.09 | 0.75-1.61 | High-risk non-Ph† | 1.50 | 1.10-2.05 |
Ph+ | 1.37 | 1.03-1.83 | Ph+ | 0.98 | 0.84-1.16 | Ph+ | 0.91 | 0.78-1.07 |
NRM | NRM | NRM | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.59 | 0.26-1.35 | High-risk non-Ph† | 1.12 | 0.78-1.61 | High-risk non-Ph† | 0.97 | 0.67-1.40 |
Ph+ | 1.02 | 0.74-1.40 | Ph+ | 1.11 | 0.95-1.29 | Ph+ | 0.98 | 0.85-1.14 |
1990-1999 . | 2000-2009 . | 2010-2019 . | ||||||
---|---|---|---|---|---|---|---|---|
Covariates . | HR . | 95% CI . | Covariates . | HR . | 95% CI . | Covariates . | HR . | 95% CI . |
Overall mortality | Overall mortality | Overall mortality | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.87 | 0.55-1.37 | High-risk non-Ph† | 1.19 | 0.93-1.52 | High-risk non-Ph† | 1.52 | 1.20-1.93 |
Ph+ | 1.36 | 1.12-1.65 | Ph+ | 1.02 | 0.92-1.14 | Ph+ | 0.86 | 0.76-0.96 |
Death or relapse | Death or relapse | Death or relapse | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.91 | 0.58-1.43 | High-risk non-Ph† | 1.23 | 0.97-1.57 | High-risk non-Ph† | 1.39 | 1.11-1.75 |
Ph+ | 1.37 | 1.12-1.67 | Ph+ | 1.08 | 0.97-1.20 | Ph+ | 0.94 | 0.84-1.05 |
RR | RR | RR | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 1.23 | 0.64-2.36 | High-risk non-Ph† | 1.09 | 0.75-1.61 | High-risk non-Ph† | 1.50 | 1.10-2.05 |
Ph+ | 1.37 | 1.03-1.83 | Ph+ | 0.98 | 0.84-1.16 | Ph+ | 0.91 | 0.78-1.07 |
NRM | NRM | NRM | ||||||
Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref | Standard non-Ph* | 1 | Ref |
High-risk non-Ph† | 0.59 | 0.26-1.35 | High-risk non-Ph† | 1.12 | 0.78-1.61 | High-risk non-Ph† | 0.97 | 0.67-1.40 |
Ph+ | 1.02 | 0.74-1.40 | Ph+ | 1.11 | 0.95-1.29 | Ph+ | 0.98 | 0.85-1.14 |
Covariates included in the multivariate analyses were karyotype (standard non-Ph, high-risk non-Ph, Ph), patient age, white blood cell at diagnosis, conditioning (myeloablative conditioning, RIC), donor (related, unrelated bone marrow, unrelated cord blood), and disease status (CR1, subsequent CR, non-CR).
HR, hazard ratio.
Non-Ph other than t(8;14), t(4;11), t(14;18), hypodiploidy.
t(8;14), t(4;11), t(14;18), hypodiploidy.