Table 5.

Univariable and multivariable analyses of NPM1 mutation as prognostic factor for EFS, DFS, and OS in AML



EFS

DFS

OS

HR (95% CI)
P*
HR (95% CI)
P*
HR (95% CI)
P*
Univariable       
    Intermediate  2.06 (1.33-3.20)   .001*  2.82 (1.63-4.87)   <.001*  2.67 (1.62-4.41)   <.001* 
    Poor  3.88 (2.29-6.56)   <.001*  5.09 (2.61-9.91)   <.001*  4.44 (2.49-7.93)   <.001* 
    WBC count  1.14 (0.84-1.53)   .39   1.18 (0.84-1.68)   .34   1.19 (0.87-1.62)   .29  
    Age, decades   1.05 (0.94-1.19)   .38   1.06 (0.92-1.22)   .41   1.17 (1.03-1.32)   .014* 
    FLT3ITD§  1.76 (1.28-2.41)   .001*  1.71 (1.17-2.50)   .006*  1.89 (1.36-2.62)   <.001* 
    NPM1 mutation  0.88 (0.64-1.21)   .43   0.93 (0.64-1.34)   .69   0.90 (0.65-1.27)   .57  
Multivariable       
    Intermediate  2.18 (1.36-3.50)   .001*  3.11 (1.74-5.55)   <.001*  2.87 (1.69-4.86)   <.001* 
    Poor  3.96 (2.34-6.74)   <.001*  5.73 (2.93-11.22)   <.001*  4.68 (2.60-8.43)   <.001* 
    WBC count  1.06 (0.78-1.44)   .72   1.10 (0.77-1.58)   .60   1.18 (0.85-1.63)   .32  
    Age, decades   1.07 (0.95-1.21)   .27   1.10 (0.95-1.27)   .21   1.19 (1.05-1.35)   .008* 
    FLT3ITD§  1.96 (1.39-2.76)   <.001*  2.00 (1.31-3.06)   .001*  2.13 (1.49-3.05)   <.001* 
    NPM1 mutation
 
0.59 (0.41-0.85)
 
.005*
 
0.52 (0.34-0.80)
 
.003*
 
0.49 (0.33-0.72)
 
<.001*
 


EFS

DFS

OS

HR (95% CI)
P*
HR (95% CI)
P*
HR (95% CI)
P*
Univariable       
    Intermediate  2.06 (1.33-3.20)   .001*  2.82 (1.63-4.87)   <.001*  2.67 (1.62-4.41)   <.001* 
    Poor  3.88 (2.29-6.56)   <.001*  5.09 (2.61-9.91)   <.001*  4.44 (2.49-7.93)   <.001* 
    WBC count  1.14 (0.84-1.53)   .39   1.18 (0.84-1.68)   .34   1.19 (0.87-1.62)   .29  
    Age, decades   1.05 (0.94-1.19)   .38   1.06 (0.92-1.22)   .41   1.17 (1.03-1.32)   .014* 
    FLT3ITD§  1.76 (1.28-2.41)   .001*  1.71 (1.17-2.50)   .006*  1.89 (1.36-2.62)   <.001* 
    NPM1 mutation  0.88 (0.64-1.21)   .43   0.93 (0.64-1.34)   .69   0.90 (0.65-1.27)   .57  
Multivariable       
    Intermediate  2.18 (1.36-3.50)   .001*  3.11 (1.74-5.55)   <.001*  2.87 (1.69-4.86)   <.001* 
    Poor  3.96 (2.34-6.74)   <.001*  5.73 (2.93-11.22)   <.001*  4.68 (2.60-8.43)   <.001* 
    WBC count  1.06 (0.78-1.44)   .72   1.10 (0.77-1.58)   .60   1.18 (0.85-1.63)   .32  
    Age, decades   1.07 (0.95-1.21)   .27   1.10 (0.95-1.27)   .21   1.19 (1.05-1.35)   .008* 
    FLT3ITD§  1.96 (1.39-2.76)   <.001*  2.00 (1.31-3.06)   .001*  2.13 (1.49-3.05)   <.001* 
    NPM1 mutation
 
0.59 (0.41-0.85)
 
.005*
 
0.52 (0.34-0.80)
 
.003*
 
0.49 (0.33-0.72)
 
<.001*
 

CI indicates confidence interval.

*

P values < .05.

Cytogenetic risk versus cytogenetic good risk.

More than 20 × 109/L versus less than 20 × 109/L.

§

FLT3ITD versus no FLT3ITD.

NPM1 mutation versus no NPM1 mutation.

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