Multivariate analysis of relapse and disease-free survival
| . | AML patient transplantations . | ||||||
|---|---|---|---|---|---|---|---|
| n . | Relapse . | Disease-free survival . | |||||
| RR of relapse . | 95% CI . | P . | RR of relapse or death . | 95% CI . | P . | ||
| Donor KIR: A/A and B/x genotypes | |||||||
| Donor KIR genotype | |||||||
| KIR-A/A | 362 | 1.00 | 1.00 | ||||
| KIR-B/x | 696 | 0.72 | 0.58-0.89 | .003 | 0.85 | 0.73-0.99 | .04 |
| Donor KIR: centromeric and telomeric genotypes | |||||||
| Donor Cen genotype | |||||||
| Cen-A/A | 516 | 1.00 | 1.00 | ||||
| Cen-A/B | 427 | 0.87 | 0.70-1.09 | .20 | 0.94 | 0.81-1.10 | .45 |
| Cen-B/B | 115 | 0.34 | 0.20-0.57 | < .001 | 0.72 | 0.55-0.93 | .01 |
| Cen-B/A vs Cen-B/B | < .001 | .04 | |||||
| Donor Tel genotype | |||||||
| Tel-A/A | 643 | 1.00 | 1.00 | ||||
| Tel-A/B | 371 | 0.70 | 0.56-0.89 | .003 | 0.87 | 0.74-1.02 | .08 |
| Tel-B/B | 44 | 0.52 | 0.26-1.06 | .07 | 0.82 | 0.55-1.20 | .32 |
| Tel-A/B vs Tel-B/B | .45 | .77 | |||||
| Donor KIR B–content score | |||||||
| Donor KIR B motifs | |||||||
| 0 | 364 | 1.00 | 1.00 | ||||
| 1 | 366 | 0.93 | 0.73-1.19 | .56 | 0.94 | 0.79-1.11 | .45 |
| 2 | 242 | 0.54 | 0.39-0.74 | < .001 | 0.77 | 0.63-0.94 | .01 |
| 3 or 4 | 86 | 0.44 | 0.27-0.73 | < .001 | 0.76 | 0.56-1.01 | .06 |
| Donor KIR: B–content group | |||||||
| KIR B = 0 or 1 | 730 | 1.00 | 1.00 | ||||
| B ≥ 2 (Cen-A/x, Tel-B/x) | 213 | 0.64 | 0.48-0.86 | .003 | 0.84 | 0.70-1.01 | .07 |
| B ≥ 2 (Cen-B/B, Tel-x/x) | 115 | 0.33 | 0.20-0.55 | < .001 | 0.70 | 0.55-0.90 | .007 |
| Donor KIR genotype and HLA match | |||||||
| HLA-matched | |||||||
| B = 0 or 1 | 374 | 1.00 | 1.00 | ||||
| B ≥ 2 | 165 | 0.52 | 0.36-0.75 | < .001 | 0.80 | 0.62-1.02 | .07 |
| HLA-mismatched | |||||||
| B = 0 or 1 | 374 | 1.00 | 1.00 | ||||
| B ≥ 2 | 173 | 0.52 | 0.35-0.75 | < .001 | 0.78 | 0.63-0.97 | .03 |
| Disease status and HLA match | |||||||
| Disease status | |||||||
| Early | 286 | 1.00 | 1.00 | ||||
| Intermediate | 341 | 1.51 | 1.01-2.26 | .044 | 1.47 | 1.13-1.90 | .005 |
| Advanced | 431 | 2.99 | 2.25-3.98 | < .001 | 2.38 | 1.94-2.92 | < .001 |
| HLA match | |||||||
| 10/10 | 539 | 1.00 | 1.0 | ||||
| Less than 10/10 | 547 | 0.94 | 0.88-1.17 | .57 | 1.30 | 1.12-1.51 | < .001 |
| . | AML patient transplantations . | ||||||
|---|---|---|---|---|---|---|---|
| n . | Relapse . | Disease-free survival . | |||||
| RR of relapse . | 95% CI . | P . | RR of relapse or death . | 95% CI . | P . | ||
| Donor KIR: A/A and B/x genotypes | |||||||
| Donor KIR genotype | |||||||
| KIR-A/A | 362 | 1.00 | 1.00 | ||||
| KIR-B/x | 696 | 0.72 | 0.58-0.89 | .003 | 0.85 | 0.73-0.99 | .04 |
| Donor KIR: centromeric and telomeric genotypes | |||||||
| Donor Cen genotype | |||||||
| Cen-A/A | 516 | 1.00 | 1.00 | ||||
| Cen-A/B | 427 | 0.87 | 0.70-1.09 | .20 | 0.94 | 0.81-1.10 | .45 |
| Cen-B/B | 115 | 0.34 | 0.20-0.57 | < .001 | 0.72 | 0.55-0.93 | .01 |
| Cen-B/A vs Cen-B/B | < .001 | .04 | |||||
| Donor Tel genotype | |||||||
| Tel-A/A | 643 | 1.00 | 1.00 | ||||
| Tel-A/B | 371 | 0.70 | 0.56-0.89 | .003 | 0.87 | 0.74-1.02 | .08 |
| Tel-B/B | 44 | 0.52 | 0.26-1.06 | .07 | 0.82 | 0.55-1.20 | .32 |
| Tel-A/B vs Tel-B/B | .45 | .77 | |||||
| Donor KIR B–content score | |||||||
| Donor KIR B motifs | |||||||
| 0 | 364 | 1.00 | 1.00 | ||||
| 1 | 366 | 0.93 | 0.73-1.19 | .56 | 0.94 | 0.79-1.11 | .45 |
| 2 | 242 | 0.54 | 0.39-0.74 | < .001 | 0.77 | 0.63-0.94 | .01 |
| 3 or 4 | 86 | 0.44 | 0.27-0.73 | < .001 | 0.76 | 0.56-1.01 | .06 |
| Donor KIR: B–content group | |||||||
| KIR B = 0 or 1 | 730 | 1.00 | 1.00 | ||||
| B ≥ 2 (Cen-A/x, Tel-B/x) | 213 | 0.64 | 0.48-0.86 | .003 | 0.84 | 0.70-1.01 | .07 |
| B ≥ 2 (Cen-B/B, Tel-x/x) | 115 | 0.33 | 0.20-0.55 | < .001 | 0.70 | 0.55-0.90 | .007 |
| Donor KIR genotype and HLA match | |||||||
| HLA-matched | |||||||
| B = 0 or 1 | 374 | 1.00 | 1.00 | ||||
| B ≥ 2 | 165 | 0.52 | 0.36-0.75 | < .001 | 0.80 | 0.62-1.02 | .07 |
| HLA-mismatched | |||||||
| B = 0 or 1 | 374 | 1.00 | 1.00 | ||||
| B ≥ 2 | 173 | 0.52 | 0.35-0.75 | < .001 | 0.78 | 0.63-0.97 | .03 |
| Disease status and HLA match | |||||||
| Disease status | |||||||
| Early | 286 | 1.00 | 1.00 | ||||
| Intermediate | 341 | 1.51 | 1.01-2.26 | .044 | 1.47 | 1.13-1.90 | .005 |
| Advanced | 431 | 2.99 | 2.25-3.98 | < .001 | 2.38 | 1.94-2.92 | < .001 |
| HLA match | |||||||
| 10/10 | 539 | 1.00 | 1.0 | ||||
| Less than 10/10 | 547 | 0.94 | 0.88-1.17 | .57 | 1.30 | 1.12-1.51 | < .001 |
AML indicates acute myelogenous leukemia; 95% CI, 95% confidence interval; HLA, human leukocyte antigen; and RR, relative risk.