Table 3

Multivariable analyses in the primary cohort of 210 CN-AML patients

VariableRFS, n = 133
OS, n = 210
EFS, n = 210
HR (95% CI)PHR (95% CI)PHR (95% CI)P
LEF1 expression, high vs low 0.50 (0.30-0.83) .007 0.60 (0.40-0.90) .01 0.58 (0.40-0.83) .003 
Age, per 10-y increase 1.28 (1.08-1.53) .006 1.26 (1.09-1.46) .002 1.31 (1.14-1.49) < .001 
Sex, male vs female 1.13 (0.69-1.86) .62 1.08 (0.73-1.59) .70 1.20 (0.84-1.71) .31 
WBC, logarithmic, per 10-fold increase 1.39 (0.91-2.13) .13 1.33 (0.96-1.87) .09 1.24 (0.92-1.70) .15 
Secondary or therapy-related AML, vs de novo AML nd*  1.43 (0.68-3.02) .34 0.94 (0.45-1.95) .87 
NPM1 mutated/FLT3-ITD negative, vs other genotypes 0.27 (0.14-0.51) < .001 0.43 (0.25-0.73) .002 0.38 (0.24-0.62) < .001 
CEBPA mutation       
    Monoallelic vs absent 0.38 (0.14-1.05) .06 0.52 (0.24-1.13) .10 0.53 (0.26-1.07) .08 
    Biallelic vs absent 0.52 (0.16-1.69) .27 0.38 (0.14-1.00) .05 0.79 (0.37-1.72) .55 
IDH1 mutation, present vs absent 1.91 (0.81-4.49) .14 1.80 (0.90-3.61) .10 1.87 (1.01-3.44) .04 
IDH2 mutation, present vs absent 0.98 (0.49-2.00) .97 0.78 (0.43-1.41) .41 0.90 (0.54-1.51) .69 
MLL-PTD, present vs absent 1.15 (0.51-2.62) .73 1.20 (0.66-2.16) .56 1.38 (0.80-2.37) .24 
ERG expression, high vs low 1.57 (0.86-2.86) .14 1.42 (0.91-2.22) .13 1.42 (0.94-2.14) .10 
BAALC expression, high vs low 0.93 (0.53-1.62) .79 1.28 (0.80-2.03) .29 1.07 (0.71-1.63) .73 
MN1 expression, high vs low 1.59 (0.92-2.77) .10 0.95 (0.61-1.47) .81 1.28 (0.86-1.92) .23 
EVI1 overexpression, present vs absent nd*  1.15 (0.55-2.41) .71 1.23 (0.63-2.40) .54 
VariableRFS, n = 133
OS, n = 210
EFS, n = 210
HR (95% CI)PHR (95% CI)PHR (95% CI)P
LEF1 expression, high vs low 0.50 (0.30-0.83) .007 0.60 (0.40-0.90) .01 0.58 (0.40-0.83) .003 
Age, per 10-y increase 1.28 (1.08-1.53) .006 1.26 (1.09-1.46) .002 1.31 (1.14-1.49) < .001 
Sex, male vs female 1.13 (0.69-1.86) .62 1.08 (0.73-1.59) .70 1.20 (0.84-1.71) .31 
WBC, logarithmic, per 10-fold increase 1.39 (0.91-2.13) .13 1.33 (0.96-1.87) .09 1.24 (0.92-1.70) .15 
Secondary or therapy-related AML, vs de novo AML nd*  1.43 (0.68-3.02) .34 0.94 (0.45-1.95) .87 
NPM1 mutated/FLT3-ITD negative, vs other genotypes 0.27 (0.14-0.51) < .001 0.43 (0.25-0.73) .002 0.38 (0.24-0.62) < .001 
CEBPA mutation       
    Monoallelic vs absent 0.38 (0.14-1.05) .06 0.52 (0.24-1.13) .10 0.53 (0.26-1.07) .08 
    Biallelic vs absent 0.52 (0.16-1.69) .27 0.38 (0.14-1.00) .05 0.79 (0.37-1.72) .55 
IDH1 mutation, present vs absent 1.91 (0.81-4.49) .14 1.80 (0.90-3.61) .10 1.87 (1.01-3.44) .04 
IDH2 mutation, present vs absent 0.98 (0.49-2.00) .97 0.78 (0.43-1.41) .41 0.90 (0.54-1.51) .69 
MLL-PTD, present vs absent 1.15 (0.51-2.62) .73 1.20 (0.66-2.16) .56 1.38 (0.80-2.37) .24 
ERG expression, high vs low 1.57 (0.86-2.86) .14 1.42 (0.91-2.22) .13 1.42 (0.94-2.14) .10 
BAALC expression, high vs low 0.93 (0.53-1.62) .79 1.28 (0.80-2.03) .29 1.07 (0.71-1.63) .73 
MN1 expression, high vs low 1.59 (0.92-2.77) .10 0.95 (0.61-1.47) .81 1.28 (0.86-1.92) .23 
EVI1 overexpression, present vs absent nd*  1.15 (0.55-2.41) .71 1.23 (0.63-2.40) .54 

Multiple imputations using a predictive mean matching algorithm were used in the case of missing covariables.

CN-AML indicates cytogenetically normal acute myeloid leukemia; RFS, relapse-free survival; OS, overall survival; EFS, event-free survival; HR, hazard ratio; CI, confidence interval; WBC, white blood cell count; ITD, internal tandem duplication; nd, not done; and PTD, partial tandem duplication.

*

This variable could not be included in the model for RFS due to the small patient number.

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