Cox regression modeling of time to any MDS-CA, persistent MDS-CA, and clinical MDS/AL from various landmarks
. | . | . | Time to MDS-CA . | Time to persistent MDS-CA . | Time to clinical MDS/AL . | |||
---|---|---|---|---|---|---|---|---|
. | Variable . | n/N (%) . | HR (95% CI) . | P value . | HR (95% CI) . | P value . | HR (95% CI) . | P value . |
From baseline | ||||||||
Univariate | ||||||||
Age ≥ 65 y | 246/1080 (23) | 1.87 (1.27, 2.75) | .002 | 2.16 (1.13, 4.13) | .020 | 1.53 (0.72, 3.26) | .272 | |
Male | 655/1080 (61) | 2.26 (1.48, 3.44) | <.001 | 2.36 (1.12, 4.94) | .023 | 1.83 (0.89, 3.78) | .103 | |
B2M > 5.5 mg/L | 223/1077 (21) | 1.96 (1.30, 2.97) | .001 | 1.45 (0.67, 3.14) | .347 | 1.67 (0.76, 3.66) | .202 | |
TT2-Thal | 316/1080 (29) | 0.59 (0.39, 0.90) | .015 | 0.41 (0.18, 0.93) | .034 | 0.41 (0.18, 0.94) | .035 | |
TT2+Thal | 300/1080 (28) | 0.72 (0.48, 1.07) | .102 | 0.61 (0.30, 1.23) | .165 | 0.87 (0.43, 1.73) | .685 | |
TT3a | 296/1080 (27) | 1.32 (0.88, 1.98) | .180 | 1.72 (0.87, 3.37) | .116 | 2.34 (1.10, 5.00) | .028 | |
TT3b | 168/1080 (16) | 4.14 (2.46, 6.96) | <.001 | 6.29 (2.58, 15.37) | <.001 | 2.62 (0.83, 8.24) | .099 | |
Multivariate | ||||||||
Age ≥ 65 y | 245/1077 (23) | 1.77 (1.19, 2.63) | .005 | 2.13 (1.11, 4.10) | .024 | |||
Male | 652/1077 (61) | 2.33 (1.52, 3.56) | <.001 | 2.32 (1.10, 4.88) | .026 | |||
B2M > 5.5 mg/L | 223/1077 (21) | 1.81 (1.19, 2.77) | .006 | 1.28 (0.58, 2.81) | .541 | |||
TT3b | 165/1077 (15) | 3.71 (2.18, 6.30) | <.001 | 6.02 (2.46, 14.72) | <.001 | |||
With time-dependent variable | ||||||||
Univariate | ||||||||
Age ≥65 y | 246/1080 (23) | 1.87 (1.27, 2.75) | .002 | 2.16 (1.13, 4.13) | .020 | 1.53 (0.72, 3.26) | .272 | |
Male | 655/1080 (61) | 2.26 (1.48, 3.44) | <.001 | 2.36 (1.12, 4.94) | .023 | 1.83 (0.89, 3.78) | .103 | |
B2M >5.5 mg/L | 223/1077 (21) | 1.96 (1.30, 2.97) | .001 | 1.45 (0.67, 3.14) | .347 | 1.67 (0.76, 3.66) | .202 | |
TT2-Thal | 316/1080 (29) | 0.59 (0.39, 0.90) | .015 | 0.41 (0.18, 0.93) | .034 | 0.41 (0.18, 0.94) | .035 | |
TT2+Thal | 300/1080 (28) | 0.72 (0.48, 1.07) | .102 | 0.61 (0.30, 1.23) | .165 | 0.87 (0.43, 1.73) | .685 | |
TT3a | 296/1080 (27) | 1.32 (0.88, 1.98) | .180 | 1.72 (0.87, 3.37) | .116 | 2.34 (1.10, 5.00) | .028 | |
TT3b | 168/1080 (16) | 4.14 (2.46, 6.96) | <.001 | 6.29 (2.58, 15.37) | <.001 | 2.62 (0.83, 8.24) | .099 | |
Relapse before last cytogenetic test*** | N = 1080 | 1.66 (1.17, 2.37) | .005 | 0.89 (0.48, 1.68) | .725 | 1.76 (0.92, 3.35) | .087 | |
Multivariate | ||||||||
Age ≥ 65 y | 245/1077 (23) | 1.89 (1.27, 2.81) | .002 | 2.14 (1.11, 4.13) | .023 | |||
Male | 652/1077 (61) | 2.23 (1.46, 3.41) | <.001 | 2.31 (1.10, 4.87) | .027 | |||
B2M > 5.5 mg/L | 223/1077 (21) | 1.67 (1.09, 2.57) | .018 | 1.27 (0.58, 2.80) | .553 | |||
TT3b | 165/1077 (15) | 4.46 (2.60, 7.67) | <.001 | 6.12 (2.46, 15.23) | <.001 | |||
Relapse before last cytogenetic test*** | N = 1077 | 1.90 (1.31, 2.75) | <.001 | 1.06 (0.55, 2.03) | .863 | |||
From first transplant | ||||||||
Univariate | ||||||||
Age ≥65 y | 211/981 (22) | 2.00 (1.35, 2.97) | <.001 | 2.29 (1.20, 4.38) | .012 | 1.72 (0.80, 3.69) | .162 | |
Male | 602/981 (61) | 2.24 (1.46, 3.45) | <.001 | 2.32 (1.11, 4.86) | .026 | 2.05 (0.96, 4.37) | .062 | |
B2M > 5.5 mg/L | 187/979 (19) | 1.88 (1.22, 2.89) | .004 | 1.54 (0.71, 3.33) | .276 | 1.55 (0.68, 3.53) | .302 | |
TT2-Thal | 283/981 (29) | 0.61 (0.40, 0.93) | .022 | 0.40 (0.18, 0.91) | .030 | 0.43 (0.19, 0.99) | .049 | |
TT2+Thal | 268/981 (27) | 0.73 (0.49, 1.09) | .124 | 0.62 (0.31, 1.25) | .179 | 0.91 (0.45, 1.82) | .786 | |
TT3a | 275/981 (28) | 1.29 (0.85, 1.95) | .236 | 1.73 (0.88, 3.39) | .112 | 2.05 (0.95, 4.45) | .068 | |
TT3b | 155/981 (16) | 4.13 (2.43, 7.04) | <.001 | 6.35 (2.59, 15.55) | <.001 | 2.72 (0.86, 8.64) | .090 | |
Multivariate | ||||||||
Age ≥65 y | 210/970 (22) | 1.89 (1.26, 2.82) | .002 | 2.03 (1.05, 3.90) | .034 | |||
Male | 598/970 (62) | 2.24 (1.45, 3.45) | <.001 | 2.22 (1.05, 4.66) | .036 | |||
B2M >5.5 mg/L | 184/970 (19) | 1.75 (1.12, 2.73) | .013 | 1.46 (0.66, 3.21) | .345 | |||
TT3b | 153/970 (16) | 3.77 (2.19, 6.49) | <.001 | 5.34 (2.18, 13.11) | <.001 | |||
From start of maintenance | ||||||||
Univariate | ||||||||
Age ≥65 y | 130/651 (20) | 2.15 (1.36, 3.40) | <.001 | 2.96 (1.47, 5.96) | .002 | 2.01 (0.88, 4.58) | .095 | |
Male | 411/651 (63) | 1.99 (1.23, 3.22) | .005 | 2.07 (0.94, 4.58) | .072 | 1.45 (0.66, 3.17) | .350 | |
B2M >5.5 mg/L | 106/650 (16) | 2.03 (1.23, 3.34) | .005 | 1.71 (0.75, 3.94) | .204 | 2.19 (0.94, 5.11) | .070 | |
TT2-Thal | 155/651 (24) | 0.73 (0.44, 1.21) | .227 | 0.54 (0.22, 1.30) | .168 | 0.56 (0.22, 1.37) | .202 | |
TT2+Thal | 171/651 (26) | 0.77 (0.48, 1.22) | .265 | 0.69 (0.32, 1.50) | .351 | 0.98 (0.45, 2.11) | .957 | |
TT3a | 211/651 (32) | 0.94 (0.59, 1.51) | .812 | 1.08 (0.52, 2.26) | .841 | 1.26 (0.54, 2.93) | .589 | |
TT3b | 114/651 (18) | 3.57 (1.98, 6.42) | <.001 | 5.86 (2.23, 15.41) | <.001 | 2.67 (0.82, 8.65) | .102 | |
Cumulative dexamethasone prior to maintenance (g) | N = 651 | 0.71 (0.51, 0.99) | .046 | 0.88 (0.54, 1.42) | .599 | 0.73 (0.41, 1.30) | .285 | |
CD34 infused with first transplant <4 × 106/kg | 83/648 (13) | 1.69 (0.98, 2.90) | .058 | 2.09 (0.94, 4.61) | .069 | 1.63 (0.63, 4.27) | .316 | |
CD34 infused with second transplant <5 × 106/kg | 113/595 (19) | 2.14 (1.32, 3.48) | .002 | 2.03 (0.89, 4.65) | .093 | 2.44 (1.07, 5.60) | .035 | |
Multivariate | ||||||||
Age ≥65 y | 98/594 (16) | 1.69 (0.99, 2.90) | .055 | 1.53 (0.61, 3.82) | .365 | |||
Male | 371/594 (62) | 2.57 (1.49, 4.42) | <.001 | 2.53 (0.99, 6.47) | .052 | |||
B2M >5.5 mg/L | 97/594 (16) | 2.21 (1.29, 3.81) | .004 | 1.82 (0.71, 4.63) | .211 | |||
TT3b | 105/594 (18) | 2.06 (1.04, 4.10) | .039 | 3.95 (1.21, 12.92) | .023 | |||
Cumulative dexamethasone prior to maintenance (g) | N = 594 | 0.70 (0.48, 1.04) | .079 | 0.96 (0.57, 1.61) | .871 | |||
CD34 infused with second transplant <5 × 106/kg | 112/594 (19) | 1.78 (1.03, 3.06) | .039 | 1.69 (0.69, 4.15) | .251 | 2.44 (1.07, 5.60) | .035 |
. | . | . | Time to MDS-CA . | Time to persistent MDS-CA . | Time to clinical MDS/AL . | |||
---|---|---|---|---|---|---|---|---|
. | Variable . | n/N (%) . | HR (95% CI) . | P value . | HR (95% CI) . | P value . | HR (95% CI) . | P value . |
From baseline | ||||||||
Univariate | ||||||||
Age ≥ 65 y | 246/1080 (23) | 1.87 (1.27, 2.75) | .002 | 2.16 (1.13, 4.13) | .020 | 1.53 (0.72, 3.26) | .272 | |
Male | 655/1080 (61) | 2.26 (1.48, 3.44) | <.001 | 2.36 (1.12, 4.94) | .023 | 1.83 (0.89, 3.78) | .103 | |
B2M > 5.5 mg/L | 223/1077 (21) | 1.96 (1.30, 2.97) | .001 | 1.45 (0.67, 3.14) | .347 | 1.67 (0.76, 3.66) | .202 | |
TT2-Thal | 316/1080 (29) | 0.59 (0.39, 0.90) | .015 | 0.41 (0.18, 0.93) | .034 | 0.41 (0.18, 0.94) | .035 | |
TT2+Thal | 300/1080 (28) | 0.72 (0.48, 1.07) | .102 | 0.61 (0.30, 1.23) | .165 | 0.87 (0.43, 1.73) | .685 | |
TT3a | 296/1080 (27) | 1.32 (0.88, 1.98) | .180 | 1.72 (0.87, 3.37) | .116 | 2.34 (1.10, 5.00) | .028 | |
TT3b | 168/1080 (16) | 4.14 (2.46, 6.96) | <.001 | 6.29 (2.58, 15.37) | <.001 | 2.62 (0.83, 8.24) | .099 | |
Multivariate | ||||||||
Age ≥ 65 y | 245/1077 (23) | 1.77 (1.19, 2.63) | .005 | 2.13 (1.11, 4.10) | .024 | |||
Male | 652/1077 (61) | 2.33 (1.52, 3.56) | <.001 | 2.32 (1.10, 4.88) | .026 | |||
B2M > 5.5 mg/L | 223/1077 (21) | 1.81 (1.19, 2.77) | .006 | 1.28 (0.58, 2.81) | .541 | |||
TT3b | 165/1077 (15) | 3.71 (2.18, 6.30) | <.001 | 6.02 (2.46, 14.72) | <.001 | |||
With time-dependent variable | ||||||||
Univariate | ||||||||
Age ≥65 y | 246/1080 (23) | 1.87 (1.27, 2.75) | .002 | 2.16 (1.13, 4.13) | .020 | 1.53 (0.72, 3.26) | .272 | |
Male | 655/1080 (61) | 2.26 (1.48, 3.44) | <.001 | 2.36 (1.12, 4.94) | .023 | 1.83 (0.89, 3.78) | .103 | |
B2M >5.5 mg/L | 223/1077 (21) | 1.96 (1.30, 2.97) | .001 | 1.45 (0.67, 3.14) | .347 | 1.67 (0.76, 3.66) | .202 | |
TT2-Thal | 316/1080 (29) | 0.59 (0.39, 0.90) | .015 | 0.41 (0.18, 0.93) | .034 | 0.41 (0.18, 0.94) | .035 | |
TT2+Thal | 300/1080 (28) | 0.72 (0.48, 1.07) | .102 | 0.61 (0.30, 1.23) | .165 | 0.87 (0.43, 1.73) | .685 | |
TT3a | 296/1080 (27) | 1.32 (0.88, 1.98) | .180 | 1.72 (0.87, 3.37) | .116 | 2.34 (1.10, 5.00) | .028 | |
TT3b | 168/1080 (16) | 4.14 (2.46, 6.96) | <.001 | 6.29 (2.58, 15.37) | <.001 | 2.62 (0.83, 8.24) | .099 | |
Relapse before last cytogenetic test*** | N = 1080 | 1.66 (1.17, 2.37) | .005 | 0.89 (0.48, 1.68) | .725 | 1.76 (0.92, 3.35) | .087 | |
Multivariate | ||||||||
Age ≥ 65 y | 245/1077 (23) | 1.89 (1.27, 2.81) | .002 | 2.14 (1.11, 4.13) | .023 | |||
Male | 652/1077 (61) | 2.23 (1.46, 3.41) | <.001 | 2.31 (1.10, 4.87) | .027 | |||
B2M > 5.5 mg/L | 223/1077 (21) | 1.67 (1.09, 2.57) | .018 | 1.27 (0.58, 2.80) | .553 | |||
TT3b | 165/1077 (15) | 4.46 (2.60, 7.67) | <.001 | 6.12 (2.46, 15.23) | <.001 | |||
Relapse before last cytogenetic test*** | N = 1077 | 1.90 (1.31, 2.75) | <.001 | 1.06 (0.55, 2.03) | .863 | |||
From first transplant | ||||||||
Univariate | ||||||||
Age ≥65 y | 211/981 (22) | 2.00 (1.35, 2.97) | <.001 | 2.29 (1.20, 4.38) | .012 | 1.72 (0.80, 3.69) | .162 | |
Male | 602/981 (61) | 2.24 (1.46, 3.45) | <.001 | 2.32 (1.11, 4.86) | .026 | 2.05 (0.96, 4.37) | .062 | |
B2M > 5.5 mg/L | 187/979 (19) | 1.88 (1.22, 2.89) | .004 | 1.54 (0.71, 3.33) | .276 | 1.55 (0.68, 3.53) | .302 | |
TT2-Thal | 283/981 (29) | 0.61 (0.40, 0.93) | .022 | 0.40 (0.18, 0.91) | .030 | 0.43 (0.19, 0.99) | .049 | |
TT2+Thal | 268/981 (27) | 0.73 (0.49, 1.09) | .124 | 0.62 (0.31, 1.25) | .179 | 0.91 (0.45, 1.82) | .786 | |
TT3a | 275/981 (28) | 1.29 (0.85, 1.95) | .236 | 1.73 (0.88, 3.39) | .112 | 2.05 (0.95, 4.45) | .068 | |
TT3b | 155/981 (16) | 4.13 (2.43, 7.04) | <.001 | 6.35 (2.59, 15.55) | <.001 | 2.72 (0.86, 8.64) | .090 | |
Multivariate | ||||||||
Age ≥65 y | 210/970 (22) | 1.89 (1.26, 2.82) | .002 | 2.03 (1.05, 3.90) | .034 | |||
Male | 598/970 (62) | 2.24 (1.45, 3.45) | <.001 | 2.22 (1.05, 4.66) | .036 | |||
B2M >5.5 mg/L | 184/970 (19) | 1.75 (1.12, 2.73) | .013 | 1.46 (0.66, 3.21) | .345 | |||
TT3b | 153/970 (16) | 3.77 (2.19, 6.49) | <.001 | 5.34 (2.18, 13.11) | <.001 | |||
From start of maintenance | ||||||||
Univariate | ||||||||
Age ≥65 y | 130/651 (20) | 2.15 (1.36, 3.40) | <.001 | 2.96 (1.47, 5.96) | .002 | 2.01 (0.88, 4.58) | .095 | |
Male | 411/651 (63) | 1.99 (1.23, 3.22) | .005 | 2.07 (0.94, 4.58) | .072 | 1.45 (0.66, 3.17) | .350 | |
B2M >5.5 mg/L | 106/650 (16) | 2.03 (1.23, 3.34) | .005 | 1.71 (0.75, 3.94) | .204 | 2.19 (0.94, 5.11) | .070 | |
TT2-Thal | 155/651 (24) | 0.73 (0.44, 1.21) | .227 | 0.54 (0.22, 1.30) | .168 | 0.56 (0.22, 1.37) | .202 | |
TT2+Thal | 171/651 (26) | 0.77 (0.48, 1.22) | .265 | 0.69 (0.32, 1.50) | .351 | 0.98 (0.45, 2.11) | .957 | |
TT3a | 211/651 (32) | 0.94 (0.59, 1.51) | .812 | 1.08 (0.52, 2.26) | .841 | 1.26 (0.54, 2.93) | .589 | |
TT3b | 114/651 (18) | 3.57 (1.98, 6.42) | <.001 | 5.86 (2.23, 15.41) | <.001 | 2.67 (0.82, 8.65) | .102 | |
Cumulative dexamethasone prior to maintenance (g) | N = 651 | 0.71 (0.51, 0.99) | .046 | 0.88 (0.54, 1.42) | .599 | 0.73 (0.41, 1.30) | .285 | |
CD34 infused with first transplant <4 × 106/kg | 83/648 (13) | 1.69 (0.98, 2.90) | .058 | 2.09 (0.94, 4.61) | .069 | 1.63 (0.63, 4.27) | .316 | |
CD34 infused with second transplant <5 × 106/kg | 113/595 (19) | 2.14 (1.32, 3.48) | .002 | 2.03 (0.89, 4.65) | .093 | 2.44 (1.07, 5.60) | .035 | |
Multivariate | ||||||||
Age ≥65 y | 98/594 (16) | 1.69 (0.99, 2.90) | .055 | 1.53 (0.61, 3.82) | .365 | |||
Male | 371/594 (62) | 2.57 (1.49, 4.42) | <.001 | 2.53 (0.99, 6.47) | .052 | |||
B2M >5.5 mg/L | 97/594 (16) | 2.21 (1.29, 3.81) | .004 | 1.82 (0.71, 4.63) | .211 | |||
TT3b | 105/594 (18) | 2.06 (1.04, 4.10) | .039 | 3.95 (1.21, 12.92) | .023 | |||
Cumulative dexamethasone prior to maintenance (g) | N = 594 | 0.70 (0.48, 1.04) | .079 | 0.96 (0.57, 1.61) | .871 | |||
CD34 infused with second transplant <5 × 106/kg | 112/594 (19) | 1.78 (1.03, 3.06) | .039 | 1.69 (0.69, 4.15) | .251 | 2.44 (1.07, 5.60) | .035 |
Bolding within the data ranges highlights the variables that were statistically significant. Confidence interval P value from Wald χ2 test in Cox regression. Multivariate results are not statistically significant at 0.05 level. All univariate P values are reported regardless of significance. The multivariate model uses stepwise selection with entry level 0.1; the variable remains if it meets the 0.05 level. A multivariate P value >.05 indicates the variable was forced into model, with significant variables chosen using stepwise selection.*** denotes a time-dependent variable.
CI, confidence interval; HR, hazard ratio; Thal, thalidomide.