Table 3

Multivariate analysis of PRS of metabolite biomarkers as a prognostic factor for OS and EFS in combined training and validation sets

VariableOSEFS
HR (95% CI)*P valueHR (95% CI)*P value
PRS 1.80 (1.17-2.77) .008 1.75 (1.15-2.64) .008 
Age 1.02 (1.00-1.04) .06 1.02 (1.00-1.03) .13 
WBC 1.007 (1.003-1.010) .001 1.006 (1.002-1.010) .002 
BM blasts, % 1.008 (0.999-1.017) .10 1.009 (1.000-1.018) .05 
Treatment protocols§  .25  .10 
 T2 vs T1 0.62 (0.34-1.11) .11 0.54 (0.31-0.96) .04 
 T3 vs T1 1.03 (0.56-1.89) .93 0.77 (0.42-1.41) .39 
 FLT3-ITD|| 0.78 (0.43-1.44) .44 0.86 (0.48-1.54) .62 
 CEBPA 0.36 (0.17-0.76) .008 0.49 (0.26-0.93) .03 
 NPM1|| 0.87 (0.54-1.38) .55 0.81 (0.52-1.27) .36 
 DNMT3A|| 1.70 (0.94-3.06) .08 1.56 (0.88-2.75) .13 
 MLL-PTD# 0.93 (0.41-2.08) .86 1.42 (0.70-2.87) .33 
 2-HG** 1.60 (1.00-2.56) .05 1.83 (1.16-2.88) .009 
VariableOSEFS
HR (95% CI)*P valueHR (95% CI)*P value
PRS 1.80 (1.17-2.77) .008 1.75 (1.15-2.64) .008 
Age 1.02 (1.00-1.04) .06 1.02 (1.00-1.03) .13 
WBC 1.007 (1.003-1.010) .001 1.006 (1.002-1.010) .002 
BM blasts, % 1.008 (0.999-1.017) .10 1.009 (1.000-1.018) .05 
Treatment protocols§  .25  .10 
 T2 vs T1 0.62 (0.34-1.11) .11 0.54 (0.31-0.96) .04 
 T3 vs T1 1.03 (0.56-1.89) .93 0.77 (0.42-1.41) .39 
 FLT3-ITD|| 0.78 (0.43-1.44) .44 0.86 (0.48-1.54) .62 
 CEBPA 0.36 (0.17-0.76) .008 0.49 (0.26-0.93) .03 
 NPM1|| 0.87 (0.54-1.38) .55 0.81 (0.52-1.27) .36 
 DNMT3A|| 1.70 (0.94-3.06) .08 1.56 (0.88-2.75) .13 
 MLL-PTD# 0.93 (0.41-2.08) .86 1.42 (0.70-2.87) .33 
 2-HG** 1.60 (1.00-2.56) .05 1.83 (1.16-2.88) .009 
*

Hazard ratios (HRs) >1 correspond to an increased risk of death/relapse compared with the lower values of continuous variables or the reference group of categorical variables.

Low vs high.

Age, WBC, and percentage of BM blasts as continuous variables.

§

T1, DA regimen; T2, homoharringtonine-based treatment; T3, individualized treatment of elderly patients.

||

Mutant vs wild-type.

Biallelic CEBPA mutants vs monoallelic CEBPA mutants/wild type.

#

Positive vs negative.

**

High vs low as we previously reported.14 

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