Table 5

Multivariate analysis (subset): risks of acute and chronic GVHD, nonrelapse mortality, relapse, and OS by donor type

Transplant conditioning regimen intensity
OutcomeMyeloablative*Reduced intensity
Hazard ratio (95% CI)Hazard ratio (95% CI)
Grade 2-4 acute GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.37 (0.23-0.61) 0.71 (0.44-1.15) 
P = .0001 P = .16 
Grade 3-4 acute GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.33 (0.14-0.81) 0.21 (0.05-0.86) 
P = .02 P = .03 
Chronic GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.44 (0.29-0.66) 0.45 (0.28-0.71) 
P = .0001 P = .0006 
Nonrelapse mortality   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.93 (0.54-1.61) 0.59 (0.27-1.29) 
P = .83 P = .19 
Relapse   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 1.28 (0.911.81) 1.53 (1.08-2.22) 
P = .16 P = .02 
Overall mortality   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 1.19 (0.87-1.61) 1.06 (0.76-1.51) 
P = .28 P = .70 
Transplant conditioning regimen intensity
OutcomeMyeloablative*Reduced intensity
Hazard ratio (95% CI)Hazard ratio (95% CI)
Grade 2-4 acute GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.37 (0.23-0.61) 0.71 (0.44-1.15) 
P = .0001 P = .16 
Grade 3-4 acute GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.33 (0.14-0.81) 0.21 (0.05-0.86) 
P = .02 P = .03 
Chronic GVHD   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.44 (0.29-0.66) 0.45 (0.28-0.71) 
P = .0001 P = .0006 
Nonrelapse mortality   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 0.93 (0.54-1.61) 0.59 (0.27-1.29) 
P = .83 P = .19 
Relapse   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 1.28 (0.911.81) 1.53 (1.08-2.22) 
P = .16 P = .02 
Overall mortality   
 Matched unrelated donor 1.00 1.00 
 Haploidentical donor 1.19 (0.87-1.61) 1.06 (0.76-1.51) 
P = .28 P = .70 

BM recipients of haploidentical donor transplants and peripheral blood recipient of matched unrelated donor transplant who received tacrolimus or cyclosporine with methotrexate for GVHD prophylaxis are shown above.

*

Nonrelapse mortality risk adjusted for performance score; relapse risk adjusted for disease risk index; overall mortality adjusted for patient age and disease risk index.

Nonrelapse mortality risk adjusted for disease risk index; relapse risk adjusted for performance score, disease risk index and secondary AML; overall mortality adjusted for disease risk index and secondary AML.

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