Multivariable analyses in the training cohort
| Variable . | OS . | PFS . | Relapse . | NRM . | ||||
|---|---|---|---|---|---|---|---|---|
| HR . | P . | HR . | P . | HR . | P . | HR . | P . | |
| Risk group (DRI) | ||||||||
| Low | 0.6 | < .0001 | 0.6 | < .0001 | 0.4 | < .0001 | 1.0 | 0.9 |
| Intermediate | Ref | Ref | Ref | Ref | ||||
| High | 1.8 | < .0001 | 1.9 | < .0001 | 2.0 | < .0001 | 1.1 | .6 |
| Very high | 3.1 | < .0001 | 3.2 | < .0001 | 2.5 | .0002 | 1.2 | .5 |
| Age, y | ||||||||
| < 40 | 0.7 | < .0001 | 0.7 | .0005 | 1.1 | .7 | 0.6 | < .0001 |
| 40-54 | Ref | Ref | Ref | Ref | ||||
| 55-64 | 1.1 | .4 | 1.0 | .6 | 0.9 | .6 | 1.2 | .2 |
| ≥ 65 | 1.2 | .10 | 1.0 | .7 | 1.1 | .3 | 0.7 | .12 |
| HSCT on protocol | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 0.7 | < .0001 | 0.7 | < .0001 | 0.8 | .009 | 1.1 | .6 |
| Donor | ||||||||
| MRD | 0.8 | .03 | 1.0 | .8 | 1.5 | < .0001 | 0.5 | < .0001 |
| MUD | Ref | .0007 | Ref | .004 | Ref | .9 | Ref | .004 |
| Mismatched | 1.5 | 1.4 | 1.0 | 1.6 | ||||
| Graft source | ||||||||
| BM | Ref | Ref | Ref | Ref | ||||
| PB | N/Aa | N/Aa | 0.8 | .09 | 1.0 | .8 | ||
| UCB | 1.5 | .13 | 1.4 | .17 | 0.7 | .11 | 1.9 | .017 |
| Conditioning | N/Aa | N/Aa | ||||||
| MAC | Ref | Ref | ||||||
| RIC | 3.0 | < .0001 | 0.3 | < .0001 | ||||
| GVHD prophylaxis | ||||||||
| CnI/Mtx | Ref | Ref | Ref | Ref | ||||
| CnI/Siro ± Mtx | 1.0 | .9 | 1.1 | .5 | 1.2 | .08 | 0.7 | .007 |
| CnI/MMF | 0.9 | .6 | 0.8 | .3 | 0.9 | .6 | 1.0 | 1.0 |
| TCD | 1.6 | .04 | 1.5 | .08 | 1.3 | .5 | 1.4 | .3 |
| Other | 2.0 | .005 | 1.6 | .04 | 1.0 | .9 | 1.8 | .08 |
| CMV serostatus | ||||||||
| Donor and patient − | Ref | Ref | Ref | Ref | ||||
| Donor or patient + | 1.1 | .4 | 1.0 | 1.0 | 0.9 | .5 | 1.1 | .4 |
| Patient sex | ||||||||
| Male | Ref | Ref | Ref | Ref | ||||
| Female | 0.9 | .03 | 0.9 | .2 | 1.1 | .3 | 0.8 | .018 |
| Therapy-related disease | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 1.0 | .9 | 0.9 | .3 | 0.8 | .16 | 1.0 | .9 |
| Transformed disease | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 1.1 | .3 | 1.2 | .13 | 1.2 | .3 | 1.1 | .7 |
| Year of HSCT* | N/A* | N/A* | N/A* | N/A* | ||||
| Variable . | OS . | PFS . | Relapse . | NRM . | ||||
|---|---|---|---|---|---|---|---|---|
| HR . | P . | HR . | P . | HR . | P . | HR . | P . | |
| Risk group (DRI) | ||||||||
| Low | 0.6 | < .0001 | 0.6 | < .0001 | 0.4 | < .0001 | 1.0 | 0.9 |
| Intermediate | Ref | Ref | Ref | Ref | ||||
| High | 1.8 | < .0001 | 1.9 | < .0001 | 2.0 | < .0001 | 1.1 | .6 |
| Very high | 3.1 | < .0001 | 3.2 | < .0001 | 2.5 | .0002 | 1.2 | .5 |
| Age, y | ||||||||
| < 40 | 0.7 | < .0001 | 0.7 | .0005 | 1.1 | .7 | 0.6 | < .0001 |
| 40-54 | Ref | Ref | Ref | Ref | ||||
| 55-64 | 1.1 | .4 | 1.0 | .6 | 0.9 | .6 | 1.2 | .2 |
| ≥ 65 | 1.2 | .10 | 1.0 | .7 | 1.1 | .3 | 0.7 | .12 |
| HSCT on protocol | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 0.7 | < .0001 | 0.7 | < .0001 | 0.8 | .009 | 1.1 | .6 |
| Donor | ||||||||
| MRD | 0.8 | .03 | 1.0 | .8 | 1.5 | < .0001 | 0.5 | < .0001 |
| MUD | Ref | .0007 | Ref | .004 | Ref | .9 | Ref | .004 |
| Mismatched | 1.5 | 1.4 | 1.0 | 1.6 | ||||
| Graft source | ||||||||
| BM | Ref | Ref | Ref | Ref | ||||
| PB | N/Aa | N/Aa | 0.8 | .09 | 1.0 | .8 | ||
| UCB | 1.5 | .13 | 1.4 | .17 | 0.7 | .11 | 1.9 | .017 |
| Conditioning | N/Aa | N/Aa | ||||||
| MAC | Ref | Ref | ||||||
| RIC | 3.0 | < .0001 | 0.3 | < .0001 | ||||
| GVHD prophylaxis | ||||||||
| CnI/Mtx | Ref | Ref | Ref | Ref | ||||
| CnI/Siro ± Mtx | 1.0 | .9 | 1.1 | .5 | 1.2 | .08 | 0.7 | .007 |
| CnI/MMF | 0.9 | .6 | 0.8 | .3 | 0.9 | .6 | 1.0 | 1.0 |
| TCD | 1.6 | .04 | 1.5 | .08 | 1.3 | .5 | 1.4 | .3 |
| Other | 2.0 | .005 | 1.6 | .04 | 1.0 | .9 | 1.8 | .08 |
| CMV serostatus | ||||||||
| Donor and patient − | Ref | Ref | Ref | Ref | ||||
| Donor or patient + | 1.1 | .4 | 1.0 | 1.0 | 0.9 | .5 | 1.1 | .4 |
| Patient sex | ||||||||
| Male | Ref | Ref | Ref | Ref | ||||
| Female | 0.9 | .03 | 0.9 | .2 | 1.1 | .3 | 0.8 | .018 |
| Therapy-related disease | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 1.0 | .9 | 0.9 | .3 | 0.8 | .16 | 1.0 | .9 |
| Transformed disease | ||||||||
| No | Ref | Ref | Ref | Ref | ||||
| Yes | 1.1 | .3 | 1.2 | .13 | 1.2 | .3 | 1.1 | .7 |
| Year of HSCT* | N/A* | N/A* | N/A* | N/A* | ||||
CnI indicates calcineurin inhibitor; DRI, disease risk index (see text); HR, hazard ratio; MAC, myeloablative conditioning; MMF, mycophenolate mofetil; MRD, matched related donor; MTX, methotrexate; MUD, matched unrelated donor; N/A, not applicable; OS, overall survival; PB, peripheral blood; PFS, progression-free survival; RIC, reduced-intensity conditioning; Siro, sirolimus; TCD, T-cell depletion; and UCB, umbilical cord blood.
OS and PFS models are stratified on conditioning intensity, graft source (BM vs PB), and year of transplantation (2000-2001, 2002-2004, 2005-2009), so no HRs or P values are provided for those variables.