Multivariable analysis for patients aged 18 to 60 years undergoing allo-HCT using MAC vs RIC for CML, 2007-2014
. | No. of patients (evaluable) . | HR . | 95% CI . | P . |
---|---|---|---|---|
OS | ||||
MAC | 1204 | 1.0 | ||
RIC | 191 | 0.99 | 0.79-1.25 | .95 |
Disease status | .002 | |||
CP1 | 596 | 1.0 | ||
AP | 465 | 1.59 | 1.13-2.24 | .0006 |
CP2+ | 316 | 1.18 | 0.85-1.63 | .0008 |
CP, NOS | 11 | 1.96 | 0.71-5.36 | .28 |
Missing | 7 | 0.87 | 0.63-1.20 | .17 |
KPS | .0003 | |||
≥90% | 955 | 1.0 | ||
<90% | 339 | 1.41 | 1.18-1.69 | .0002 |
Missing | 101 | 1.08 | 0.76-1.54 | .66 |
Graft type | .004 | |||
BM | 336 | 1.0 | ||
PB | 1059 | 1.36 | 1.10-1.66 | .004 |
Donor type | .02 | |||
HLA-identical sibling | 612 | 1.0 | ||
Well-matched unrelated | 532 | 1.32 | 1.09-1.60 | .004 |
Partially matched unrelated | 146 | 1.45 | 1.10-1.89 | .007 |
Mismatched unrelated | 11 | 1.65 | 0.73-3.74 | .23 |
URD matching TBD | 94 | 1.29 | 0.09-1.83 | .15 |
CMV match | .03 | |||
+/+ | 444 | 1.0 | ||
+/− | 117 | 0.93 | 0.68-1.26 | .63 |
−/+ | 319 | 1.11 | 0.90-1.37 | .33 |
−/− | 328 | 0.76 | 0.60-0.95 | .02 |
Missing | 187 | 1.04 | 0.76-1.42 | .79 |
LFS | ||||
MAC | 1190 | 1.0 | ||
RIC | 191 | 1.13 | 0.92-1.39 | .29 |
Disease status | <.0001 | |||
CP1 | 593 | 1.0 | ||
AP | 459 | 1.47 | 1.23-1.74 | <.0001 |
CP2+ | 311 | 1.43 | 1.19-1.73 | .0002 |
CP, NOS | 11 | 1.74 | 0.86-3.53 | .12 |
Missing | 7 | 1.44 | 0.53-3.86 | .47 |
KPS | <.0001 | |||
≥90% | 948 | 1.0 | ||
<90% | 337 | 1.49 | 1.26-1.75 | <.0001 |
Missing | 96 | 0.98 | 0.73-1.32 | .90 |
Relapse ≤5 mo | ||||
MAC | 1183 | 1.0 | ||
RIC | 191 | 1.85 | 1.27-2.70 | .001 |
Relapse >5 mo | ||||
MAC | 922 | 1.0 | ||
RIC | 137 | 0.64 | 0.37-1.08 | .097 |
Disease status | <.0001 | |||
CP1 | 593 | 1.0 | ||
AP | 459 | 1.87 | 1.44-2.41 | <.0001 |
CP2+ | 311 | 1.79 | 1.34-2.39 | <.0001 |
CP, NOS | 11 | 1.58 | 0.50-5.02 | .43 |
KPS | <.0001 | |||
≥90% | 944 | 1.0 | ||
<90% | 334 | 1.81 | 1.42-2.29 | <.0001 |
Missing | 96 | 1.06 | 0.69-1.62 | .80 |
Donor type | .005 | |||
HLA-identical sibling | 604 | 1.0 | ||
Well-matched unrelated | 528 | 0.64 | 0.50-0.82 | .0004 |
Partially matched unrelated | 143 | 0.64 | 0.43-0.95 | .03 |
Mismatched unrelated | 10 | 0.82 | 0.20-3.33 | .78 |
URD matching TBD | 89 | 0.75 | 0.45-1.23 | .25 |
NRM | ||||
MAC | 1190 | 1.0 | ||
RIC | 191 | 1.01 | 0.76-1.34 | .97 |
Age, y | .02 | |||
18-29 | 226 | 1.0 | ||
30-39 | 295 | 1.27 | 0.88-1.82 | .20 |
40-49 | 445 | 1.47 | 1.05-2.05 | .02 |
50-59 | 415 | 1.66 | 1.18-2.33 | .003 |
Graft type | .02 | |||
BM | 333 | 1.0 | ||
PB | 1048 | 1.34 | 1.04-1.72 | .02 |
Donor type | .0002 | |||
HLA-identical sibling | 608 | 1.0 | ||
Well-matched unrelated | 531 | 1.56 | 1.23-1.99 | .0003 |
Partially matched unrelated | 143 | 1.89 | 1.28-2.53 | .0001 |
Mismatched unrelated | 10 | 2.73 | 0.81-5.99 | .03 |
URD matching TBD | 89 | 1.46 | 1.08-2.29 | .09 |
CMV match | .02 | |||
+/+ | 440 | 1.0 | ||
+/− | 117 | 1.01 | 0.69-1.48 | .95 |
−/+ | 316 | 1.22 | 0.94-1.58 | .13 |
−/− | 326 | 0.74 | 0.55-0.97 | .04 |
Missing | 182 | 0.97 | 0.67-1.39 | .85 |
cGVHD | ||||
MAC | 1177 | 1.0 | ||
RIC | 187 | 0.77 | 0.61-0.97 | .02 |
Graft type | <.0001 | |||
BM | 327 | 1.0 | ||
PB | 1037 | 1.75 | 1.46-2.10 | <.0001 |
GVHD prophylaxis | .0005 | |||
TAC | 821 | 1.0 | ||
T-cell depletion/CD34 | 19 | 0.26 | 0.11-0.58 | .001 |
CSA | 457 | 0.82 | 0.70-0.96 | .01 |
Other | 64 | 0.67 | 0.46-0.99 | .04 |
ATG/alemtuzumab | .004 | |||
ATG alone | 319 | 1.0 | ||
Alemtuzumab alone | 33 | 0.41 | 0.21-0.78 | .007 |
No ATG/alemtuzumab | 1012 | 1.13 | 0.94-1.36 | .18 |
Sex match | .007 | |||
M-M | 508 | 1.0 | ||
M-F | 331 | 0.91 | 0.75-1.10 | .33 |
F-M | 284 | 1.30 | 1.08-1.58 | .006 |
F-F | 241 | 1.06 | 0.87-1.30 | .57 |
. | No. of patients (evaluable) . | HR . | 95% CI . | P . |
---|---|---|---|---|
OS | ||||
MAC | 1204 | 1.0 | ||
RIC | 191 | 0.99 | 0.79-1.25 | .95 |
Disease status | .002 | |||
CP1 | 596 | 1.0 | ||
AP | 465 | 1.59 | 1.13-2.24 | .0006 |
CP2+ | 316 | 1.18 | 0.85-1.63 | .0008 |
CP, NOS | 11 | 1.96 | 0.71-5.36 | .28 |
Missing | 7 | 0.87 | 0.63-1.20 | .17 |
KPS | .0003 | |||
≥90% | 955 | 1.0 | ||
<90% | 339 | 1.41 | 1.18-1.69 | .0002 |
Missing | 101 | 1.08 | 0.76-1.54 | .66 |
Graft type | .004 | |||
BM | 336 | 1.0 | ||
PB | 1059 | 1.36 | 1.10-1.66 | .004 |
Donor type | .02 | |||
HLA-identical sibling | 612 | 1.0 | ||
Well-matched unrelated | 532 | 1.32 | 1.09-1.60 | .004 |
Partially matched unrelated | 146 | 1.45 | 1.10-1.89 | .007 |
Mismatched unrelated | 11 | 1.65 | 0.73-3.74 | .23 |
URD matching TBD | 94 | 1.29 | 0.09-1.83 | .15 |
CMV match | .03 | |||
+/+ | 444 | 1.0 | ||
+/− | 117 | 0.93 | 0.68-1.26 | .63 |
−/+ | 319 | 1.11 | 0.90-1.37 | .33 |
−/− | 328 | 0.76 | 0.60-0.95 | .02 |
Missing | 187 | 1.04 | 0.76-1.42 | .79 |
LFS | ||||
MAC | 1190 | 1.0 | ||
RIC | 191 | 1.13 | 0.92-1.39 | .29 |
Disease status | <.0001 | |||
CP1 | 593 | 1.0 | ||
AP | 459 | 1.47 | 1.23-1.74 | <.0001 |
CP2+ | 311 | 1.43 | 1.19-1.73 | .0002 |
CP, NOS | 11 | 1.74 | 0.86-3.53 | .12 |
Missing | 7 | 1.44 | 0.53-3.86 | .47 |
KPS | <.0001 | |||
≥90% | 948 | 1.0 | ||
<90% | 337 | 1.49 | 1.26-1.75 | <.0001 |
Missing | 96 | 0.98 | 0.73-1.32 | .90 |
Relapse ≤5 mo | ||||
MAC | 1183 | 1.0 | ||
RIC | 191 | 1.85 | 1.27-2.70 | .001 |
Relapse >5 mo | ||||
MAC | 922 | 1.0 | ||
RIC | 137 | 0.64 | 0.37-1.08 | .097 |
Disease status | <.0001 | |||
CP1 | 593 | 1.0 | ||
AP | 459 | 1.87 | 1.44-2.41 | <.0001 |
CP2+ | 311 | 1.79 | 1.34-2.39 | <.0001 |
CP, NOS | 11 | 1.58 | 0.50-5.02 | .43 |
KPS | <.0001 | |||
≥90% | 944 | 1.0 | ||
<90% | 334 | 1.81 | 1.42-2.29 | <.0001 |
Missing | 96 | 1.06 | 0.69-1.62 | .80 |
Donor type | .005 | |||
HLA-identical sibling | 604 | 1.0 | ||
Well-matched unrelated | 528 | 0.64 | 0.50-0.82 | .0004 |
Partially matched unrelated | 143 | 0.64 | 0.43-0.95 | .03 |
Mismatched unrelated | 10 | 0.82 | 0.20-3.33 | .78 |
URD matching TBD | 89 | 0.75 | 0.45-1.23 | .25 |
NRM | ||||
MAC | 1190 | 1.0 | ||
RIC | 191 | 1.01 | 0.76-1.34 | .97 |
Age, y | .02 | |||
18-29 | 226 | 1.0 | ||
30-39 | 295 | 1.27 | 0.88-1.82 | .20 |
40-49 | 445 | 1.47 | 1.05-2.05 | .02 |
50-59 | 415 | 1.66 | 1.18-2.33 | .003 |
Graft type | .02 | |||
BM | 333 | 1.0 | ||
PB | 1048 | 1.34 | 1.04-1.72 | .02 |
Donor type | .0002 | |||
HLA-identical sibling | 608 | 1.0 | ||
Well-matched unrelated | 531 | 1.56 | 1.23-1.99 | .0003 |
Partially matched unrelated | 143 | 1.89 | 1.28-2.53 | .0001 |
Mismatched unrelated | 10 | 2.73 | 0.81-5.99 | .03 |
URD matching TBD | 89 | 1.46 | 1.08-2.29 | .09 |
CMV match | .02 | |||
+/+ | 440 | 1.0 | ||
+/− | 117 | 1.01 | 0.69-1.48 | .95 |
−/+ | 316 | 1.22 | 0.94-1.58 | .13 |
−/− | 326 | 0.74 | 0.55-0.97 | .04 |
Missing | 182 | 0.97 | 0.67-1.39 | .85 |
cGVHD | ||||
MAC | 1177 | 1.0 | ||
RIC | 187 | 0.77 | 0.61-0.97 | .02 |
Graft type | <.0001 | |||
BM | 327 | 1.0 | ||
PB | 1037 | 1.75 | 1.46-2.10 | <.0001 |
GVHD prophylaxis | .0005 | |||
TAC | 821 | 1.0 | ||
T-cell depletion/CD34 | 19 | 0.26 | 0.11-0.58 | .001 |
CSA | 457 | 0.82 | 0.70-0.96 | .01 |
Other | 64 | 0.67 | 0.46-0.99 | .04 |
ATG/alemtuzumab | .004 | |||
ATG alone | 319 | 1.0 | ||
Alemtuzumab alone | 33 | 0.41 | 0.21-0.78 | .007 |
No ATG/alemtuzumab | 1012 | 1.13 | 0.94-1.36 | .18 |
Sex match | .007 | |||
M-M | 508 | 1.0 | ||
M-F | 331 | 0.91 | 0.75-1.10 | .33 |
F-M | 284 | 1.30 | 1.08-1.58 | .006 |
F-F | 241 | 1.06 | 0.87-1.30 | .57 |
TBD, to be determined.