Table 1.

Pharmacologic Variables as Predictors of EFS

Median Range P Value for Univariate Analysis P Value From Multivariate AnalysisAssociation With Improved EFS
Average TGN*(pmol/8 · 108 RBCs) (n = 709)  401  0-1,498 .611 —  
Maximum TGN (pmol/8 · 108 RBCs) (n = 180)  594  0-4,472  .429 —  
Average TIMP*(pmol/8 · 108 RBCs) (n = 709)  69  0-256 .640 —  
Maximum TIMP (pmol/8 · 108 RBCs) (n = 180)  131  0-456  .509 —  
Average MeTIMP*(pmol/8 · 108 RBCs) (n = 152)  14,212  0-59,379 .252 —  
Maximum MeTIMP (pmol/8 · 108RBCs) (n = 86)  16,532  0-68,371  .287 —  
TPMT activity (units/mL packed RBCs)* (n = 267)  18.0  0.4-30.4 .363 .096 Lower activity  
Average MTXPGs* (pmol/109 RBCs) (n = 418)  24.8  4.9-58.0 .664 —  
Maximum MTXPGs (pmol/109 RBCs) (n = 156)  33.0  4.9-85.3  .196 .405 
Average MTX AUC* (μmol · h) (n = 842)  674  350-1,024  .520 —  
Average teniposide AUC* (μmol · h) (n = 830)  731 235-1,454  .914 —  
Average cytarabine AUC*(μmol · h) (n = 811)  58  12.7-443  .362 — 
Dose intensity 6MP1-153 (n = 19,046)  83%  11-170% .006 .022 Higher dose intensity  
Dose intensity MTX1-153 (n = 19,046)  83%  30-102%  .039 .557 
Median Range P Value for Univariate Analysis P Value From Multivariate AnalysisAssociation With Improved EFS
Average TGN*(pmol/8 · 108 RBCs) (n = 709)  401  0-1,498 .611 —  
Maximum TGN (pmol/8 · 108 RBCs) (n = 180)  594  0-4,472  .429 —  
Average TIMP*(pmol/8 · 108 RBCs) (n = 709)  69  0-256 .640 —  
Maximum TIMP (pmol/8 · 108 RBCs) (n = 180)  131  0-456  .509 —  
Average MeTIMP*(pmol/8 · 108 RBCs) (n = 152)  14,212  0-59,379 .252 —  
Maximum MeTIMP (pmol/8 · 108RBCs) (n = 86)  16,532  0-68,371  .287 —  
TPMT activity (units/mL packed RBCs)* (n = 267)  18.0  0.4-30.4 .363 .096 Lower activity  
Average MTXPGs* (pmol/109 RBCs) (n = 418)  24.8  4.9-58.0 .664 —  
Maximum MTXPGs (pmol/109 RBCs) (n = 156)  33.0  4.9-85.3  .196 .405 
Average MTX AUC* (μmol · h) (n = 842)  674  350-1,024  .520 —  
Average teniposide AUC* (μmol · h) (n = 830)  731 235-1,454  .914 —  
Average cytarabine AUC*(μmol · h) (n = 811)  58  12.7-443  .362 — 
Dose intensity 6MP1-153 (n = 19,046)  83%  11-170% .006 .022 Higher dose intensity  
Dose intensity MTX1-153 (n = 19,046)  83%  30-102%  .039 .557 

Abbreviations: RBC, red blood cell; TGN, thioguanine nucleotides; TIMP, thioinosine monophosphate; MeTIMP, methylthioinosine monophosphate; TPMT, thiopurine methyltransferase; MTXPG, methotrexate polyglutamates; AUC, plasma area under the concentration-times-time curve; MTX, methotrexate; 6MP, 6-mercaptopurine; n = number of measurements for each variable used in the analysis.

*

For those variables for which >1 measurement was taken per patient, the median and range of all possible values are indicated.

Stratified for risk group and protocol treatment arm (conventionalv targeted doses of pulse therapy).

Stratified for risk group only.

F1-153

Dose intensity was estimated as the mg/m2/week of each drug administered ÷ the protocol scheduled dosage for all eligible weeks up until elective cessation of therapy or an event · 100%; n = number of weeks of therapy evaluated for the analysis.

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