Table 3.

Risk of hematologic relapse among patients on the higher-risk arm, based on combined GSTM1 nonnull and TYMS genotypes, by multivariate analysis


Feature*

Coefficient

SE

Hazard ratio (95% CI)

P
Combined GSTM1 and TYMS (GSTM1 nonnull + TYMS 3/3 vs others)   2.67   0.905   14.5 (2.46-85.2)   .0031  
Leukocyte count (fewer than 100 × 109/L vs at least 100 × 109/L)   -1.95   0.964   0.14 (0.02-0.94)   .043  
t(9;22)/BCR-ABL (present vs absent)   0.38   0.906   1.47 (0.25-8.66)   .67  
t(4;11)/MLL-AF4 (present vs absent)   3.13   0.985   22.8 (1.20-157)   .0015  
Day 19 marrow (at least 5% blasts vs less than 5% blasts)   1.07   0.551   2.92 (0.99-8.61)   .052  
Minimal residual disease on remission date (at least 0.01% vs less than 0.01%)
 
2.75
 
1.00
 
15.7 (2.20-112)
 
.0060
 

Feature*

Coefficient

SE

Hazard ratio (95% CI)

P
Combined GSTM1 and TYMS (GSTM1 nonnull + TYMS 3/3 vs others)   2.67   0.905   14.5 (2.46-85.2)   .0031  
Leukocyte count (fewer than 100 × 109/L vs at least 100 × 109/L)   -1.95   0.964   0.14 (0.02-0.94)   .043  
t(9;22)/BCR-ABL (present vs absent)   0.38   0.906   1.47 (0.25-8.66)   .67  
t(4;11)/MLL-AF4 (present vs absent)   3.13   0.985   22.8 (1.20-157)   .0015  
Day 19 marrow (at least 5% blasts vs less than 5% blasts)   1.07   0.551   2.92 (0.99-8.61)   .052  
Minimal residual disease on remission date (at least 0.01% vs less than 0.01%)
 
2.75
 
1.00
 
15.7 (2.20-112)
 
.0060
 

This analysis was performed in the 64 patients with all features evaluable; because all patients in the higher-risk group who relapsed had an unfavorable DNA index, it was not included as a potential predictive feature.

SE indicates standard error for the coefficient estimate; CI, confidence interval.

*

Hazard of relapse for the first feature compared to those with the second feature.

P value was determined by Fine and Gray estimator.

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