Table 3.

Relapse risk by DI group in MEMS subcohort stratified by adherence

CharacteristicsMEMS subcohort (adherence ≥85%)MEMS subcohort (adherence <85%)
Univariate HR (95% CI)P valueMultivariable HR (95% CI)P valueUnivariate HR (95% CI)P valueMultivariable HR (95% CI)P value
DI (reference: normal DI)         
High DI 2.2 (1.0-4.7) .04 2.4 (1.0-5.5) .04 0.7 (0.2-2.2) .5 0.9 (0.2-3.8) .9 
Age         
Per year increase 1.1 (1.0-1.2) .006 1.1 (1.0-1.1) .8 1.0 (0.9-1.1) .9 — — 
Sex (reference: female)         
Male 1.0 (0.5-2.2) .9 — — 1.7 (0.5-6.0) .4 — — 
Race/ethnicity (reference: non-Hispanic White)         
Asian 1.1 (0.3-3.7) .9 — — — — — — 
African American or Black 0.4 (0.1-3.0) .4 — — 1.0 (0.2-4.9) .9 — — 
Hispanic 2.1 (0.9-4.9) .1 — — 0.6 (0.1-3.1) .5 — — 
NCI risk group (reference: standard risk)         
High risk 1.9 (0.9-3.9) .1 — — 2.0 (0.6-6.5) .2 — — 
Cytogenetics (reference: neutral)         
Favorable 0.2 (0.1-0.6) .005 0.3 (0.1-0.8) .02 1.0 (0.2-3.8) .9 0.9 (0.2-4.0) .9 
Unfavorable 1.0 (0.2-4.3) .9 0.7 (0.2-3.2) .7 24.8 (3.8-160.5) .0008 21.4 (2.9-160.4) .003 
Time from start of maintenance         
Per year increase 0.4 (0.1-1.1) .08 0.2 (0.1-0.8) .02 0.4 (0.1-2.1) .3 — — 
Treatment interruptions during months 1-4 (reference: no)         
Yes 1.3 (0.6-2.7) .5 1.2 (0.5-2.7) .7 0.5 (0.1-1.9) .3 0.8 (0.2-3.0) .7 
Adherence         
Per unit increase 0.9 (0.8-1.0) .01 0.9 (0.8-1.1) .07 1.0 (0.9-1.0) .7 — — 
CharacteristicsMEMS subcohort (adherence ≥85%)MEMS subcohort (adherence <85%)
Univariate HR (95% CI)P valueMultivariable HR (95% CI)P valueUnivariate HR (95% CI)P valueMultivariable HR (95% CI)P value
DI (reference: normal DI)         
High DI 2.2 (1.0-4.7) .04 2.4 (1.0-5.5) .04 0.7 (0.2-2.2) .5 0.9 (0.2-3.8) .9 
Age         
Per year increase 1.1 (1.0-1.2) .006 1.1 (1.0-1.1) .8 1.0 (0.9-1.1) .9 — — 
Sex (reference: female)         
Male 1.0 (0.5-2.2) .9 — — 1.7 (0.5-6.0) .4 — — 
Race/ethnicity (reference: non-Hispanic White)         
Asian 1.1 (0.3-3.7) .9 — — — — — — 
African American or Black 0.4 (0.1-3.0) .4 — — 1.0 (0.2-4.9) .9 — — 
Hispanic 2.1 (0.9-4.9) .1 — — 0.6 (0.1-3.1) .5 — — 
NCI risk group (reference: standard risk)         
High risk 1.9 (0.9-3.9) .1 — — 2.0 (0.6-6.5) .2 — — 
Cytogenetics (reference: neutral)         
Favorable 0.2 (0.1-0.6) .005 0.3 (0.1-0.8) .02 1.0 (0.2-3.8) .9 0.9 (0.2-4.0) .9 
Unfavorable 1.0 (0.2-4.3) .9 0.7 (0.2-3.2) .7 24.8 (3.8-160.5) .0008 21.4 (2.9-160.4) .003 
Time from start of maintenance         
Per year increase 0.4 (0.1-1.1) .08 0.2 (0.1-0.8) .02 0.4 (0.1-2.1) .3 — — 
Treatment interruptions during months 1-4 (reference: no)         
Yes 1.3 (0.6-2.7) .5 1.2 (0.5-2.7) .7 0.5 (0.1-1.9) .3 0.8 (0.2-3.0) .7 
Adherence         
Per unit increase 0.9 (0.8-1.0) .01 0.9 (0.8-1.1) .07 1.0 (0.9-1.0) .7 — — 

Multivariable models adjust for covariates with P < .1 on univariate comparison, except treatment interruptions, which were retained in final models. Favorable cytogenetics included t(12;21); hyperdiploidy; trisomy 4 and 10; or trisomy 4, 10, and 17. Unfavorable cytogenetics included t(9;22), t(4;11), hypodiploidy, or extreme hypodiploidy. Neutral cytogenetics implied absence of favorable or unfavorable cytogenetics.

—, indicates variables that were not adjusted for in multivariable models; HR, hazard ratio.

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