Multivariate analysis evaluating the impact of each HSCT type on acute and chronic GVHD, relapse, NRM, and OS in the older and younger patient cohorts
. | Acute GVHD24 . | Acute GVHD34 . | Chronic GVHD . | Relapse . | NRM . | OS . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Recipient age, ≥50 y . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . |
Donor | ||||||||||||||||||
Younger-H vs CBT | 0.52 | 0.41-0.64 | <.001 | 0.35 | 0.22-0.57 | <.001 | 1.15 | 0.93-1.43 | .200 | 1.29 | 1.07-1.56 | .009 | 0.58 | 0.45-0.74 | <.001 | 0.83 | 0.70-0.97 | .019 |
Older-H vs CBT | 0.63 | 0.42-0.93 | .020 | 0.44 | 0.20-0.99 | .049 | 0.80 | 0.50-1.27 | .34 | 1.26 | 0.88-1.78 | .200 | 0.96 | 0.65-1.41 | .83 | 1.18 | 0.90-1.54 | .221 |
Disease risk | ||||||||||||||||||
High vs low | 1.00 | 0.89-1.14 | .950 | 1.34 | 1.07-1.66 | .009 | 1.05 | 0.89-1.24 | .540 | 2.57 | 2.21-2.99 | <.001 | 1.22 | 1.06-1.41 | .005 | 2.10 | 1.89-2.34 | <.001 |
Disease | ||||||||||||||||||
AML vs others | 0.87 | 0.77-0.99 | .030 | 0.94 | 0.75-1.17 | .590 | 0.98 | 0.83-1.15 | .780 | 1.19 | 1.03-1.38 | .020 | 1.04 | 0.90-1.20 | .6 | 1.22 | 1.10-1.36 | <.001 |
HCT-CI | ||||||||||||||||||
3- vs 1-2 | 1.17 | 1.01-1.35 | .037 | 1.13 | 0.87-1.45 | .36 | 1.03 | 0.84-1.25 | .800 | 0.93 | 0.79-1.10 | .420 | 1.48 | 1.28-1.73 | <.001 | 1.31 | 1.17-1.47 | <.001 |
PS24 | ||||||||||||||||||
2-4 vs 0,1 | 0.90 | 0.70-1.16 | .410 | 1.08 | 0.72-1.62 | .72 | 0.95 | 0.68-1.34 | .790 | 1.65 | 1.34-2.03 | <.001 | 1.31 | 1.04-1.64 | .02 | 2.00 | 1.72-2.32 | <.001 |
RICMAC | ||||||||||||||||||
RIC vs MAC | 0.78 | 0.68-0.88 | <.001 | 0.76 | 0.60-0.95 | .017 | 0.76 | 0.64-0.89 | <.001 | 1.21 | 1.05-1.40 | .008 | 0.77 | 0.66-0.88 | <.001 | 0.88 | 0.80-0.99 | .032 |
Sex mismatch | ||||||||||||||||||
F to M vs others | 0.84 | 0.73-0.97 | .015 | 0.77 | 0.60-0.99 | .042 | 1.17 | 0.99-1.40 | .073 | 1.11 | 0.95-1.29 | .190 | 1.05 | 0.90-1.21 | .56 | 1.15 | 1.03-1.28 | .013 |
Recipient age, <50 y | ||||||||||||||||||
Donor | ||||||||||||||||||
Younger-H vs CBT | 0.52 | 0.37-0.75 | <.001 | 0.18 | 0.06-0.57 | .004 | 1.01 | 0.73-1.39 | .97 | 1.30 | 0.94-1.78 | .110 | 0.70 | 0.43-1.14 | .150 | 0.91 | 0.67-1.22 | .520 |
Older-H vs CBT | 1.02 | 0.78-1.33 | .880 | 1.29 | 0.80-2.08 | .300 | 1.25 | 0.93-1.68 | .14 | 0.77 | 0.50-1.19 | .240 | 0.90 | 0.58-1.41 | .660 | 0.87 | 0.63-1.19 | .377 |
Disease risk | ||||||||||||||||||
High vs low | 1.09 | 0.92-1.29 | .290 | 1.29 | 0.93-1.78 | .130 | 0.88 | 0.71-1.09 | .24 | 3.36 | 2.74-4.13 | <.001 | 1.13 | 0.88-1.45 | .330 | 2.40 | 2.03-2.84 | <.001 |
Disease | ||||||||||||||||||
AML vs others | 1.05 | 0.89-1.23 | .570 | 0.78 | 0.57-1.07 | .120 | 1.08 | 0.89-1.30 | .45 | 0.99 | 0.80-1.21 | .900 | 0.89 | 0.70-1.14 | .360 | 1.02 | 0.86-1.21 | .818 |
HCT-CI | ||||||||||||||||||
3- vs 1-2 | 0.79 | 0.61-1.02 | .076 | 0.89 | 0.55-1.43 | .630 | 1.08 | 0.82-1.42 | .6 | 0.9 | 0.66-1.22 | .500 | 1.79 | 1.33-2.42 | <.001 | 1.35 | 1.08-1.69 | .001 |
PS24 | ||||||||||||||||||
2-4 vs 0,1 | 1.14 | 0.81-1.64 | .460 | 2.10 | 1.22-3.62 | .007 | 0.99 | 0.61-1.60 | .96 | 1.57 | 1.11-2.20 | .010 | 2.12 | 1.44-3.10 | <.001 | 2.41 | 1.87-3.11 | <.001 |
RICMAC | ||||||||||||||||||
RIC vs MAC | 0.92 | 0.73-1.18 | .520 | 0.96 | 0.61-1.50 | .850 | 1.04 | 0.80-1.36 | .75 | 1.01 | 0.75-1.34 | .970 | 0.75 | 0.52-1.09 | .130 | 0.87 | 0.68-1.11 | .227 |
Sex mismatch | ||||||||||||||||||
F to M vs others | 0.96 | 0.80-1.14 | .620 | 0.78 | 0.54-1.13 | .190 | 1.07 | 0.86-1.32 | .55 | 0.94 | 0.74-1.19 | .600 | 1.21 | 0.92-1.57 | .170 | 1.07 | 0.89-1.29 | .456 |
. | Acute GVHD24 . | Acute GVHD34 . | Chronic GVHD . | Relapse . | NRM . | OS . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Recipient age, ≥50 y . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . | HR . | 95% CI . | P value . |
Donor | ||||||||||||||||||
Younger-H vs CBT | 0.52 | 0.41-0.64 | <.001 | 0.35 | 0.22-0.57 | <.001 | 1.15 | 0.93-1.43 | .200 | 1.29 | 1.07-1.56 | .009 | 0.58 | 0.45-0.74 | <.001 | 0.83 | 0.70-0.97 | .019 |
Older-H vs CBT | 0.63 | 0.42-0.93 | .020 | 0.44 | 0.20-0.99 | .049 | 0.80 | 0.50-1.27 | .34 | 1.26 | 0.88-1.78 | .200 | 0.96 | 0.65-1.41 | .83 | 1.18 | 0.90-1.54 | .221 |
Disease risk | ||||||||||||||||||
High vs low | 1.00 | 0.89-1.14 | .950 | 1.34 | 1.07-1.66 | .009 | 1.05 | 0.89-1.24 | .540 | 2.57 | 2.21-2.99 | <.001 | 1.22 | 1.06-1.41 | .005 | 2.10 | 1.89-2.34 | <.001 |
Disease | ||||||||||||||||||
AML vs others | 0.87 | 0.77-0.99 | .030 | 0.94 | 0.75-1.17 | .590 | 0.98 | 0.83-1.15 | .780 | 1.19 | 1.03-1.38 | .020 | 1.04 | 0.90-1.20 | .6 | 1.22 | 1.10-1.36 | <.001 |
HCT-CI | ||||||||||||||||||
3- vs 1-2 | 1.17 | 1.01-1.35 | .037 | 1.13 | 0.87-1.45 | .36 | 1.03 | 0.84-1.25 | .800 | 0.93 | 0.79-1.10 | .420 | 1.48 | 1.28-1.73 | <.001 | 1.31 | 1.17-1.47 | <.001 |
PS24 | ||||||||||||||||||
2-4 vs 0,1 | 0.90 | 0.70-1.16 | .410 | 1.08 | 0.72-1.62 | .72 | 0.95 | 0.68-1.34 | .790 | 1.65 | 1.34-2.03 | <.001 | 1.31 | 1.04-1.64 | .02 | 2.00 | 1.72-2.32 | <.001 |
RICMAC | ||||||||||||||||||
RIC vs MAC | 0.78 | 0.68-0.88 | <.001 | 0.76 | 0.60-0.95 | .017 | 0.76 | 0.64-0.89 | <.001 | 1.21 | 1.05-1.40 | .008 | 0.77 | 0.66-0.88 | <.001 | 0.88 | 0.80-0.99 | .032 |
Sex mismatch | ||||||||||||||||||
F to M vs others | 0.84 | 0.73-0.97 | .015 | 0.77 | 0.60-0.99 | .042 | 1.17 | 0.99-1.40 | .073 | 1.11 | 0.95-1.29 | .190 | 1.05 | 0.90-1.21 | .56 | 1.15 | 1.03-1.28 | .013 |
Recipient age, <50 y | ||||||||||||||||||
Donor | ||||||||||||||||||
Younger-H vs CBT | 0.52 | 0.37-0.75 | <.001 | 0.18 | 0.06-0.57 | .004 | 1.01 | 0.73-1.39 | .97 | 1.30 | 0.94-1.78 | .110 | 0.70 | 0.43-1.14 | .150 | 0.91 | 0.67-1.22 | .520 |
Older-H vs CBT | 1.02 | 0.78-1.33 | .880 | 1.29 | 0.80-2.08 | .300 | 1.25 | 0.93-1.68 | .14 | 0.77 | 0.50-1.19 | .240 | 0.90 | 0.58-1.41 | .660 | 0.87 | 0.63-1.19 | .377 |
Disease risk | ||||||||||||||||||
High vs low | 1.09 | 0.92-1.29 | .290 | 1.29 | 0.93-1.78 | .130 | 0.88 | 0.71-1.09 | .24 | 3.36 | 2.74-4.13 | <.001 | 1.13 | 0.88-1.45 | .330 | 2.40 | 2.03-2.84 | <.001 |
Disease | ||||||||||||||||||
AML vs others | 1.05 | 0.89-1.23 | .570 | 0.78 | 0.57-1.07 | .120 | 1.08 | 0.89-1.30 | .45 | 0.99 | 0.80-1.21 | .900 | 0.89 | 0.70-1.14 | .360 | 1.02 | 0.86-1.21 | .818 |
HCT-CI | ||||||||||||||||||
3- vs 1-2 | 0.79 | 0.61-1.02 | .076 | 0.89 | 0.55-1.43 | .630 | 1.08 | 0.82-1.42 | .6 | 0.9 | 0.66-1.22 | .500 | 1.79 | 1.33-2.42 | <.001 | 1.35 | 1.08-1.69 | .001 |
PS24 | ||||||||||||||||||
2-4 vs 0,1 | 1.14 | 0.81-1.64 | .460 | 2.10 | 1.22-3.62 | .007 | 0.99 | 0.61-1.60 | .96 | 1.57 | 1.11-2.20 | .010 | 2.12 | 1.44-3.10 | <.001 | 2.41 | 1.87-3.11 | <.001 |
RICMAC | ||||||||||||||||||
RIC vs MAC | 0.92 | 0.73-1.18 | .520 | 0.96 | 0.61-1.50 | .850 | 1.04 | 0.80-1.36 | .75 | 1.01 | 0.75-1.34 | .970 | 0.75 | 0.52-1.09 | .130 | 0.87 | 0.68-1.11 | .227 |
Sex mismatch | ||||||||||||||||||
F to M vs others | 0.96 | 0.80-1.14 | .620 | 0.78 | 0.54-1.13 | .190 | 1.07 | 0.86-1.32 | .55 | 0.94 | 0.74-1.19 | .600 | 1.21 | 0.92-1.57 | .170 | 1.07 | 0.89-1.29 | .456 |
CBT, cord blood transplantation; F to M, female to male; GVHD24, grade 2 to 4 GVHD; GVHD34, grade 3 to 4 GVHD; HCT-CI, HCT-specific comorbidity index; Older-H, HSCT from older haplo donor; PS, performance status; Younger-H, HSCT from younger haplo donor.