Table 4

Univariate and multivariate Cox regression analyses of PFS and OS for combined training (TT3A, UARK2003-33) and test sets (TT3B, UARK 2006-66)

Variablen/N (%)PFS
OS
HR (95% CI)P*HR (95% CI)P*
Univariate Cox regression analysis      
    Age ≥ 65 y 71/270 (26) 1.30 (0.81-2.11) .281 1.02 (0.57-1.80) .957 
    Albumin level < 3.5 g/dL 89/269 (33) 2.03 (1.29-3.20) .002 1.93 (1.16-3.23) .012 
    B2M level ≥ 3.5 mg/L 133/267 (50) 2.01 (1.27-3.19) .003 1.96 (1.16-3.30) .011 
    ISS Stage III 68/267 (25) 2.10 (1.32-3.33) .002 2.09 (1.24-3.52) .006 
    Creatinine level ≥ 2.0 mg/dL 22/269 (8) 2.07 (1.09-3.93) .025 2.08 (1.02-4.22) .043 
    CRP level ≥ 8 mg/L 98/269 (36) 2.05 (1.31-3.20) .002 1.93 (1.17-3.20) .010 
    Hb level < 10 g/dL 79/269 (29) 2.19 (1.39-3.44) < .001 2.33 (1.40-3.88) .001 
    LDH level ≥ 190 U/L 70/269 (26) 3.99 (2.55-6.24) < .001 4.13 (2.49-6.84) < .001 
    Cytogenetic abnormalities 104/267 (39) 2.36 (1.51-3.70) < .001 3.43 (2.03-5.80) < .001 
    Baseline 70-gene high risk 49/270 (18) 4.22 (2.65-6.71) < .001 5.00 (3.00-8.35) < .001 
    GEP CD-1 subgroup 16/270 (6) 1.00 (0.36-2.74) .999 1.33 (0.48-3.69) .579 
    GEP CD-2 subgroup 32/270 (12) 0.53 (0.21-1.31) .168 0.40 (0.13-1.29) .126 
    GEP HY subgroup 74/270 (27) 0.97 (0.59-1.61) .921 0.98 (0.55-1.73) .934 
    GEP LB subgroup 28/270 (10) 0.39 (0.14-1.08) .069 0.39 (0.12-1.24) .110 
    GEP MF subgroup 18/270 (7) 2.31 (1.19-4.49) .014 2.18 (1.03-4.58) .040 
    GEP MS subgroup 33/270 (12) 1.17 (0.60-2.27) .647 0.95 (0.43-2.10) .907 
    GEP PR subgroup 34/270 (13) 2.53 (1.47-4.34) < .001 2.92 (1.62-5.25) < .001 
    GEP proliferation index ≥ 10 34/270 (13) 3.67 (2.25-5.97) < .001 3.91 (2.29-6.69) < .001 
    GEP TP53 deletion 29/270 (11) 2.71 (1.54-4.76) < .001 3.40 (1.87-6.19) < .001 
    Baseline 80-gene high risk 28/270 (10) 6.60 (3.91-11.15) < .001 8.76 (4.99-15.38) < .001 
    Post-Bz 80-gene high risk 48/270 (18) 5.05 (3.20-7.97) < .001 6.15 (3.70-10.23) < .001 
    FISH 1q21 copy number (2,3,4) 107 1.67 (0.96-2.88) .068 1.92 (1.10-3.36) .022 
    PSMD4 discretized levels (2,3,4) 269 1.67 (1.28-2.18) < .001 1.95 (1.48-2.58) < .001 
Multivariate Cox regression analysis      
    Albumin level < 3.5 g/dL 89/269 (33) 1.90 (1.20-2.99) .006 1.73 (1.03-2.90) .038 
    Baseline 80-gene high risk 28/269 (10) 3.77 (2.14-6.62) < .001 5.25 (2.83-9.75) < .001 
    LDH level ≥ 190 U/L 70/269 (26) 2.94 (1.81-4.76) < .001 2.63 (1.51-4.60) < .001 
Variablen/N (%)PFS
OS
HR (95% CI)P*HR (95% CI)P*
Univariate Cox regression analysis      
    Age ≥ 65 y 71/270 (26) 1.30 (0.81-2.11) .281 1.02 (0.57-1.80) .957 
    Albumin level < 3.5 g/dL 89/269 (33) 2.03 (1.29-3.20) .002 1.93 (1.16-3.23) .012 
    B2M level ≥ 3.5 mg/L 133/267 (50) 2.01 (1.27-3.19) .003 1.96 (1.16-3.30) .011 
    ISS Stage III 68/267 (25) 2.10 (1.32-3.33) .002 2.09 (1.24-3.52) .006 
    Creatinine level ≥ 2.0 mg/dL 22/269 (8) 2.07 (1.09-3.93) .025 2.08 (1.02-4.22) .043 
    CRP level ≥ 8 mg/L 98/269 (36) 2.05 (1.31-3.20) .002 1.93 (1.17-3.20) .010 
    Hb level < 10 g/dL 79/269 (29) 2.19 (1.39-3.44) < .001 2.33 (1.40-3.88) .001 
    LDH level ≥ 190 U/L 70/269 (26) 3.99 (2.55-6.24) < .001 4.13 (2.49-6.84) < .001 
    Cytogenetic abnormalities 104/267 (39) 2.36 (1.51-3.70) < .001 3.43 (2.03-5.80) < .001 
    Baseline 70-gene high risk 49/270 (18) 4.22 (2.65-6.71) < .001 5.00 (3.00-8.35) < .001 
    GEP CD-1 subgroup 16/270 (6) 1.00 (0.36-2.74) .999 1.33 (0.48-3.69) .579 
    GEP CD-2 subgroup 32/270 (12) 0.53 (0.21-1.31) .168 0.40 (0.13-1.29) .126 
    GEP HY subgroup 74/270 (27) 0.97 (0.59-1.61) .921 0.98 (0.55-1.73) .934 
    GEP LB subgroup 28/270 (10) 0.39 (0.14-1.08) .069 0.39 (0.12-1.24) .110 
    GEP MF subgroup 18/270 (7) 2.31 (1.19-4.49) .014 2.18 (1.03-4.58) .040 
    GEP MS subgroup 33/270 (12) 1.17 (0.60-2.27) .647 0.95 (0.43-2.10) .907 
    GEP PR subgroup 34/270 (13) 2.53 (1.47-4.34) < .001 2.92 (1.62-5.25) < .001 
    GEP proliferation index ≥ 10 34/270 (13) 3.67 (2.25-5.97) < .001 3.91 (2.29-6.69) < .001 
    GEP TP53 deletion 29/270 (11) 2.71 (1.54-4.76) < .001 3.40 (1.87-6.19) < .001 
    Baseline 80-gene high risk 28/270 (10) 6.60 (3.91-11.15) < .001 8.76 (4.99-15.38) < .001 
    Post-Bz 80-gene high risk 48/270 (18) 5.05 (3.20-7.97) < .001 6.15 (3.70-10.23) < .001 
    FISH 1q21 copy number (2,3,4) 107 1.67 (0.96-2.88) .068 1.92 (1.10-3.36) .022 
    PSMD4 discretized levels (2,3,4) 269 1.67 (1.28-2.18) < .001 1.95 (1.48-2.58) < .001 
Multivariate Cox regression analysis      
    Albumin level < 3.5 g/dL 89/269 (33) 1.90 (1.20-2.99) .006 1.73 (1.03-2.90) .038 
    Baseline 80-gene high risk 28/269 (10) 3.77 (2.14-6.62) < .001 5.25 (2.83-9.75) < .001 
    LDH level ≥ 190 U/L 70/269 (26) 2.94 (1.81-4.76) < .001 2.63 (1.51-4.60) < .001 

95% CI indicates 95% confidence interval; B2M, β2-microglobulin; ISS, International Staging System; CRP, C-reactive protein; and Hb, hemoglobin.

*

Determined with Wald chi-square test in Cox regression.

All univariate P values were reported regardless of significance. Variables with univariate P < .10 were considered for selection in the multivariate analysis.

Multivariate model uses stepwise selection with entry level 0.1 and variable remains if meets the 0.05 level.

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