Table 3

Multivariate model of HLA mismatches scored in the GvH vector at the HEL (HLA-A, B, C, DRB1) and LEL (DRB3/4/5, DQ, DP) HLA loci

Grades 3-4 aGvHDRelapseTRMOverall survival
RR (95% CI)P valueRR (95% CI)P valueRR (95% CI)P valueRR (95% CI)P value
8/8         
 0 mm .01* .01* .17* .92* 
 1 vs 0 1.41 (1.11-1.79) .005 0.75 (0.59-0.95) .02 1.19 (0.98-1.44) .07 1.05 (0.90-1.23) .52 
 2 vs 0 1.49 (1.16-1.92) .002 0.64 (0.49-0.84) .001 1.23 (1.01-1.50) .04 1.05 (0.89-1.24) .56 
 >2 vs 0 1.58 (1.05-2.39) .03 0.67 (0.41-1.11) .12 1.30 (0.93-1.81) .13 1.07 (0.80-1.42) .65 
 2 vs 1 1.06 (0.87-1.29) .57 0.86 (0.67-1.11) .24 1.03 (0.88-1.22) .68 1.00 (0.87-1.15) .97 
 >2 vs 1 1.12 (0.77-1.65) .55 0.90 (0.55-1.47) .68 1.09 (0.80-1.49) .59 1.02 (0.77-1.33) .91 
 >2 vs 2 1.06 (0.72-1.57) .77 1.05 (0.63-1.73) .86 1.05 (0.76-1.45) .75 1.02 (0.77-1.34) .90 
7/8         
 0 mm .22* .47* .01* .03* 
 1 vs 0 0.95 (0.70-1.30) .77 0.80 (0.54-1.17) .25 1.10 (0.84-1.42) .49 1.01 (0.81-1.26) .90 
 2 vs 0 1.17 (0.86-1.58) .32 0.95 (0.65-1.39) .79 1.29 (0.99-1.67) .06 1.19 (0.95-1.49) .13 
 >2 vs 0 1.30 (0.87-1.96) .20 0.68 (0.36-1.30) .24 1.68 (1.20-2.37) .003 1.45 (1.06-1.96) .08 
 2 vs 1 1.22 (0.96-1.56) .11 1.19 (0.85-1.65) .31 1.17 (0.96-1.44) .13 1.17 (0.98-1.40) .08 
 >2 vs 1 1.37 (0.95-1.96) .09 0.85 (0.46-1.58) .61 1.54 (1.14-2.07) .005 1.43 (1.09-1.87) .01 
 >2 vs 2 1.12 (0.78-1.61) .54 0.72 (0.39-1.33) .29 1.31 (0.97-1.77) .08 1.22 (0.92-1.60) .16 
Grades 3-4 aGvHDRelapseTRMOverall survival
RR (95% CI)P valueRR (95% CI)P valueRR (95% CI)P valueRR (95% CI)P value
8/8         
 0 mm .01* .01* .17* .92* 
 1 vs 0 1.41 (1.11-1.79) .005 0.75 (0.59-0.95) .02 1.19 (0.98-1.44) .07 1.05 (0.90-1.23) .52 
 2 vs 0 1.49 (1.16-1.92) .002 0.64 (0.49-0.84) .001 1.23 (1.01-1.50) .04 1.05 (0.89-1.24) .56 
 >2 vs 0 1.58 (1.05-2.39) .03 0.67 (0.41-1.11) .12 1.30 (0.93-1.81) .13 1.07 (0.80-1.42) .65 
 2 vs 1 1.06 (0.87-1.29) .57 0.86 (0.67-1.11) .24 1.03 (0.88-1.22) .68 1.00 (0.87-1.15) .97 
 >2 vs 1 1.12 (0.77-1.65) .55 0.90 (0.55-1.47) .68 1.09 (0.80-1.49) .59 1.02 (0.77-1.33) .91 
 >2 vs 2 1.06 (0.72-1.57) .77 1.05 (0.63-1.73) .86 1.05 (0.76-1.45) .75 1.02 (0.77-1.34) .90 
7/8         
 0 mm .22* .47* .01* .03* 
 1 vs 0 0.95 (0.70-1.30) .77 0.80 (0.54-1.17) .25 1.10 (0.84-1.42) .49 1.01 (0.81-1.26) .90 
 2 vs 0 1.17 (0.86-1.58) .32 0.95 (0.65-1.39) .79 1.29 (0.99-1.67) .06 1.19 (0.95-1.49) .13 
 >2 vs 0 1.30 (0.87-1.96) .20 0.68 (0.36-1.30) .24 1.68 (1.20-2.37) .003 1.45 (1.06-1.96) .08 
 2 vs 1 1.22 (0.96-1.56) .11 1.19 (0.85-1.65) .31 1.17 (0.96-1.44) .13 1.17 (0.98-1.40) .08 
 >2 vs 1 1.37 (0.95-1.96) .09 0.85 (0.46-1.58) .61 1.54 (1.14-2.07) .005 1.43 (1.09-1.87) .01 
 >2 vs 2 1.12 (0.78-1.61) .54 0.72 (0.39-1.33) .29 1.31 (0.97-1.77) .08 1.22 (0.92-1.60) .16 

Note: supplemental Table 1 shows the number of transplants in each category when scored in the GvH vector. Models were adjusted or stratified for the following variables: grades 3-4 acute GvHD, adjusted for T depletion, disease, year of transplant; stratified on Karnofsky score; relapse, adjusted for disease and disease status, cytomegalovirus match, and Karnofsky score; TRM, adjusted for recipient age, disease, cytomegalovirus match, year of transplant, Karnofsky score, and radiation (yes or no); and overall survival, adjusted for recipient age, disease and disease status, cytomegalovirus match, year of transplant; stratified on Karnofsky score.

*

P values for the all comparisons made for the outcome in each match grade category.

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