Compensation for known risk factors of aGVHD
. | aGVHD grade II–IV . | aGVHD grade III-IV . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | rs6937034 . | rs17473423 . | rs9657655 . | rs12206927 . | ||||||||||
. | All . | DQB1*0601 . | B*5201 . | DRB1*1502 . | B*4403 . | A*3303 . | C*0702 . | |||||||
Factor . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95%CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . |
Univariate analysis | ||||||||||||||
Previous transplants | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.20 (0.88-1.64) | .24 | 1.05 (0.59-1.86) | .88 | 1.05 (0.59-1.86) | .88 | 1.05 (0.59-1.86) | .88 | 1.01 (0.57-1.81) | .96 | 1.01 (0.57-1.81) | .96 | 1.11 (0.63-1.98) | .71 |
ATG | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 0.42 (0.27-0.68) | 3.0 × 10−4 | 0.57 (0.29-1.10) | .095 | 0.57 (0.29-1.1) | .095 | 0.57 (0.29-1.10) | .095 | 0.56 (0.29-1.09) | .087 | 0.56 (0.29-1.09) | .087 | 0.51 (0.25-1.03) | .059 |
Sex, donor-recipient | ||||||||||||||
Others | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Female-male | 1.09 (0.89-1.34) | .41 | 1.24 (0.90-1.73) | .19 | 1.24 (0.90-1.73) | .19 | 1.24 (0.90-1.73) | .19 | 1.20 (0.86-1.66) | .28 | 1.20 (0.86-1.66) | .28 | 1.25 (0.89-1.74) | .2 |
TBI | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.31 (1.08-1.58) | 6.5 × 10−3 | 1.50 (1.07-2.10) | .017 | 1.50 (1.07-2.10) | .017 | 1.50 (1.07-2.10) | .017 | 1.45 (1.05-2.02) | .026 | 1.45 (1.05-2.02) | .026 | 1.48 (1.05-2.09) | .024 |
GVHD prophylaxis | ||||||||||||||
Tacrolimus + MTX | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
CsA + MTX | 1.24 (1.05-1.45) | 9.6 × 10−3 | 1.26 (0.96-1.64) | .095 | 1.26 (0.96-1.64) | .095 | 1.26 (0.96-1.64) | .095 | 1.24 (0.95-1.62) | .11 | 1.24 (0.95-1.62) | .11 | 1.24 (0.94-1.62) | .12 |
Age, y | ||||||||||||||
≤50 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
>50 | 0.94 (0.76-1.15) | .53 | 0.98 (0.69-1.39) | .9 | 0.98 (0.69-1.39) | .9 | 0.98 (0.69-1.39) | .9 | 0.99 (0.70-1.39) | .95 | 0.99 (0.70-1.39) | .95 | 0.94 (0.66-1.34) | .73 |
Disease | ||||||||||||||
AML | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
ALL | 1.39 (1.11-1.73) | .039 | 1.43 (1.00-2.06) | .051 | 1.43 (1.00-2.06) | .051 | 1.43 (1.00-2.06) | .051 | 1.41 (0.99-2.02) | .06 | 1.41 (0.99-2.02) | .06 | 1.43 (1.00-2.06) | .051 |
CML | 1.33 (1.04-1.71) | .025 | 1.31 (0.87-1.98) | .19 | 1.31 (0.87-1.98) | .19 | 1.31 (0.87-1.98) | .19 | 1.36 (0.90-2.04) | .14 | 1.36 (0.90-2.04) | .14 | 1.35 (0.89-2.04) | .16 |
MDS | 1.08 (0.82-1.43) | .59 | 1.02 (0.63-1.63) | .94 | 1.02 (0.63-1.63) | .94 | 1.02 (0.63-1.63) | .94 | 1.03 (0.65-1.63) | .91 | 1.03 (0.65-1.63) | .91 | 0.96 (0.60-1.56) | .88 |
NHL | 1.49 (1.16-1.92) | 1.9 × 10−3 | 1.48 (0.96-2.30) | .078 | 1.48 (0.96-2.30) | .078 | 1.48 (0.96-2.30) | .078 | 1.46 (0.94-2.26) | .091 | 1.46 (0.94-2.26) | .091 | 1.37 (0.88-2.16) | .17 |
Others | 0.68 (0.49-0.95) | .021 | 0.56 (0.31-1.00) | .049 | 0.56 (0.31-1.00) | .049 | 0.56 (0.31-1.00) | .049 | 0.55 (0.31-0.99) | .047 | 0.55 (0.31-0.99) | .047 | 0.48 (0.26-0.90) | .022 |
Allele mismatch | ||||||||||||||
0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Per 1 | 1.47 (1.30-1.67) | 1.2 × 10−9 | 2.37 (1.83-3.06) | 4.7 × 10−11 | 2.40 (1.79-3.21) | 3.6 × 10−9 | 2.39 (1.78-3.20) | 5.5 × 10−9 | 2.44 (1.45-4.11) | 8.0 × 10−4 | 2.53 (1.52-4.21) | 3.7 × 10−4 | 2.76 (1.94-3.95) | 2.2 × 10−8 |
Multivariate analysis* | ||||||||||||||
ATG | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 0.53 (0.32-0.86) | .011 | 0.83 (0.41-1.68) | .61 | 0.85 (0.42-1.74) | .66 | 0.85 (0.42-1.73) | .66 | 0.86 (0.44-1.69) | .67 | 0.86 (0.44-1.69) | .67 | 0.91 (0.43-1.91) | .8 |
TBI | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.22 (1.00-1.48) | .052 | 1.48 (1.04-2.10) | .03 | 1.48 (1.04-2.09) | .028 | 1.48 (1.04-2.09) | .029 | 1.34 (0.95-1.89) | .091 | 1.34 (0.96-1.89) | .09 | 1.36 (0.95-1.93) | .093 |
GVHD prophylaxis | ||||||||||||||
Tacrolimus + MTX | 1 | 1 | 1 | 1 | NA | NA | NA | |||||||
CsA + MTX | 1.22 (1.03-1.43) | .019 | 1.17 (0.89-1.54) | .26 | 1.17 (0.89-1.53) | .27 | 1.17 (0.89-1.54) | .27 | NA | NA | NA | |||
Disease | ||||||||||||||
AML | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
ALL | 1.35 (1.08-1.68) | 8.6 × 10−3 | 1.39 (0.98-1.98) | .069 | 1.37 (0.96-1.96) | .082 | 1.37 (0.96-1.96) | .084 | 1.38 (0.96-1.98) | .079 | 1.38 (0.96-1.97) | .08 | 1.42 (0.99-2.03) | .058 |
CML | 1.28 (1.00-1.66) | .055 | 1.24 (0.81-1.90) | .32 | 1.23 (0.80-1.89) | .34 | 1.24 (0.81-1.90) | .33 | 1.38 (0.92-2.07) | .12 | 1.38 (0.92-2.08) | .12 | 1.42 (0.94-2.14) | .099 |
MDS | 1.13 (0.85-1.49) | .41 | 0.98 (0.60-1.60) | .94 | 1.02 (0.63-1.66) | .93 | 1.03 (0.64-1.67) | .89 | 1.10 (0.69-1.76) | .69 | 1.12 (0.70-1.79) | .63 | 1.04 (0.64-1.68) | .88 |
NHL | 1.50 (1.16-1.94) | 2.2 × 10−3 | 1.47 (0.94-2.31) | .091 | 1.55 (1.00-2.41) | .051 | 1.55 (1.00-2.41) | .052 | 1.58 (1.01-2.46) | .046 | 1.59 (1.01-2.48) | .043 | 1.37 (0.87-2.16) | .18 |
Others | 0.86 (0.61-1.20) | .37 | 0.68 (0.37-1.25) | .21 | 0.68 (0.37-1.25) | .21 | 0.68 (0.37-1.25) | .21 | 0.65 (0.36-1.20) | .17 | 0.66 (0.36-1.21) | .18 | 0.53 (0.27-1.01) | .055 |
Allele mismatch | ||||||||||||||
0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Per 1 | 1.48 (1.31-1.68) | 7.9 × 10−10 | 2.36 (1.83-3.05) | 5.9 × 10−11 | 2.38 (1.77-3.19) | 7.8 × 10−9 | 2.37 (1.76-3.18) | 1.2 × 10−8 | 2.36 (1.42-3.92) | 9.3 × 10−3 | 2.44 (1.49-4.01) | 4.3 × 10−3 | 2.82 (2.00-3.98) | 4.0 × 10−9 |
. | aGVHD grade II–IV . | aGVHD grade III-IV . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | rs6937034 . | rs17473423 . | rs9657655 . | rs12206927 . | ||||||||||
. | All . | DQB1*0601 . | B*5201 . | DRB1*1502 . | B*4403 . | A*3303 . | C*0702 . | |||||||
Factor . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . | HR (95%CI) . | P . | HR (95% CI) . | P . | HR (95% CI) . | P . |
Univariate analysis | ||||||||||||||
Previous transplants | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.20 (0.88-1.64) | .24 | 1.05 (0.59-1.86) | .88 | 1.05 (0.59-1.86) | .88 | 1.05 (0.59-1.86) | .88 | 1.01 (0.57-1.81) | .96 | 1.01 (0.57-1.81) | .96 | 1.11 (0.63-1.98) | .71 |
ATG | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 0.42 (0.27-0.68) | 3.0 × 10−4 | 0.57 (0.29-1.10) | .095 | 0.57 (0.29-1.1) | .095 | 0.57 (0.29-1.10) | .095 | 0.56 (0.29-1.09) | .087 | 0.56 (0.29-1.09) | .087 | 0.51 (0.25-1.03) | .059 |
Sex, donor-recipient | ||||||||||||||
Others | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Female-male | 1.09 (0.89-1.34) | .41 | 1.24 (0.90-1.73) | .19 | 1.24 (0.90-1.73) | .19 | 1.24 (0.90-1.73) | .19 | 1.20 (0.86-1.66) | .28 | 1.20 (0.86-1.66) | .28 | 1.25 (0.89-1.74) | .2 |
TBI | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.31 (1.08-1.58) | 6.5 × 10−3 | 1.50 (1.07-2.10) | .017 | 1.50 (1.07-2.10) | .017 | 1.50 (1.07-2.10) | .017 | 1.45 (1.05-2.02) | .026 | 1.45 (1.05-2.02) | .026 | 1.48 (1.05-2.09) | .024 |
GVHD prophylaxis | ||||||||||||||
Tacrolimus + MTX | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
CsA + MTX | 1.24 (1.05-1.45) | 9.6 × 10−3 | 1.26 (0.96-1.64) | .095 | 1.26 (0.96-1.64) | .095 | 1.26 (0.96-1.64) | .095 | 1.24 (0.95-1.62) | .11 | 1.24 (0.95-1.62) | .11 | 1.24 (0.94-1.62) | .12 |
Age, y | ||||||||||||||
≤50 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
>50 | 0.94 (0.76-1.15) | .53 | 0.98 (0.69-1.39) | .9 | 0.98 (0.69-1.39) | .9 | 0.98 (0.69-1.39) | .9 | 0.99 (0.70-1.39) | .95 | 0.99 (0.70-1.39) | .95 | 0.94 (0.66-1.34) | .73 |
Disease | ||||||||||||||
AML | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
ALL | 1.39 (1.11-1.73) | .039 | 1.43 (1.00-2.06) | .051 | 1.43 (1.00-2.06) | .051 | 1.43 (1.00-2.06) | .051 | 1.41 (0.99-2.02) | .06 | 1.41 (0.99-2.02) | .06 | 1.43 (1.00-2.06) | .051 |
CML | 1.33 (1.04-1.71) | .025 | 1.31 (0.87-1.98) | .19 | 1.31 (0.87-1.98) | .19 | 1.31 (0.87-1.98) | .19 | 1.36 (0.90-2.04) | .14 | 1.36 (0.90-2.04) | .14 | 1.35 (0.89-2.04) | .16 |
MDS | 1.08 (0.82-1.43) | .59 | 1.02 (0.63-1.63) | .94 | 1.02 (0.63-1.63) | .94 | 1.02 (0.63-1.63) | .94 | 1.03 (0.65-1.63) | .91 | 1.03 (0.65-1.63) | .91 | 0.96 (0.60-1.56) | .88 |
NHL | 1.49 (1.16-1.92) | 1.9 × 10−3 | 1.48 (0.96-2.30) | .078 | 1.48 (0.96-2.30) | .078 | 1.48 (0.96-2.30) | .078 | 1.46 (0.94-2.26) | .091 | 1.46 (0.94-2.26) | .091 | 1.37 (0.88-2.16) | .17 |
Others | 0.68 (0.49-0.95) | .021 | 0.56 (0.31-1.00) | .049 | 0.56 (0.31-1.00) | .049 | 0.56 (0.31-1.00) | .049 | 0.55 (0.31-0.99) | .047 | 0.55 (0.31-0.99) | .047 | 0.48 (0.26-0.90) | .022 |
Allele mismatch | ||||||||||||||
0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Per 1 | 1.47 (1.30-1.67) | 1.2 × 10−9 | 2.37 (1.83-3.06) | 4.7 × 10−11 | 2.40 (1.79-3.21) | 3.6 × 10−9 | 2.39 (1.78-3.20) | 5.5 × 10−9 | 2.44 (1.45-4.11) | 8.0 × 10−4 | 2.53 (1.52-4.21) | 3.7 × 10−4 | 2.76 (1.94-3.95) | 2.2 × 10−8 |
Multivariate analysis* | ||||||||||||||
ATG | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 0.53 (0.32-0.86) | .011 | 0.83 (0.41-1.68) | .61 | 0.85 (0.42-1.74) | .66 | 0.85 (0.42-1.73) | .66 | 0.86 (0.44-1.69) | .67 | 0.86 (0.44-1.69) | .67 | 0.91 (0.43-1.91) | .8 |
TBI | ||||||||||||||
No | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Yes | 1.22 (1.00-1.48) | .052 | 1.48 (1.04-2.10) | .03 | 1.48 (1.04-2.09) | .028 | 1.48 (1.04-2.09) | .029 | 1.34 (0.95-1.89) | .091 | 1.34 (0.96-1.89) | .09 | 1.36 (0.95-1.93) | .093 |
GVHD prophylaxis | ||||||||||||||
Tacrolimus + MTX | 1 | 1 | 1 | 1 | NA | NA | NA | |||||||
CsA + MTX | 1.22 (1.03-1.43) | .019 | 1.17 (0.89-1.54) | .26 | 1.17 (0.89-1.53) | .27 | 1.17 (0.89-1.54) | .27 | NA | NA | NA | |||
Disease | ||||||||||||||
AML | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
ALL | 1.35 (1.08-1.68) | 8.6 × 10−3 | 1.39 (0.98-1.98) | .069 | 1.37 (0.96-1.96) | .082 | 1.37 (0.96-1.96) | .084 | 1.38 (0.96-1.98) | .079 | 1.38 (0.96-1.97) | .08 | 1.42 (0.99-2.03) | .058 |
CML | 1.28 (1.00-1.66) | .055 | 1.24 (0.81-1.90) | .32 | 1.23 (0.80-1.89) | .34 | 1.24 (0.81-1.90) | .33 | 1.38 (0.92-2.07) | .12 | 1.38 (0.92-2.08) | .12 | 1.42 (0.94-2.14) | .099 |
MDS | 1.13 (0.85-1.49) | .41 | 0.98 (0.60-1.60) | .94 | 1.02 (0.63-1.66) | .93 | 1.03 (0.64-1.67) | .89 | 1.10 (0.69-1.76) | .69 | 1.12 (0.70-1.79) | .63 | 1.04 (0.64-1.68) | .88 |
NHL | 1.50 (1.16-1.94) | 2.2 × 10−3 | 1.47 (0.94-2.31) | .091 | 1.55 (1.00-2.41) | .051 | 1.55 (1.00-2.41) | .052 | 1.58 (1.01-2.46) | .046 | 1.59 (1.01-2.48) | .043 | 1.37 (0.87-2.16) | .18 |
Others | 0.86 (0.61-1.20) | .37 | 0.68 (0.37-1.25) | .21 | 0.68 (0.37-1.25) | .21 | 0.68 (0.37-1.25) | .21 | 0.65 (0.36-1.20) | .17 | 0.66 (0.36-1.21) | .18 | 0.53 (0.27-1.01) | .055 |
Allele mismatch | ||||||||||||||
0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |||||||
Per 1 | 1.48 (1.31-1.68) | 7.9 × 10−10 | 2.36 (1.83-3.05) | 5.9 × 10−11 | 2.38 (1.77-3.19) | 7.8 × 10−9 | 2.37 (1.76-3.18) | 1.2 × 10−8 | 2.36 (1.42-3.92) | 9.3 × 10−3 | 2.44 (1.49-4.01) | 4.3 × 10−3 | 2.82 (2.00-3.98) | 4.0 × 10−9 |
Factors with significant or marginal association in univariate analyses (P < .1) were subjected in the multivariate analyses.
CsA, cyclosporine A; NA, not applicable.
Subjects without sufficient data for these clinical features were removed from analyses.