Table 3.

Prognostic factors associated with hematologic relapse


Variable

No. of patients

Patients with hematologic relapse, no. (%)

P by univariate analysis

P by multivariate analysis

Hazard ratio

95% CI
Response to IFN therapy       
    Hematologic failure   46   6 (13)      
    Cytogenetic failure   35   8 (23)   .3219   —   —   —  
    IFN intolerance   60   8 (13)   .5886   —   —   —  
Age    .8263   —   —   —  
    Younger than 60 y   76   12 (16)      
    60 y or older   65   10 (15)      
Sex    .7686   —   —   —  
    Male   77   11 (14)      
    Female   64   11 (17)      
Weight    .4729   —   —   —  
    Less than 70 kg   47   6 (13)      
    70 kg or more   94   16 (17)      
Splenomegaly    .2110   —   —   —  
    No   95   12 (13)      
    Yes   46   10 (22)      
Time since diagnosis of CML    .9465   —   —   —  
    Less than 3 y   71   11 (15)      
    3 y or more   70   11 (16)      
Hemoglobin level    .0198   —   —   —  
    Less than 120 g/L   44   11 (25)      
    120 g/L or more   89   9 (10)      
WBC count    .6480   —   —   —  
    Less than 10 × 109/L   44   7 (16)      
    10 × 109/L or more   97   15 (15)      
Platelet count    .1354   —   —   —  
    Less than 450 × 109/L   91   11 (12)      
    450 × 109/L or more   50   11 (22)      
Basophils    .1730   —   —   —  
    Less than 7%   108   14 (13)      
    7% or more   33   8 (24)      
Bands    .0142   —   —   —  
    Less than 6%   81   7 (9)      
    6% or more   59   14 (24)      
Blasts in peripheral blood    .0823   —   —   —  
    0%   128   18 (14)      
    More than 0%   11   4 (36)      
Blasts in bone marrow    .1141   —   —   —  
    Less than 5%   110   14 (13)      
    5% or more   30   7 (23)      
Ph+ cells in metaphase     —   —   —  
    Less than 99%   20   2 (10)   .2478     
    99% or more   118   20 (17)      
Clonal evolution    < .0001   .0008    1.944-12.409  
    No   119   11 (9)     1.000   
    Yes   22   11 (50)     4.912   
Myelosupression    .4577   —   —   —  
    No   114   16 (14)      
    Yes   26   5 (19)      
Major cytogenetic response    .0047   .0339    0.042-0.883  
    No   77   20 (26)     1.000   
    Yes
 
64
 
2 (3)
 

 

 
0.193
 

 

Variable

No. of patients

Patients with hematologic relapse, no. (%)

P by univariate analysis

P by multivariate analysis

Hazard ratio

95% CI
Response to IFN therapy       
    Hematologic failure   46   6 (13)      
    Cytogenetic failure   35   8 (23)   .3219   —   —   —  
    IFN intolerance   60   8 (13)   .5886   —   —   —  
Age    .8263   —   —   —  
    Younger than 60 y   76   12 (16)      
    60 y or older   65   10 (15)      
Sex    .7686   —   —   —  
    Male   77   11 (14)      
    Female   64   11 (17)      
Weight    .4729   —   —   —  
    Less than 70 kg   47   6 (13)      
    70 kg or more   94   16 (17)      
Splenomegaly    .2110   —   —   —  
    No   95   12 (13)      
    Yes   46   10 (22)      
Time since diagnosis of CML    .9465   —   —   —  
    Less than 3 y   71   11 (15)      
    3 y or more   70   11 (16)      
Hemoglobin level    .0198   —   —   —  
    Less than 120 g/L   44   11 (25)      
    120 g/L or more   89   9 (10)      
WBC count    .6480   —   —   —  
    Less than 10 × 109/L   44   7 (16)      
    10 × 109/L or more   97   15 (15)      
Platelet count    .1354   —   —   —  
    Less than 450 × 109/L   91   11 (12)      
    450 × 109/L or more   50   11 (22)      
Basophils    .1730   —   —   —  
    Less than 7%   108   14 (13)      
    7% or more   33   8 (24)      
Bands    .0142   —   —   —  
    Less than 6%   81   7 (9)      
    6% or more   59   14 (24)      
Blasts in peripheral blood    .0823   —   —   —  
    0%   128   18 (14)      
    More than 0%   11   4 (36)      
Blasts in bone marrow    .1141   —   —   —  
    Less than 5%   110   14 (13)      
    5% or more   30   7 (23)      
Ph+ cells in metaphase     —   —   —  
    Less than 99%   20   2 (10)   .2478     
    99% or more   118   20 (17)      
Clonal evolution    < .0001   .0008    1.944-12.409  
    No   119   11 (9)     1.000   
    Yes   22   11 (50)     4.912   
Myelosupression    .4577   —   —   —  
    No   114   16 (14)      
    Yes   26   5 (19)      
Major cytogenetic response    .0047   .0339    0.042-0.883  
    No   77   20 (26)     1.000   
    Yes
 
64
 
2 (3)
 

 

 
0.193
 

 

— indicates values not shown to be significant on multivariate analysis.

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