Table 3.

Engraftment and transplantation outcomes (acute GVHD, chronic GVHD, NRM, relapse, PFS, and OS), with univariate impact of transplantation group




No. evaluated

Standard myeloablative conditioning

No. evaluated

Reduced-intensity conditioning

P
Hematologic reconstitution and engraftment  621    215    
    No hematologic recovery   621   25 (4)   215   12 (5.6)   .3  
        Not evaluable (death < day +15)   621   11 (1.8)   215   5 (2.3)   
        Primary graft failure   610   14 (2.8)   210   7 (3.2)   
    Secondary graft failure   599   4 (0.6)   203   4 (1.9)   
    Stable engraftment   621   581 (93.6)   215   194 (90.2)   
        D to more than 0.5 × 109/L neutrophils (range)   599   16 (0-90)   203   14 (1-59)   .001  
        D to more than 50 × 109/L platelets (range)   599   23 (5-90)   203   16 (0-90)   < .001  
GVHD      
    Acute GVHD, any grade (% of all cases)   621   362 (58)   215   92 (43)   < .001* 
        No    259 (42)    123 (57)   
        Grade I    148 (27)    39 (20)   
        Grade II    127 (23)    22 (11)   
        Grade III    58 (11)    15 (7)   
        Grade IV    29 (5)    16 (8)   
    D onset acute GVHD, median (range)    15 (1-31)    13 (1-31)   
    Chronic GVHD (%)   400    132    .15* 
        No    190 (48)    73 (55)   
        Limited    109 (27)    31 (24)   
        Extensive    101 (25)    28 (21)   
NRM (cumulative incidence, 95% CI)  621    215    
    3 mo    0.20 (0.17-0.23)    0.15 (0.11-0.21)   
1 y    0.28 (0.25-0.32)    0.20 (0.15-0.26)   .04  
    3 y    0.32 (0.28-0.36)    0.22 (0.17-0.28)   
Disease progression/relapse (cumulative incidence, 95% CI)  621    215    
    3 mo    0.08 (0.06-0.10)    0.14 (0.11-0.20)   
    1 y    0.22 (0.19-0.25)    0.35 (0.30-0.43)   < .01  
    3 y    0.27 (0.24-0.31)    0.45 (0.38-0.53)   
Progression-free survival (cumulative incidence, 95% CI)§  621    215    
    3 mo    0.72 (0.74-0.80)    0.76 (0.69-0.81)   
    1 y    0.50 (0.46-0.54)    0.45 (0.38-0.52)   .1  
    3 y    0.41 (0.37-0.45)    0.33 (0.27-0.40)   
Overall survival (cumulative incidence, 95% CI)§  621    215    
    3 mo    0.82 (0.79-0.85)    0.84 (0.79-0.89)   
    1 y    0.58 (0.54-0.62)    0.57 (0.49-0.63)   .7  
    3 y
 

 
0.45 (0.41-0.49)
 

 
0.41 (0.35-0.47)
 

 



No. evaluated

Standard myeloablative conditioning

No. evaluated

Reduced-intensity conditioning

P
Hematologic reconstitution and engraftment  621    215    
    No hematologic recovery   621   25 (4)   215   12 (5.6)   .3  
        Not evaluable (death < day +15)   621   11 (1.8)   215   5 (2.3)   
        Primary graft failure   610   14 (2.8)   210   7 (3.2)   
    Secondary graft failure   599   4 (0.6)   203   4 (1.9)   
    Stable engraftment   621   581 (93.6)   215   194 (90.2)   
        D to more than 0.5 × 109/L neutrophils (range)   599   16 (0-90)   203   14 (1-59)   .001  
        D to more than 50 × 109/L platelets (range)   599   23 (5-90)   203   16 (0-90)   < .001  
GVHD      
    Acute GVHD, any grade (% of all cases)   621   362 (58)   215   92 (43)   < .001* 
        No    259 (42)    123 (57)   
        Grade I    148 (27)    39 (20)   
        Grade II    127 (23)    22 (11)   
        Grade III    58 (11)    15 (7)   
        Grade IV    29 (5)    16 (8)   
    D onset acute GVHD, median (range)    15 (1-31)    13 (1-31)   
    Chronic GVHD (%)   400    132    .15* 
        No    190 (48)    73 (55)   
        Limited    109 (27)    31 (24)   
        Extensive    101 (25)    28 (21)   
NRM (cumulative incidence, 95% CI)  621    215    
    3 mo    0.20 (0.17-0.23)    0.15 (0.11-0.21)   
1 y    0.28 (0.25-0.32)    0.20 (0.15-0.26)   .04  
    3 y    0.32 (0.28-0.36)    0.22 (0.17-0.28)   
Disease progression/relapse (cumulative incidence, 95% CI)  621    215    
    3 mo    0.08 (0.06-0.10)    0.14 (0.11-0.20)   
    1 y    0.22 (0.19-0.25)    0.35 (0.30-0.43)   < .01  
    3 y    0.27 (0.24-0.31)    0.45 (0.38-0.53)   
Progression-free survival (cumulative incidence, 95% CI)§  621    215    
    3 mo    0.72 (0.74-0.80)    0.76 (0.69-0.81)   
    1 y    0.50 (0.46-0.54)    0.45 (0.38-0.52)   .1  
    3 y    0.41 (0.37-0.45)    0.33 (0.27-0.40)   
Overall survival (cumulative incidence, 95% CI)§  621    215    
    3 mo    0.82 (0.79-0.85)    0.84 (0.79-0.89)   
    1 y    0.58 (0.54-0.62)    0.57 (0.49-0.63)   .7  
    3 y
 

 
0.45 (0.41-0.49)
 

 
0.41 (0.35-0.47)
 

 
*

Test for linear association in a 2*k table, where k was the number of treatment groups compared.

Cumulative incidence with disease progression as competing risk; univariate likelihood ratio test from Cox model = log-rank from Kaplan-Meier.

Cumulative incidence with NRM as competing risk; univariate likelihood ratio test from Cox model = log-rank from Kaplan-Meier.

§

(1 — sum of NRM and relapse incidence) by definition; identical to Kaplan-Meier estimate; log-rank test.

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