Table 3.

Multivariable Analysis of Risk Factors for Relapse

Risk FactorRR95% CIP Value
Model 1 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 4.8 1.0-22.7 .046 
 Remission Status 
  Remission 1.0  —   —  
  Relapse 2.0 0.6-6.6 .249 
Model 2 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 6.9 1.5-32.9 .014 
 Donor Type 
  Matched-related 1.0  —   —  
  URD, mismatch 0.3 0.1-1.0 .058 
Model 3 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 5.8 1.3-26.6 .023 
 GVHD 
  Grades 0-I (or Auto) 1.0  —   —  
  Grades ≥ II 0.6 0.2-2.0 .410 
Model 4 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 5.5 1.2-25.4 .028 
 TBI 
  >1200 cGy 1.0  —   —  
  Chemo or ≤1,200 4.3 1.3-13.8 .015 
Risk FactorRR95% CIP Value
Model 1 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 4.8 1.0-22.7 .046 
 Remission Status 
  Remission 1.0  —   —  
  Relapse 2.0 0.6-6.6 .249 
Model 2 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 6.9 1.5-32.9 .014 
 Donor Type 
  Matched-related 1.0  —   —  
  URD, mismatch 0.3 0.1-1.0 .058 
Model 3 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 5.8 1.3-26.6 .023 
 GVHD 
  Grades 0-I (or Auto) 1.0  —   —  
  Grades ≥ II 0.6 0.2-2.0 .410 
Model 4 PCR Status 
  PCR-negative 1.0  —   —  
  PCR-positive 5.5 1.2-25.4 .028 
 TBI 
  >1200 cGy 1.0  —   —  
  Chemo or ≤1,200 4.3 1.3-13.8 .015 

Four multivariable models examining the effect of the PCR test for bcr-abl while controlling for other clinical variables. In each model the relative risk (RR) of relapse compares PCR-positive to PCR-negative patients. In addition, clinical variables are added separately to the model containing the PCR status of the patient. For the variable of remission status at the time of BMT, relapse is compared to remission; for donor type, unrelated or partially matched v matched, syngeneic, and autologous; for GVHD, grades II-IV acute GVHD v grades O-I; and for conditioning regimen, patients receiving chemotherapy only or TBI-containing regimens with ≤1,200 cGy v TBI-containing regimens with >1,200 cGy.

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