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Table 4 COVID-19 pharmacological therapies and association with mortality in patients with hematologic malignancies and COVID-19, according to clinical severity of COVID-19: time-to-event analysis

From: Impact of hematologic malignancy and type of cancer therapy on COVID-19 severity and mortality: lessons from a large population-based registry study

 

N (%), patients

n, events

Clinical severity of COVID-19

Mild/moderate

Severe/critical

Patients with data on clinical severity of COVID-19

692 (100)

227

263 patients; 15 events

429 patients; 212 events

Analysis of association with mortality

Univariable

Multivariable*

 

Univariable

Multivariable

 

HR (95% CI)

P value

HR (95% CI)

P value

COVID-19 pharmacological therapy

Antiviral therapy

        

 Hydroxychloroquine

558 (81)

184

0.92 (0.29–2.92)

1.22 (0.33–4.56)

0.8

0.40 (0.28–0.57)

0.38 (0.27–0.56)

 < 0.001

 Azithromycin

276 (40)

90

1.25 (0.44–3.52)

1.57 (0.54–4.56)

0.6

0.69 (0.52–0.90)

0.67 (0.58–0.89)

0.006

 Antiretrovirals

337 (49)

116

1.16 (0.42–3.22)

1.70 (0.57–5.04)

0.4

0.77 (0.59–1.01)

0.91 (0.69–1.20)

0.5

 β-interferon

50 (7)

27

1.28 (0.17–9.78)

2.12 (0.27–16.8)

0.5

1.53 (1.01–2.32)

1.52 (1.00–2.30)

0.051

Antiviral combination therapy

        

 No therapy

116 (17)

33

1 (Ref)

1 (Ref)

 

1 (Ref)

1 (Ref)

 

 Hydroxychloroquine alone

86 (12)

34

1.11 (0.19–6.69)

1.19 (0.16–8.60)

0.8

0.72 (0.43–1.20)

0.54 (0.31–0.92)

0.024

 Hydroxychloroquine and azithromycin

148 (21)

40

0.66 (0.11–3.93)

0.94 (0.13–6.71)

0.6

0.35 (0.22–0.58)

0.34 (0.21–0.57)

 < 0.001

 Hydroxychloroquine and antiretrovirals

208 (30)

68

1.02 (0.23–4.58)

1.52 (0.27–8.63)

0.9

0.43 (0.28–0.68)

0.48 (0.30–0.77)

0.002

 Hydroxychloroquine, azithromycin and antiretrovirals

116 (17)

42

1.80 (0.36–8.96)

4.57 (0.70–29.7)

0.14

0.40 (0.25–0.66)

0.40 (0.24–0.67)

 < 0.001

Adjuvant therapy

        

 Systemic corticosteroids

318 (46)

133

2.43 (0.86–6.82)

2.34 (0.80–6.76)

0.13

0.88 (0.67–1.16)

1.01 (0.76–1.35)

0.9

 Tocilizumab

132 (19)

51

5.07 (1.61–15.9)

5.94 (1.80–19.6)

0.002

0.62 (0.45–0.86)

0.87 (0.62–1.23)

0.4

  1. CI confidence interval, COVID-19 coronavirus disease 2019, HR hazard ratio
  2. *Multivariable analyses for the mild/moderate severity group are adjusted for age only, due to the limited number of events. Multivariable analyses for the severe/critical severity group are adjusted for age (years), sex and comorbidity count, except for the analysis of β-interferon, which was adjusted for age only. HRs and 95% CI were estimated with Cox regression analyses