Table 2

Determinants of progression to the confirmed outcome disability level

Study epoch
EDSS 3–6EDSS 4–6EDSS 6–6.5*
HR (95% CI)p ValueHR (95% CI)p ValueWAF (95% CI)p Value
Sex (male)1.11 (0.86 to 1.43)0.421.33 (1.08 to 1.63)0.0081.20 (1.04 to 1.37)0.01
Age at baseline (per year)1.01 (1.00 to 1.02)0.191.01 (1.00 to 1.02)0.070.99 (0.98 to 1.00)0.02
Disease duration at baseline (per year)0.99 (0.89 to 1.11)0.930.91 (0.83 to 1.00)0.050.96 (0.91 to 1.02)0.21
Annualised relapse rate
 Prebaseline (per relapse/year)0.92 (0.75 to 1.13)0.410.93 (0.76 to 1.13)0.440.79 (0.68 to 0.91)0.001
 During epoch (per relapse/year)3.07 (2.56 to 3.70)<0.0012.41 (2.05 to 2.84)<0.0011.58 (1.45 to 1.73)<0.001
Rate of prebaseline therapy initiation (per initiation/year)1.07 (0.60 to 1.91)0.811.10 (0.70 to 1.72)0.690.93 (0.69 to 1.24)0.60
Proportion of time on lower efficacy therapies
 Prebaseline (per 25% increase)1.01 (0.92 to 1.11)0.880.97 (0.90 to 1.05)0.511.04 (0.99 to 1.09)0.15
 During epoch (per 25% increase)0.98 (0.90 to 1.07)0.611.00 (0.93 to 1.07)0.921.02 (0.97 to 1.06)0.49
Proportion of time on higher efficacy therapies
 Prebaseline (per 25% increase)0.74 (0.32 to 1.68)0.471.59 (1.22 to 2.07)<0.0011.10 (0.94 to 1.28)0.22
 During epoch (per 25% increase)0.72 (0.59 to 0.89)0.0020.79 (0.69 to 0.91)<0.0010.91 (0.84 to 0.99)0.02
  • Results of multivariable survival models for each epoch. Unless stated otherwise, Cox proportional hazard models were used.

  • *Weibull accelerated failure time model was used for this epoch.

  • EDSS, Expanded Disability Status Scale; WAF, Weibull acceleration factor.