GPT and anemia (phenotype): Through multivariable analysis, cats with anemia before COP (p = 0.013; hazard ratio (HR) = 2.5), with azotemia after 2nd induction (p = 0.044; HR = 2.3) and with elevated ALT after 1st induction (p = 0.014; HR = 2.8) all had a higher risk of death.