Table 3.
Cytogenetically defined risk-based classification of SMM
| Risk | Cytogenetic class | No. of patients (%)a | Median TTP to myeloma (months)* | Median TTP to myeloma or related disorder (months)** | Median OS from SMM diagnosis (months)*** | Median OS from MM diagnosis (months)****,b |
|---|---|---|---|---|---|---|
| High-riska | t(4;14), del(17p) | 44 (12.5%) | 24 | 24 | 105 | 60 |
| Intermediate- risk | Trisomy (ies) without IgH translocation | 148 (42.2%) | 34 | 34 | 135 | 77 |
| Standard-risk | t(11;14) MAF translocations, t14;16 or t(14;20) Other/unknown IgH translocation partner Both trisomies and IgH translocation except t(4;14) Monosomy13/del(13q) in absence of IgH translocation or trisomies |
106 (30.2%) | 55 | 54 | 147 | 86 |
| Low-risk | No abnormalities (normal or insufficient) | 53 (15.1%) | Not reached | 101 | 135 | 112 |
Abbreviations: IgH, immunoglobulin heavy chain; MAF, musculoaponeurotic fibrosarcoma; MM, multiple myeloma; OS, overall survival; SMM, smoldering multiple myeloma; TTP, time to progression.
P = 0.001.
P = 0.002.
P = 0.12 (global); P = 0.02 (high-risk versus standard-risk).
P = 0.04.
Modified to include del(17p) and t(4;14) with concurrent trisomies.
N = 219 patients.