Table 1. Baseline Demographics and Characteristics at Transplant.
Characteristics | NO SALVAGE | SALVAGE | P-value |
---|---|---|---|
Number of patients | 215 | 324 | |
Number of centers | 77 | 85 | |
Baseline Demographics | |||
Age at transplant, median (range) | 57 (33-75) | 56 (18-74) | |
18-39 | 13 (6) | 23 (7) | 0.872 |
40-49 | 40 (19) | 67 (21) | |
50-59 | 84 (39) | 113 (35) | |
60-69 | 70 (33) | 107 (33) | |
70- | 8 (4) | 14 (4) | |
Male | 131 (61) | 200 (62) | 0.852 |
KPS at diagnosis ≥80 | 177 (82) | 282 (87) | 0.293 |
Immunoglobulin Subtype | |||
IgG | 115 (53) | 175 (54) | 0.289 |
IgA | 32 (15) | 66 (20) | |
Light chain | 45 (21) | 59 (19) | |
Othersa | 17 (8) | 15 (5) | |
Missing | 6 (3) | 9 (2) | |
Durie-Salmon Stage | |||
Stage I | 17 (8) | 15 (5) | 0.093 |
Stage II | 47 (22) | 61 (19) | |
Stage III | 104 (48) | 150 (46) | |
Missing | 47 (22) | 98 (30) | |
International stage | |||
Stage I | 49 (23) | 73 (23) | 0.375 |
Stage II | 51 (24) | 68 (21) | |
Stage III | 25 (12) | 55 (17) | |
Missing | 90 (42) | 128 (40) | |
Serum creatinine at diagnosis >1.5 mg/dL | 36 (17) | 86 (27) | 0.012 |
| |||
No of lines of therapy | |||
1 | 215 (100) | 0 (0) | -- |
2 | 0 (0) | 245 (76) | |
3 | 0 (0) | 65 (20) | |
≥4 | 0 (0) | 14 (4) | |
Sensitivity to second line chemotherapy | 197 (61) | ||
Sensitivity to third line chemotherapy | 47 (59) | ||
Sensitivity to fourth line chemotherapy | 2 (14) | ||
VAD/Corticosteroid based first line therapy | 130 (60) | 152 (47) | 0.002 |
Bort/Thal/Lena in first line therapy | 69 (32) | 126 (39) | 0.108 |
Bort/Thal/Lena beyond first line | 186 (57) | ||
| |||
Characteristics at Transplant | |||
Disease status prior to transplant | |||
CR | 0 (0) | 25 (8) | <0.001 |
PR | 0 (0) | 196 (60) | |
MR/NR/SD | 185 (86) | 88 (27) | |
PROG/REL | 30 (14) | 15 (5) | |
Sensitivity for chemotherapy (overall) | |||
Sensitive | 0 (0) | 221 (68) | <0.001 |
Resistant | 215 (100) | 103 (32) | |
Time from diagnosis to HCT, median (range) | 7 (2-12) | 8 (3-12) | |
<4 months | 76 (35) | 57 (18) | <0.001 |
4-8 months | 84 (39) | 85 (26) | |
8-12 months | 55 (26) | 182 (56) | |
Number of transplants | |||
Single transplant | 149 (69) | 219 (68) | 0.660 |
Planned tandem transplantc | 38 (18) | 67 (21) | |
Second salvage transplantd | 28 (13) | 38 (12) | |
Time between first and second HCT | |||
<6 months | 38 (58) | 67 (64) | 0.726 |
6-12 months | 6 (9) | 8 (8) | |
12-24 months | 3 (5) | 8 (8) | |
24-36 months | 4 (6) | 4 (4) | |
>36 months | 15 (23) | 18 (17) | |
Year of transplant | |||
1995-1996 | 18 (8) | 14 (4) | <0.001 |
1997-1998 | 41 (19) | 24 (7) | |
1999-2000 | 31 (14) | 22 (7) | |
2001-2002 | 24 (11) | 38 (12) | |
2003-2004 | 26 (12) | 44 (14) | |
2005-2006 | 32 (15) | 76 (23) | |
2007-2008 | 37 (17) | 85 (26) | |
2009-2010 | 6 (3) | 21 (6) | |
Median follow-up of survivors (range), months | 68 (10-180) | 61 (9-181) |
Follow-up completeness index as of 12/31/2010: @ 1 year (99%), @ 3 years (95%), @ 5 years (90%)
Other isotype:
line of chemotherapy=1: IgD (n=4), IgM (n=1), non-secretory (n=12)
line of chemotherapy>1: IgD (n=2), IgM (n=1), non-secretory (n=12)
Other conditioning regimsp:
line of chemotherapy=1: cyclophosphamide (n=1)
Planned tandem transplant: Planned and completed tandem transplant within 6 months after first transplant without relapse.
Secondary salvage transplant: Salvage 2nd transplant after relapse followed by 1st transplant.