Table 4.
Survival of high-risk genetic subgroups in randomized, controlled clinical trials of newly diagnosed MM: effect of treatment modalities and novel drugs
FISH | N1/N2 | End point | Arm 1 | Arm 2 | Arm 1 (%) | Arm 2 (%) | Comment | Ref |
---|---|---|---|---|---|---|---|---|
t(4;14) | 26/24 | 3-y OS | PAD/ASCT/thalidomide* | VAD/ASCT/bortezomib* | 44 | 66 | HOVON65/GMMG- HD4 | 15 |
98/106 | 4-y OS | VAD | VD | 32 | 63* | IFM-2005 | 68 | |
21/23 | 2-y OS | Thalidomide* | Placebo* | 67 | 87 | TT2 | 18 | |
21/29 | 2-y OS | Thalidomide-TT2 | Bortezomib TT3 | 67 | 97* | TT2 vs TT3 | 70 | |
Del(17p) | 21/16 | 3-y OS | VAD/ASCT/thalidomide | PAD/ASCT/bortezomib* | 17 | 69* | HOVON65/GMMG-HD4 | 15 |
119/54 | 4-y OS | VAD | V D | 36 | 50 | IFM-2005 | 68 | |
Nonhyperdiploid | 92 | 3-y OS | VTD | VMP | 53 | 72* | PETHEMA | 63 |
Unfavorable FISH | 152/141 | 3-y OS | CTD | VAD-cyclophosphamide | 58 | 56 | MRC IX intensive | 62 |
96/90 | 3-y OS | CTD | Placebo MP | 34 | 26 | MRC IX nonintensive | 61 | |
99/98 | 3-y OS | Thalidomide | Placebo | 45 | 69* | MRC IX maintenance | 39 |
Adapted from Bergsagel et al.58
Significant better survival outcome.