Table 1. Patient characteristics and miRAMM results.
a. sCR patients tested at Day 100 post-ASCT in order of increasing miRAMM M-protein intensity | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Age (years) | Sex | FISH risk | Isotype | ISS | Pre-ASCT M-spike, g/dl | Induction response | Maintenance therapy | Days post-ASCT | miRAMM intensity (cps) | PFS (months) |
65 | M | Intermediate | AK | 3 | Neg | CR | Yes | 103 | 0 | 28 |
49 | M | NA | AL | 2 | Neg | CR | No | 105 | 0 | 15 |
67 | F | Standard | AL | 2 | Neg | VGPR | No | 98 | 0 | 19 |
61 | M | NA | GL | 1 | 0.6 | PR | No | 102 | 6700 | 45a |
56 | F | NA | AL | 1 | 0.2 | VGPR | No | 103 | 10 000 | 10 |
44 | M | Standard | GL | 1 | 0.6 | PR | No | 102 | 10 300 | 18 |
59 | F | Intermediate | AL | 3 | 0.3 | PR | Yes | 102 | 10 900 | 60a |
73 | F | NA | AK | 1 | Neg | VGPR | No | 91 | 24 000 | 93a |
58 | F | NA | GK | 1 | Neg | VGPR | No | 100 | 24 600 | 38 |
61 | M | High | AK | 2 | 0.3 | PR | No | 96 | 32 300 | 5 |
67 | M | NA | GK/AK | 2 | Neg | VGPR | Yes | 105 | 32 900 | 61a |
75 | F | High | GK | 2 | 0.5 | PR | Yes | 103 | 40 000 | 62a |
58 | M | Standard | GL | 1 | 2.2 | SD | No | 102 | 49 000 | 60a |
71 | M | Standard | AK | 3 | Neg | VGPR | No | 99 | 76 100 | 23a |
64 | F | Intermediate | GL | 1 | 0.4 | VGPR | No | 101 | 90 400 | 178 |
71 | M | NA | GK | 3 | Neg | CR | Yes | 106 | 110 000 | 75a |
b. sCR patients tested at 6–12 months post-ASCT in order of increasing miRAMM M-protein intensity | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Age (years) | Sex | FISH risk | Isotype | ISS | Pre-ASCT M-spike, g/dl | Induction response | Maintenance therapy | Days post-ASCT | miRAMM intensity | PFS (months) |
49 | M | NA | AL | 2 | Neg | CR | No | 364 | 0 | 15 |
71 | M | Standard | AK | 3 | Neg | VGPR | No | 323 | 0 | 23a |
67 | M | NA | GK/AK | 2 | Neg | VGPR | Yes | 364 | 0 | 61a |
58 | F | NA | GK | 1 | Neg | VGPR | No | 346 | 0 | 38 |
55 | F | NA | AK | 2 | Neg | PR | No | 355 | 0 | 66 |
64 | M | NA | GL | 2 | Neg | CR | Yes | 300 | 0 | 34 |
65 | M | Standard | AL | 1 | Neg | CR | No | 353 | 0 | 39a |
69 | M | NA | GL | 1 | 0.5 | PR | No | 246 | 0 | 29 |
51 | F | NA | GK | 3 | Neg | CR | No | 307 | 0 | 33 |
56 | F | NA | GL | 2 | 1.1 | SD | No | 194 | 0 | 137 |
62 | F | High | AK | 1 | Neg | VGPR | No | 280 | 800 | 25 |
67 | F | Standard | AL | 2 | Neg | VGPR | No | 278 | 1200 | 19 |
61 | M | NA | GL | 1 | 0.6 | PR | No | 370 | 2400 | 45a |
41 | M | NA | GK | 1 | Neg | VGPR | No | 173 | 4400 | 86 |
75 | F | High | GK | 2 | 0.5 | PR | Yes | 194 | 4500 | 62a |
58 | M | Standard | GL | 1 | 2.2 | SD | No | 305 | 4800 | 60a |
56 | F | NA | AL | 1 | 0.2 | VGPR | No | 297 | 9500 | 10 |
44 | M | Standard | GL | 1 | 0.6 | PR | No | 362 | 12 100 | 18 |
73 | F | NA | AK | 1 | Neg | VGPR | No | 350 | 12 800 | 93a |
41 | F | NA | GL | 3 | Neg | CR | No | 179 | 19 200 | 75a |
66 | F | Standard | AL | 3 | Neg | VGPR | Yes | 168 | 25 700 | 55a |
61 | M | High | GK | 2 | 0.9 | PR | No | 189 | 26 400 | 36 |
50 | M | High | GL | 1 | 0.3 | PR | Yes | 357 | 28 000 | 15 |
66 | M | NA | GK | 2 | 0.4 | PR | No | 189 | 89 500 | 31 |
71 | M | Standard | GK | 3 | Neg | CR | Yes | 202 | 108 000 | 42 |
c. sCR patients with miRAMM testing at Day 100 and at 6–12 months post-ASCT in order of decrease rate of changeb
of M-protein intensity | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age (years) | Sex | FISH risk | Isotype | ISS | Pre-ASCT M-spike, g/dl | Induction response | Maintenance therapy | Days post-ASCT | Day 100 miRAMM intensity | Days post-ASCT | 6–12 Months miRAMM intensity | Rate of change | PFS (months) |
49 | M | NA | AL | 2 | Neg | CR | No | 105 | 0 | 364 | 0 | NA | 15 |
75 | F | High | GK | 2 | 0.5 | PR | Yes | 103 | 40 000 | 194 | 4500 | 400 | 62a |
71 | M | Standard | AK | 3 | Neg | VGPR | No | 99 | 76 100 | 323 | 0 | 300 | 23a |
58 | M | Standard | GL | 1 | 2.2 | SD | No | 102 | 49 000 | 305 | 4800 | 200 | 60a |
67 | M | NA | GK/AK | 2 | Neg | VGPR | Yes | 105 | 32 900 | 364 | 0 | 100 | 61a |
58 | F | NA | GK | 1 | Neg | VGPR | No | 100 | 24 600 | 346 | 0 | 100 | 38 |
73 | F | NA | AK | 1 | Neg | VGPR | No | 91 | 24 000 | 350 | 12 800 | 40 | 93a |
61 | M | NA | GL | 1 | 0.6 | PR | No | 102 | 6700 | 370 | 2400 | 20 | 45a |
56 | F | NA | AL | 1 | 0.2 | VGPR | No | 103 | 10 000 | 297 | 9500 | 0 | 10 |
67 | F | Standard | AL | 2 | Neg | VGPR | No | 98 | 0 | 278 | 1100 | -10 | 19 |
44 | M | Standard | GL | 1 | 0.6 | PR | No | 102 | 10 300 | 362 | 12 100 | -10 | 18 |
Abbreviations: AK, IgA kappa; AL, IgA lambda; ASCT, autologous stem cell transplant; cps, counts per seconds; CR, complete remission; F, female; FISH, fluorescence in situ hybridization; GK, IgG kappa; GL, IgG lambda; ISS, International Staging System; M, male; miRAMM, monoclonal immunoglobulin rapid accurate mass measurement; NA, not applicable; Neg, negative; PFS, progression-free survival; PR, partial remission; sCR, stringent complete response; SD, stable diseas; VGPR, very good partial remission.
Censored data, these patients remain disease-free at the time of writing this manuscript.
A rate of change in miRAMM M-protein intensity was calculated by dividing the change in miRAMM intensity by the time interval between measurements in days.