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. 2019 Feb 28;15(13):1411–1428. doi: 10.2217/fon-2019-0013

Table 4. . Patient/outcome assessments and schedule.

Parameter Timing Assessment Prospective versus retrospective
Patient demographics Baseline – Age
– Sex
– Race
– Ethnicity
– Height
– Weight
– Insurance information
– Geographic region
Prospective

Medical history at diagnosis Baseline – Date of initial diagnosis (month/year for RRMM; day/month/year for NDMM) and criteria used (ISS, R-ISS)
– Stage (ISS or R-ISS)
– Cytogenetics/FISH risk
– CRAB symptoms
– Hematology: white blood cell count, absolute neutrophil count, hemoglobin, platelet count
– Chemistry: calcium, creatinine, alkaline phosphatase, total bilirubin, aspartate aminotransferase, alanine aminotransferase, LDH, albumin, serum β2-microglobulin and BUN
– SPEP, serum FLC and UPEP
– Imaging§
– History of MGUS/SMM
– Frailty status: CCI, Katz Index of Independence in activities of daily living and Lawton instrumental activities of daily living scale
– ECOG performance status
NDMM patients: prospective
RRMM patients: retrospective

Medical history prior to study inclusion Baseline – Bone marrow
– FLC
– M-component, immunofixation
– Imaging§
– GEP
– Prodromal/other plasma cell disorders (MGUS, SMM, amyloidosis)
– Plasmacytoma and extramedullary disease
– Central nervous system involvement
– Stem cell transplant
– Vaccination
NDMM patients: prospective
RRMM patients: retrospective

Medical evaluation Baseline – CCI
– PN
– Pneumococcal vaccine
– Influenza A/B
– Hypertension requiring treatment
– Thromboembolism
– Cardiac left ventricular function
– Arrhythmias/pace-maker/AICD
– Osteopenia/osteoporosis
– Osteonecrosis of the jaw
– Cataracts
– MDS
– MM-related radiation therapy
– Orthopedic procedure/surgery for MM-related skeletal event
– Other surgery/procedures
Prospective

  Quarterly – PN
– Amyloidosis
– Pneumonia
– Herpes zoster infection
– Hypertension
– Thromboembolism
– Cataracts
– Osteonecrosis of the jaw
– Skeletal-related events
– Cardiac events
Prospective

  Yearly – Height and weight
– Vaccinations
– MDS
– Secondary primary malignancy
– Frailty status: CCI, Katz Index of Independence in activities of daily living and Lawton instrumental activities of daily living scale
– ECOG performance status
Prospective

Prior therapies (RRMM) Baseline – RRMM: number of relapses and previous lines of therapy, regimens used in each line, prior SCT or consolidation/maintenance therapy, use of investigational therapy as part of a clinical trial, response, MRD Retrospective

Disease management Baseline and quarterly – Current therapy: type of regimens and drugs (including duration of treatment, sequencing of therapies, retreatment and use of continuous versus fixed-duration therapy), factors associated with treatment initiation, reasons for not receiving therapy, response and MRD for each regimen, SCT, supportive care Prospective

  Quarterly – Changes or modifications to treatment: drug, schedule, dose, line of therapy and reasons for these changes
– Hematology and chemistry, safety, MM-related radiation therapy and surgeries/procedures
Prospective

Effectiveness of treatment Quarterly – Bone marrow evaluation
– FISH and/or cytogenetics
– MRD
– Imaging§
– NGS and GEP
– SPEP, serum FLC and UPEP
– Response per IMWG criteria [31]
– Progression status for each regimen
– Date and cause of death
Prospective

PROs Baseline and quarterly – EORTC QLQ-C30: two items on Global Health Status/QoL subscale
– EORTC QLQ-MY-20: single item on peripheral neuropathy
– TSQM-9: effectiveness, convenience and global satisfaction domains
Prospective

HRU Quarterly – Inpatient and intensive care admissions
– Reasons for admission and length of stay
– Outpatient clinic visits
– Emergency room visits
Prospective

Safety Baseline and quarterly – AEs and SAEs leading to treatment discontinuation (temporary and permanent) or drug modification
– Frequency of secondary primary malignancy
Prospective

Assessment was performed if the test was available and carried out as part of routine practice at the study sites.

If available.

§Includes assessment of evidence of plasmacytoma, extramedullary disease, and diffuse involvement.

Based on the latest version the National Cancer Institute the Common Terminology Criteria for Adverse Events.

AE: Adverse event; AICD: Automatic implantable cardioverter-defibrillator; BUN: Blood urea nitrogen; CCI: Charlson comorbidity index; CRAB: hyperCalcemia, Renal insufficiency, Anemia, Bone lesions; ECOG: Eastern Cooperative Oncology Group; EORTC: European Organization for Research and Treatment of Cancer; FISH: Fluorescence in situ hybridization; FLC: Free light chain; GEP: Gene expression profiling; HRU: Healthcare resource utilization; IMWG: International Myeloma Working Group; ISS: International Staging System; LDH: Lactate dehydrogenase; MDS: Myelodysplastic syndrome; MGUS: Monoclonal gammopathy of undetermined significance; MM: Multiple myeloma; MRD: Minimal residual disease; NDMM: Newly diagnosed multiple myeloma; NGS: Next-generation sequencing; PN: Peripheral neuropathy; PRO: Patient self-reported outcomes; QLQ-C30: Quality of Life Questionnaire – Core 30 Module; QLQ-MY-20: Quality of Life Questionnaire – 20-item Multiple Myeloma Module; QoL: Quality of life; R-ISS: Revised International Staging System; RRMM: Relapsed/refractory multiple myeloma; SAE: Serious adverse event; SCT: Stem cell transplant; SMM: Smoldering multiple myeloma; SPEP: Serum protein electrophoresis; TSQM-9: 9-Item Treatment Satisfaction Questionnaire for Medication; UPEP: Urine protein electrophoresis.