Table I.
Baseline characteristics and therapies of the study population
10-year survivors N=186 | 10-year non-survivors N=647 | P | |
---|---|---|---|
Age, years; median (range) | 57 (49–64) | 64 (57–71) | <0.001 |
Male sex | 52% | 64% | 0.003 |
Single organ | 47% | 27% | <0.001 |
Heart involvement | 46% | 86% | <0.001 |
Kidney involvement | 75% | 57% | <0.001 |
Liver involvement | 18% | 26% | 0.02 |
GI involvement | 15% | 18% | 0.31 |
Nerve involvement | 10% | 20% | <0.001 |
Mayo 2004 stage I/II/III/IIIB (%) | 35/46/15/4 | 11/33/30/26 | <0.001 |
Mayo 2012 stage I/II/III/IV (%) | 41/37/13/9 | 12/19/30/39 | <0.001 |
SBP <100 mmHg | 12% | 25% | <0.001 |
Seen within 30 days from diagnosis | 47% | 65% | <0.001 |
Lambda light chain | 76% | 76% | 0.98 |
BMPC | 7 (5–10) | 10 (6–18) | <0.001 |
dFLC | 13 (7–33) | 29 (14–73) | <0.001 |
S-phase greater than 0%# | 33% | 44% | 0.01 |
Significant immunoparesis^ (negative ARD) | 27% | 42% | <0.001 |
FISH abnormalities* | |||
First-line therapy& |
Available for 69% of the patients
Available for 84% of the patients. ARD is a quantifiable measure of immunoparesis, where a negative result is consistent with more pronounced immunoparesis.(Muchtar, et al 2017b)
Available for 19% of the patients
In the 10-year non-survival cohort 78 patients did not receive therapy, 27 patients had unconfirmed treatment and 4 received other forms of therapy than listed in the table.
Abbreviations: ARD: average relative difference; ASCT: autologous stem cell transplantation; BMPC: bone marrow plasma cells; dFLC: difference between involved to uninvolved light chains; FISH: fluorescence in situ hybridisation; GI: gastrointestinal; IMiD: immunomodulatory drug; MDex: melphalan-dexamethasone; MP: melphalan-prednisone; SBP: systolic blood pressure.