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. 2020 Feb 18;2020:4360926. doi: 10.1155/2020/4360926

Table 1.

Response measurement and hematologic toxicity/recovery time after 2 cycles of KRD-PACE.

Patient 1 Patient 2
Parameter Staging studies at relapse before KRD-PACE Staging studies after 2 cycles of KRD-PACE Parameter Staging studies at relapse before KRD-PACE Staging studies after 2 cycles of KRD-PACE
ISS score (at diagnosis) I ISS score (at diagnosis) III
Revised-ISS score (at diagnosis) II Revised-ISS Score (st diagnosis) III
Cytogenetics/FISH (at diagnosis) Monosomies 1, 8, 13, 14 and 17, which includes loss of the TP53 gene region Cytogenetics/FISH (at diagnosis) 1q duplication. In addition, trisomy 6, 11, and 15, monosomy 13
Hgb 14.2 g/dL 11.1 g/dL Hgb 13.0 g/dL 11.1 g/dL
Plt 172 × 109/L 312 Plt 169 × 109/L 68 × 109/L
Cr 0.86 mg/dL 0.74 mg/dL Cr 0.96 mg/dL 1.06 mg/dL
LDH 635 U/L 184 U/L LDH 235 U/L 159 U/L
B2-microglobulin 1.55 mcg/mL 1.27 mcg/mL B2-microglobulin 9.41 mcg/mL 2.37 mcg/mL
M-spike 0.9 g/dL 0.1 g/dL M-spike 0.2 g/dL 0.1 g/dL
IFE IgG kappa IgG kappa IFE IgA kappa No monoclonal protein
IgG 1410 mg/dL 544 mg/dL IgG 257 mg/dL 294 mg/dL
IgA 155 mg/dL 92 mg/dL IgA 584 mg/dL 9 mg/dL
IgM 80 md/dL 24 mg/dL IgM 24 md/dL 9 mg/dL
Lambda 0.738 mg/dL 0.283 mg/dL Lambda 0.248 mg/dL 0.042 mg/dL
Kappa 22.9 mg/dL 0.701 mg/dL Kappa 1.25 mg/dL <0.030 mg/dL
K/L ratio 31.02 2.48 K/L Ratio 5.04 <0.712
Bone marrow biopsy 2-3% kappa-restricted atypical plasma cells. Bone marrow biopsy No atypical plasma cells detected.
Response Very good partial response Response Complete response
Plt nadir/time to recovery 69 × 109/L/7 days Plt nadir/time to recovery 8 × 109/L/45 days
ANC nadir/time to recovery 1.18 × 109/L ANC nadir/time to recovery 0.04 × 109/34 days
Hgb nadir/time to recovery 11.2 g/dL Hgb nadir/time to recovery 6.3 g/dl/48 days