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. 2020 Aug 18;105(6):751–754. doi: 10.1111/ejh.13502

TABLE 1.

Patient characteristics, treatments, COVID‐19‐related outcomes as well as additional laboratory and clinical data

Pat. ID 1 2 3 4 5 6 7 8 9
Patient characteristics, treatments and COVID‐19 related outcomes
Diagnosis MM MM MM MM MM MM MM MM SMM
Age, y 58 77 70 70 43 83 94 71 68
Gender M M F M F F M M M
Sub‐type IgAλ κ IgAλ IgGκ IgAκ IgAλ IgDλ IgGκ IgGλ
ISS a III III III II II III II
Previous lines of MM treatment 5 b 0 4 c 0 1 d 1 e 0 1 f
Current line of MM treatment dD‐Veneto dVD dD dRD dKD dD RD RD None
Months on current MM treatment 2 3 7 49 5 16 3 17
MM response to current line PD PD MR CR VGPR VGPR PR VGPR
MM disease progression Yes Yes No No No No No No No
COVID‐19 related risk factors DM2 No No No DM2, HT DM2, HT DM2 No HT
BMI 30 23 20 21 24 34 25 24 23
Anticoagulants No No No Yes No No Yes Yes No
Death due to COVID‐19 Yes Yes No No No No Yes Yes No
Laboratory values at verification of COVID‐19 (PCR)
CRP, mg/L 79 16 38 136 <1 65 6
Hemoglobin, g/dL 71 104 93 100 112 100 114 132 126
Leukocytes, 109/L 1.2 10.5 6.1 4.9 2 4.3 4 1.8 5.2
Neutrophils, 109/L 0.5 8 4.5 3.2 1.4
Lymphocytes, 109/L 0.5 0.3 0.7 0.2
Creatinine, μmol/L 102 47 68 60 55 116 72 83 118
eGFR, mL/min/1.73 m2 63 >90 >90 78 >90 37 60 67 51
M‐protein spike, g/L 68 16 0 1 2 1 54
IgG, g/L 1.8 2.2 0.83 5 3.0 4.9 5.7 8.1 0
IgA, g/L 0 <0.08 0 0.42 1.1 0.30 2.1 2.5 0.23
IgM, g/L <0.1 <0.08 <0.1 0.96 <0.1 0.24 0.34 0.39 0.21
Immunoparesis g Yes Yes Yes Yes Yes Yes Yes No Yes
Clinical symptoms in the course of COVID‐19
Fever, >38.5°C Yes Yes Yes Yes Yes Yes Yes Yes Yes
Dry cough Yes No Yes Yes Yes Yes Yes Yes Yes
Dyspnoea Yes No No No No Yes Yes No np
Other COVID‐19 related symptoms h No No No Yes Yes No No Yes No
Saturation, lowest level 93% ND ND 95% i ND 89% 79% 70% ND
Oxygen demanding No No No Yes No Yes Yes Yes No
Hospitalization No j No j No k Yes No k Yes Yes l Yes No k
PCR and COVID‐19 specific IgG response
Post‐COVID‐19‐positive PCR, d NE NE ND 34 28 10 NE NE 7
IgG antibody response to COVID‐19, d NE NE ND 46 (pos) 15 (neg) 10 (neg) NE NE 78 (neg)

Abbreviations: CR, complete response; dD, (daratumumab‐dexamethasone); dD‐Veneto, (daratumumab‐dexamethasone‐venetoclax); dKD, (daratumumab‐carfilzomib‐dexamethasone); DM2, Diabetes mellitus type 2; dRD, (daratumumab‐lenalidomide‐dexamethasone); dVD, (daratumumab‐bortezomib‐dexamethasone); HDT, (high‐dose treatment); HT, hypertension; KD, (carfilzomib‐dexamethasone); KPD, (carfilzomib‐pomalidomide‐dexamethasone); MR, minimal response; ND, not determined; NE, not evaluable due to exitus; PD, (pomalidomide‐dexamethasone); PD, progressive disease; PR, partial response; RD, (lenalidomide‐dexamethasone); VCD, (bortezomib‐cyclophosphamide‐dexamethasone); VGPR, very good partial response; VRD, (bortezomib‐lenalidomide‐dexamethasone); VTD, (bortezomib‐thalidomide‐dexamethasone).

a

As defined by the International Myeloma Working Group.

b

1st line VCD + HDT 2nd line RD 3rd line KPD 4th line dD 5th HDT.

c

1st line VTD 2nd line RD 3rd line PD, 4th line KD.

d

1st line VRD + HDT.

e

1st line VCD.

f

1st line VCD.

g

Reduction below the lower normal limit of one or two uninvolved immunoglobulins, IgG < 6.7 g/L, IgA < 0.88 g/L, IgM < 0.27 g/L.

h

Either of diarrhea, arthralgia, loss of taste.

i

Saturation on 5 L oxygen.

j

Hospitalization was judged not to be beneficial, because of end‐stage disease.

k

Mild symptoms, admission to hospital not required.

l

Received oxygen treatment at home from advanced homecare teams.