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. 2020 Sep 19;95(12):1562–1571. doi: 10.1002/ajh.25994

TABLE 1.

Associations between CG11q a subgroup and clinical findings

All cases (n = 794) CG11q a cases (n = 271) Non‐CG11q a cases (n = 523)
Variable n/N n/N n/N
Female gender 373/794 47% 106/271 39% * 267/523 51% *
Age (≥65 y) b 536/794 68% 187/271 69% 349/523 67%
BM plasma cell (≥60%) b 175/754 23% 50/253 20% 125/501 25%
Samples from pretreated patients 135/794 17% 48/271 18% 87/523 17%
MACS enriched samples 344/794 43% 118/271 44% 226/523 43%
IgG 203/365 56% 84/127 66% * 119/238 50% *
IgA 81/365 22% 28/127 22% 53/238 22%
Light chain only 76/365 21% 15/127 12% * 61/238 26% *
Other c 4/365 1% 0/127 0% 4/238 2%
Kappa 239/370 65% 89/125 71% 150/245 61%
Lambda 127/370 34% 36/125 29% 91/245 37%
LDH (increased) 61/264 23% 15/87 17% 46/177 26%
Creatinine (≥2 mg/dL) 46/273 17% 15/92 16% 31/181 17%
B2M (≥5.5 mg/L) 74/247 30% 19/80 24% 55/167 33%
Hemoglobin (<10 g/dL) 85/247 34% 25/79 32% 60/168 36%
Platelets (<150 x 109/L) 57/249 23% 17/79 22% 40/170 24%
Calcium (≥2.75 mmol/L) 17/260 7% 5/88 6% 12/172 7%
Serum involved/uninvolved FLC ratio (≥100) 91/222 41% 31/76 41% 60/146 41%
ISS I 66/236 28% 26/77 34% 40/159 25%
ISS II 96/236 41% 31/77 40% 65/159 41%
ISS III 74/236 31% 20/77 26% 54/159 34%
R‐ISS I 42/219 19% 18/69 26% 24/150 16%
R‐ISS II 144/219 66% 46/69 67% 98/150 65%
R‐ISS III 33/219 15% 5/69 7% 28/150 19%
PI‐based induction 123/311 40% 45/107 42% 78/204 38%
IMiD‐based induction 14/311 5% 7/107 7% 7/204 3%
PI‐based and IMiD‐based induction 165/311 53% 52/107 49% 113/204 55%
Other d 9/311 3% 3/107 3% 6/204 3%
Maintenance 111/287 39% 40/101 40% 71/186 38%
Front‐line ASCT 135/307 44% 51/104 49% 84/203 41%
EMM e 52/328 16% 15/111 14% 37/217 17%
PCL f 24/328 7% 3/111 3% 21/217 10%
AL 14/323 4% 4/110 4% 10/213 5%

Note: Clinical features at diagnosis, unless otherwise indicated. All statistically significant values are in bold.

Abbreviations: AL, Amyloidosis; ASCT, autologous stem cell transplantation; B2M, beta‐2 microglobulin; BM, bone marrow; FLC, free light chain; IMiD, immunomodulatory drugs; ISS, International Staging System; LDH, lactate dehydrogenase; MACS, magnetic‐activated cell sorting; PI, proteasome inhibitors; R‐ISS, revised International Staging System.

a

Subgroup clonal gain(11q) (CG11q) was defined as the presence of clonal gain(11q) and the absence of t(4;14), t(11;14), and t(14;16).

b

Clinical feature the time of first sampling.

c

This category includes IgD, IgM, and nonsecretory MM.

d

This category includes alkylating agents and monoclonal antibodies.

e

Extramedullary myeloma (EMM) was present at diagnosis or developed during disease course and was defined as plasma cell infiltration of the soft tissue (extramedullary extraosseous and/or extramedullary‐bone related).

f

Plasma cell leukemia (PCL) was present at diagnosis or developed during disease course.

*

P < .05, two‐sided Fisher's exact test. For multiple testing P values were adjusted with the Benjamini‐Hochberg method.