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.
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).
Clinical feature the time of first sampling.
This category includes IgD, IgM, and nonsecretory MM.
This category includes alkylating agents and monoclonal antibodies.
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).
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.