Table 2.
Identifier | E1 | E3#1 | E8 | E16 | E17 | E18#2 | |
---|---|---|---|---|---|---|---|
General | Age at dx | 47 | 68 | 46 | 60 | 54 | 55 |
Sex | m | m | m | m | m | m | |
Subtype | λLC | IgGκ | IgGλ | IgGκ | IgAκ | IgGκ | |
S&D at dx | IIIB | IA | IIIA | IIIA | IIIB | IIIA | |
ISS at dx | 2 | 1 | ND | 2 | 3 | ND | |
FISH | Normal | t(4;14), +1q21 | ND | del13q14, del1p32, +1q21 | del17p, t(4;14), del13q14, +1q21 | Normal | |
Previous lines of therapy | 3 | 3 | 4 | 5 | 3 | 2 | |
Prior SCT, type (number) | Auto (2) | Auto (2) |
Auto (1) allo (1) |
Auto (2) | Auto (2) | Auto (3) | |
Prior IMiDs | Len | Thal, Len | Len | Len, Pom | Len, Pom | None | |
Prior PIs | Bort | Bort, Carf | Bort, Carf | Bort | Bort | Bort | |
Prior mAbs | None | Dara | Dara | None | None | None | |
EMD prior to elotuzumab | Yes | Yes | Yes | No | No | No | |
Elotuzumab treatment | Time from dx (months) | 26 | 27 | 144 | 41 | 15 | 186 |
Combination IMiD | Pom | Pom | Pom | Pom | Len, Pom | Len | |
Treatment cycles | 10 | 3 | 1 | 1 | 3 | 7 | |
Best response | PR | PR | PD | SD | SD | PR | |
PFS (months) | 9.4 | 2.9 | 1.3 | 0.9 | 2.7 | 9.0 | |
OS (months) | 12.9 | 4.4 | 5.4 | 1.0 | 4.7 | >9.8#3 | |
Type of progression |
Serological + EMD |
Serological + EMD | EMD | EMD | EMD | Serological + EMD | |
IHC | Localization of EMD | Paravertebral soft tissue | Skin | Paravertebral soft tissue | Maxillary mucosa | Lymph node | Thoracic wall |
SLAMF7 on CD138+ EM MM | +++#4 | +++ | +++ | +++ | +++ | +++ | |
SLAMF7 on CD138+ BM MM | +++ | +++ | +++ | +++ | +++ | +++ |
dx diagnosis; S&D Salmon&Durie; LC light chain; Ig immunoglobulin; ISS International Staging System; ND not done; FISH fluorescence in situ hybridization; SCT stem cell transplantation; auto autologous; allo allogeneic; IMiD immunomodulatory drug; Len lenalidomide; Thal thalidomide; Pom pomalidomide; PI proteasome inhibitor; Bort bortezomib; Carf carfilzomib; mAb monoclonal antibody; Dara daratumumab; EMD extramedullary disease; Elo elotuzumab; PR partial response; PD progressive disease; SD stable disease; PFS progression-free survival; OS overall survival; IHC immunohistochemistry; EM extramedullary; MM multiple myeloma; BM bone marrow
#1Fig. 2
#2Fig. 3
#3Lost to follow-up
#4Strong and consistent expression