Table S2.
Variable | Number of observations | Univariate analysis | p | Multivariate analysis | p |
---|---|---|---|---|---|
|
|
||||
HR (95% CI) | HR (95% CI) | ||||
Demographics | |||||
Age | |||||
<50 | 14 | Reference | Reference | ||
50–60 | 36 | 0.94 (0.77; 1.15) | 0.567 | 0.67 (0.53; 0.85) | 0.001 |
60–70 | 106 | 1.07 (0.90; 1.28) | 0.434 | 0.67 (0.54; 0.83) | <0.001 |
>70 | 146 | 1.01 (0.84; 1.21) | 0.939 | 0.61 (0.49; 0.75) | <0.001 |
Sex | |||||
Male | 175 | Reference | Reference | ||
Female | 127 | 0.85 (0.79; 0.93) | <0.001 | 0.93 (0.85; 1.03) | 0.154 |
CRAB features | |||||
Hemoglobin <6.2 mmol/L | 102 | 0.85 (0.82; 0.88) | <0.001 | 0.91 (0.86; 0.95) | <0.001 |
Ionized calcium >1.345 mmol/L | 79 | 1.65 (1.36; 2.01) | <0.001 | 1.38 (1.09; 1.76) | 0.008 |
Creatinine >177 μmol/L | 57 | 1.00 (1.00; 1.00) | <0.001 | 1.00 (1.00; 1.00) | 0.005 |
Osteolytic lesion on either skeletal X-ray or WBLDCT not present | 97 | Reference | Reference | ||
Osteolytic lesion on either skeletal X-ray or WBLDCT present | 205 | 0.85 (0.78; 0.93) | <0.001 | 0.75 (0.68; 0.83) | <0.001 |
Immunoglobulins | |||||
IgA ≥ 0.7 g/L (excluding patients with IgA M-protein isotype) | 133 | Reference | Reference | ||
IgA < 0.7 g/L (excluding patients with IgA M-protein isotype) | 169 | 1.05 (0.97; 1.14) | 0.213 | 0.91 (0.80; 1.04) | 0.180 |
IgG ≥ 6.1 g/L (excluding patients with IgG M-protein isotype) | 190 | Reference | Reference | ||
IgG < 6.1 g/L (excluding patients with IgG M-protein isotype) | 112 | 1.33 (1.23; 1.45) | <0.001 | 0.61 (0.49; 0.75) | <0.001 |
IgM ≥ 0.4 g/L | 50 | Reference | Reference | ||
IgM < 0.4 g/L | 252 | 1.90 (1.67; 2.17) | <0.001 | 1.77 (1.48; 2.11) | <0.001 |
M-protein isotype | |||||
IgA | 59 | 1.44 (1.30; 1.60) | <0.001 | 1.52 (1.18; 1.94) | 0.001 |
IgG | 168 | Reference | Reference | ||
Light-chain only | 54 | 1.02 (0.91; 1.14) | 0.789 | 1.37 (1.11; 1.69) | 0.004 |
Non-secretory | 6 | 0.76 (0.55; 1.04) | 0.088 | 1.06 (0.72; 1.56) | 0.779 |
Other | 2 | 2.71 (1.68; 4.39) | <0.001 | 4.15 (2.34; 7.34) | <0.001 |
Myeloma risk profile | |||||
ISS I | 88 | Reference | Reference | ||
ISS II | 92 | 1.11 (1.00; 1.23) | 0.043 | 1.01 (0.89; 1.14) | 0.848 |
ISS III | 72 | 1.55 (1.39; 1.73) | <0.001 | 0.87 (0.75; 1.01) | 0.076 |
ISS not determined | 47 | 1.16 (1.02; 1.32) | 0.024 | 0.92 (0.79; 1.08) | 0.300 |
High risk cytogenetics [t(4;14), t(14;16) or del(17p)] by FISH not present | 254 | Reference | Reference | ||
High risk cytogenetics [t(4;14), t(14;16) or del(17p)] by FISH present | 48 | 1.18 (1.06; 1.32) | 0.003 | 0.99 (0.87; 1.13) | 0.875 |
ECOG Performance status | |||||
0 | 111 | Reference | Reference | ||
1 | 116 | 1.41 (1.28; 1.54) | <0.001 | 1.41 (1.27; 1.56) | <0.001 |
2 | 45 | 1.25 (1.09; 1.43) | 0.001 | 1.12 (0.97; 1.30) | 0.129 |
3 | 26 | 1.47 (1.27; 1.69) | <0.001 | 1.40 (1.17; 1.66) | <0.001 |
Best response to ongoing line of therapy | § | ||||
sCR/CR/VGPR | 1050 | Reference | Reference | ||
PR/MR | 1136 | 1.23 (1.13; 1.35) | <0.001 | 1.45 (1.29; 1.63) | <0.001 |
SD/PD | 442 | 1.42 (1.26; 1.60) | <0.001 | 1.46 (1.24; 1.71) | <0.001 |
Number of prior lines of therapy | § | ||||
1 | 873 | Reference | Reference | ||
2 | 519 | 0.95 (0.85; 1.07) | 0.415 | 1.15 (1.00; 1.33) | 0.051 |
3 | 400 | 1.10 (0.97; 1.26) | 0.131 | 1.27 (1.07; 1.50) | 0.006 |
4 | 314 | 1.30 (1.13; 1.50) | <0.001 | 1.42 (1.16; 1.74) | 0.001 |
5 | 191 | 0.94 (0.80; 1.12) | 0.513 | 0.91 (0.72; 1.15) | 0.429 |
6 | 212 | 1.60 (1.35; 1.90) | <0.001 | 1.83 (1.43; 2.33) | <0.001 |
7+ | 276 | 1.05 (0.89; 1.23) | 0.566 | 1.45 (1.14; 1.84) | 0.002 |
Ongoing line of therapy by regimen | § | ||||
Melphalan 200 mg/m2 days 0–30 | 434 | 1.19 (1.04; 1.37) | 0.012 | 1.28 (1.07; 1.53) | 0.006 |
IMID ± steroid | 487 | Reference | Reference | ||
PI ± steroid | 280 | 1.72 (1.46; 2.02) | <0.001 | 1.80 (1.50; 2.15) | <0.001 |
CH ± steroid | 201 | 2.01 (1.68; 2.40) | <0.001 | 1.79 (1.48; 2.18) | <0.001 |
IMID + PI ± steroid | 224 | 1.29 (1.08; 1.53) | 0.004 | 1.19 (0.99; 1.44) | 0.067 |
PI + CH ± steroid | 173 | 1.48 (1.23; 1.78) | <0.001 | 0.94 (0.76; 1.16) | 0.547 |
IMID + CH ± steroid | 301 | 1.46 (1.24; 1.70) | <0.001 | 1.14 (0.95; 1.36) | 0.165 |
Daratumumab ± steroid | 147 | 1.15 (0.93; 1.42) | 0.192 | 1.29 (1.02; 1.63) | 0.033 |
Daratumumab + PI ± steroid | 37 | 0.60 (0.41; 0.89) | 0.011 | 0.90 (0.59; 1.37) | 0.624 |
Daratumumab + IMID ± steroid | 171 | 1.26 (1.04; 1.53) | 0.020 | 1.21 (0.97; 1.51) | 0.094 |
Daratumumab + PI + IMID ± steroid | 3 | 0.79 (0.25; 2.45) | 0.677 | 0.85 (0.26; 2.82) | 0.791 |
Five or more drugs | 294 | 2.18 (1.87; 2.54) | <0.001 | 1.79 (1.50; 2.14) | <0.001 |
Other | 33 | 2.31 (1.50; 3.55) | <0.001 | 1.02 (0.63; 1.63) | 0.949 |
Time from diagnosis | § | ||||
0–91 days after | 77 | Reference | Reference | ||
92–183 days after | 472 | 0.53 (0.45; 0.63) | <0.001 | 0.52 (0.42; 0.65) | <0.001 |
183–365 days after | 278 | 0.61 (0.51; 0.72) | <0.001 | 0.44 (0.34; 0.56) | <0.001 |
365–730 days after | 270 | 0.40 (0.34; 0.47) | <0.001 | 0.26 (0.20; 0.32) | <0.001 |
More than 730 days after | 404 | 0.26 (0.23; 0.30) | <0.001 | 0.12 (0.10; 0.16) | <0.001 |
Time from initiation of immunoglobulin replacement therapy | § | ||||
Before | 524 | Reference | Reference | ||
0–91 days after | 335 | 2.34 (2.02; 2.71) | <0.001 | 2.06 (1.75; 2.43) | <0.001 |
92–183 days after | 179 | 1.57 (1.31; 1.88) | <0.001 | 1.26 (1.02; 1.56) | 0.033 |
184–365 days after | 249 | 2.39 (2.03; 2.82) | <0.001 | 2.05 (1.69; 2.48) | <0.001 |
Time from dates of progressive disease | § | ||||
Before | 1315 | Reference | Reference | ||
0–91 days after | 281 | 1.13 (0.98; 1.30) | 0.087 | 1.17 (1.00; 1.37) | 0.051 |
92–183 days after | 33 | 0.95 (0.65; 1.40) | 0.810 | 0.91 (0.59; 1.41) | 0.682 |
184–365 days after | 20 | 0.61 (0.37; 1.01) | 0.054 | 0.71 (0.39; 1.29) | 0.260 |
§, the same patient is taken into account multiple times. CH, chemotherapy (cyclophosphamide/low-dose melphalan/bendamustine/doxorubicine/liposomal doxorubicine/melflufen); CR, complete response; FISH, fluorescence in situ hybridisation; IMID, immunomodulatory agent (thalidomide/lenalidomide/pomalidomide); ISS, international staging system; sCR, stringent complete response; MR, minimal response; PD, progressive disease; PI, proteasome inhibitor (bortezomib/carfilzomib/ixazomib); PR, partial response; SD, stable disease; VGPR, very good partial response; WBLDCT, whole-body low-dose computer tomography.