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. 2021 Oct 16;96(12):E475–E478. doi: 10.1002/ajh.26373

TABLE 1.

Correlation of anti‐myeloma therapy and blood workup with serological response 1 month after second anti‐COVID‐19 vaccination

Negative Positive Undetermined p‐value
MM treatment n = 36 n = 129 n = 11
Patients on active treatment 35 (97%) 91 (70.5%) 11 (100%) <.001
Patients not on active treatment 1 (3%) 33 (28%) 0
Lines of therapy, mean ± SD 3.58 ± 2.00 1.58 ± 0.94 2.36 ± 2.06 a <.001
b .034
s/p ASCT; yes 19 (53%) 83 (64%) 7 (64%) .45
Specific anti‐MM therapy
Immunomodulators (n=82) 20 (57%) 55 (60%) 7 (64%) .91
Proteasome inhibitors (n=63) 10 (29%) 46 (50.5%) 7 (64%) .04
Anti‐CD38 immunotherapy (n=50) 19 (61%) 27 (30%) 4 (40%) .007
Treatment with IVIg (n=23) 15 (41.7%) 7 (5.4%) 1 (9.1%) <.0001
Blood workup (mean ± SD) n = 33 n = 118 n = 10
Neutrophil count (×1000/μL), mean ± SD 3.58 ± 2.5 3.37 ± 1.7 3.79 ± 3.32 .97
Lymphocyte count (×1000/μL), mean ± SD 1.06 ± 0.71 1.5 ± 0.81 1.07 ± 0.46 a <.001
Hemoglobin (g/dL), mean ± SD 11.078 ± 1.60 12.29 ± 1.64 11.73 ± 2.07 a .001
Platelet count (×1000/μL), mean ± SD 165.97 ± 84.3 177.84 ± 67.2 117.36 ± 78.82 b .018
c .001
Creatinine level (mg/dL), mean ± SD 1.42 ± 1.1 1.34 ± 1.64 1.08 ± 0.35 .38
Albumin level (g/dL), mean ± SD 3.85 ± 0.4 4.08 ± 0.34 3.89 ± 0.25 a .002
Polyclonal IgG (mg/dL), mean ± SD 686.87 ± 1190 760.24 ± 448 561.46 ± 252 a <.001
IgA (mg/dL), mean ± SD 125.24 ± 295 177.46 ± 458 76 ± 78 a <.001
IgM (mg/dL), mean ± SD 14.21 ± 9 39.13 ± 39 38.76 ± 21 a b <.001

Abbreviations: IgM, immunoglobulin M; IVIg, intravenous immunoglobulin; MM, multiple myeloma; s/p ASCT, status post autologous stem cell transplantation

Note: The values in bold type represent statistically significant findings.

a

Negative versus positive.

b

Negative versus undetermined.

c

Positive versus undetermined.