Table 1.
Parameters | Patients (N = 171) |
---|---|
Demographics | |
Median age at ASCT in years (range) | 59 (23–74) |
Gender: Female | 84 (49%) |
Race or ethnic group | |
White | 153 (89%) |
African American | 6 (4%) |
Asian | 4 (2%) |
Hispanic | 5 (3%) |
Arab | 1 (0.6%) |
Unknown | 2 (0.9%) |
Disease characteristics | |
MM isotype | |
IgG | 93 (54%) |
IgA | 47 (27%) |
IgD | 1 (0.6%) |
LC myeloma | 29 (17%) |
Non-secretory myeloma | 1 (0.6%) |
Status at BMT | |
sCR | 24 (14) |
CR | 22 (13%) |
VGPR | 65 (38%) |
PR | 56 (33%) |
SD | 3 (2%) |
Refractory | 1 (0.6%) |
DS stage | |
I | 31 (18%) |
II | 27 (16%) |
III | 103 (60%) |
Unknown | 10 (6%) |
ISS stage | |
I | 60 (35%) |
II | 60 (35%) |
III | 38 (22%) |
Unknown | 13 (8%) |
High-risk cytogenetics | |
Yes | 47 (27%) |
No | 112 (65%) |
Unknown | 12 (7%) |
Status at ASCT | |
Newly diagnosed | 142 (83%) |
Second remission | 18 (11%) |
Third remission | 1 (0.6%) |
Relapsed, refractory | 10 (6%) |
Treatment prior to transplant | |
Steroid | 171 (100%) |
+ PI only | 4 (2%) |
+ IMiD only | 1 (0.6%) |
+ PI + IMiD | 118 (69%) |
+ PI + cytotoxic drug | 9 (5%) |
+ PI + IMiD + cytotoxic drug | 36 (21%) |
+ PI + IMiD + HDACi | 2 (1%) |
+ PI + IMiD + cytotoxic drug + HDACi | 1 (0.6%) |
Total number that received bortezomib | 169 (99%) |
Median number of bortezomib doses (Range) | 24 (3–141) |
Bortezomib dose reduced or discontinued due to toxicity | 15 (9%) |
Mobilization regimen | |
Cyclophosphamide | 146 (85%) |
Plerixafor | 32 (19%) |
GCS-F | 5 (3%) |
Comorbidities | |
Sensory peripheral neuropathy | 131 (77%) |
Type 2 Diabetes Mellitus | 18 (11%) |
Diastolic dysfunction of the heart | 30 (18%) |
LVEF<55% | 10 (6%) |
IV septum ≥ 12 mm | 49 (29%) |
Pertinent outpatient medications | |
Antihypertensives | 79 (46%) |
ACEi/ARB | 38 (22%) |
α-blockers | 1 (0.6%) |
β-blockers | 38 (22%) |
Calcium channel blockers | 23 (13%) |
Diuretics | 17 (10%) |
α-agonists | 3 (2%) |
Nitrates | 1 (0.6%) |
Antihistamines | 18 (11%) |
1st-generation | 6 (4%) |
2nd-generation | 12 (7%) |
Gabapentin | 45 (26%) |
Proton pump inhibitors | 78 (46%) |
The table outlines demographic and disease characteristics of patients included in the analysis. Treatment received prior to ASCT, underlying comorbidities, and pertinent outpatient medications are also reported.
Abbreviations: ACEi: angiontensin converting enzyme inhibitor; ARB: angiotensin receptor blocker; ASCT: autologous stem cell transplant; CR: complete response; DS stage: Durie-Salmon stage; G-CSF: granulocyte colony-stimulating factor; HDACi: histone deacetylase inhibitor; IMiD: immunomodulatory drug; ISS stage: International staging system; LVEF: left ventricular ejection fraction; MM: multiple myeloma; PR: partial response; PI: Proteasome inhibitor; sCR: stringent complete response; SD: stable disease; VGPR: very good partial response.