Table 3.

Pretreatment evaluation

Routine practiceClinical trials specific
Clinical evaluation 
 ECOG PS Always  
 Constitutive symptoms Always  
 Clinical examination Always  
Cardiovascular comorbidities Always  
Comedications Always  
Biological standard tests 
 Complete blood count and reticulocyte count Always  
 LDH, haptoglobin and direct antiglobulin test Always  
 Serum creatinine level and glomerular filtration rate Always  
 Transaminases, bilirubin, GGT Always  
 LDH and beta-2 microglobulin Always  
 Serum protein electrophoresis Always  
 HIV, B and C hepatitis serology Always  
 Cryopreservation of blood cells (tumor library) Desirable Always 
Genetics 
 Karyotype Desirable Always 
 FISH 
  17p deletion Always  
  11q deletion Desirable Always 
  13q deletion Desirable Always 
  Trisomy 12 Desirable Always 
IGHVmutational status Always  
TP53mutations by NGS Always  
NGS of recurrent mutations NGI Desirable 
Imaging 
CT scan of chest, abdomen, and pelvis Desirable Recommended 
Preventive measures 
 Vaccination against pneumococcus Always  
 Vaccination against influenza (yearly) Always  
Vaccination against SARS-CoV-2 Always  
Routine practiceClinical trials specific
Clinical evaluation 
 ECOG PS Always  
 Constitutive symptoms Always  
 Clinical examination Always  
Cardiovascular comorbidities Always  
Comedications Always  
Biological standard tests 
 Complete blood count and reticulocyte count Always  
 LDH, haptoglobin and direct antiglobulin test Always  
 Serum creatinine level and glomerular filtration rate Always  
 Transaminases, bilirubin, GGT Always  
 LDH and beta-2 microglobulin Always  
 Serum protein electrophoresis Always  
 HIV, B and C hepatitis serology Always  
 Cryopreservation of blood cells (tumor library) Desirable Always 
Genetics 
 Karyotype Desirable Always 
 FISH 
  17p deletion Always  
  11q deletion Desirable Always 
  13q deletion Desirable Always 
  Trisomy 12 Desirable Always 
IGHVmutational status Always  
TP53mutations by NGS Always  
NGS of recurrent mutations NGI Desirable 
Imaging 
CT scan of chest, abdomen, and pelvis Desirable Recommended 
Preventive measures 
 Vaccination against pneumococcus Always  
 Vaccination against influenza (yearly) Always  
Vaccination against SARS-CoV-2 Always  

CT, computed tomography; GGT, gamma-glutamyl transferase; LDH, lactate dehydrogenase; NGI, not generally indicated.

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