Pretreatment evaluation
. | Routine practice . | Clinical 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 practice . | Clinical 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.