Table 4.

HRs between cytogenetic abnormalities and OS stratified by EAs and AAs with MM

Age-adjusted HR (95% CI)Fully adjusted HR (95% CI)
 EA  AA  EA  AA  
     
IMWG HRCAs  126 2.3 (1.1-4.5) 53 0.6 (0.1-2.7) 120 2.6 (1.3-5.5) 46 0.6 (0.1-2.9) 
t(4;14)(p16;q32) 103 2.1 (0.8-5.4) 44 10.7 (1.9-60.7) 99 1.6 (0.5-4.7) 38 14.5 (2.3-92.3) 
t(11;14)(q13;q32) 29 0.4 (0.1-3.4) 10 1.6 (0.2-14.0) 28 0.5 (0.0-6.7) 1.8 (0.2-14.2) 
Loss of IGH 68 0.6 (0.2-1.7) 26 1.3 (0.3-5.7) 65 0.6 (0.2-1.9) 22 4.4 (0.7-29.2) 
IGH rearrangement 82 1.4 (0.6-3.4) 30 1.6 (0.5-5.2) 80 1.4 (0.6-3.3) 24 0.6 (0.1-2.8) 
Trisomy of chromosome 3 75 0.5 (0.1-1.7) 33 1.6 (0.4-6.2) 71 0.7 (0.2-2.5) 29 2.1 (0.4-11.9) 
Trisomy of chromosome 7 60 1.8 (0.5-6.6) 20 2.0 (0.4-11.0) 57 1.8 (0.5-6.8) 18 3.7 (0.3-46.4) 
Trisomy of chromosome 9 81 0.9 (0.4-2.3) 34 1.3 (0.4-4.2) 77 1.4 (0.5-3.5) 30 1.0 (0.2-5.4) 
Chromosome 13q deletion (del 13p) 120 1.5 (0.8-2.9) 52 2.3 (0.9-6.0) 114 2.0 (1.0-4.2) 45 3.3 (1.0-2.6) 
Gain of ATM 75 0.8 (0.4-1.8) 20 1.5 (0.3-8.5) 72 0.8 (0.4-1.9) 15 — 
Loss of TP53 [17p13.1] (del 17p) 122 1.0 (0.4-2.5) 48 0.5 (0.1-3.4) 117 1.4 (0.5-3.7) 42 0.5 (0.1-4.0) 
Gain of TP53 70 0.6 (0.1-2.7) 24 7.3 (1.5-36.9) 68 0.8 (0.2-3.5) 22 — 
Gain/amplification of CKS1B [1q21](+1q) 82 2.8 (1.1-6.7) 36 1.5 (0.4-5.9) 77 3.4 (1.3-9.3) 32 1.4 (0.3-6.2) 
Tetraploidy 22 0.4 (0.1-2.4) 10 1.7 (0.2-15.5) 21 0.4 (0.0-3.7) — 
Age-adjusted HR (95% CI)Fully adjusted HR (95% CI)
 EA  AA  EA  AA  
     
IMWG HRCAs  126 2.3 (1.1-4.5) 53 0.6 (0.1-2.7) 120 2.6 (1.3-5.5) 46 0.6 (0.1-2.9) 
t(4;14)(p16;q32) 103 2.1 (0.8-5.4) 44 10.7 (1.9-60.7) 99 1.6 (0.5-4.7) 38 14.5 (2.3-92.3) 
t(11;14)(q13;q32) 29 0.4 (0.1-3.4) 10 1.6 (0.2-14.0) 28 0.5 (0.0-6.7) 1.8 (0.2-14.2) 
Loss of IGH 68 0.6 (0.2-1.7) 26 1.3 (0.3-5.7) 65 0.6 (0.2-1.9) 22 4.4 (0.7-29.2) 
IGH rearrangement 82 1.4 (0.6-3.4) 30 1.6 (0.5-5.2) 80 1.4 (0.6-3.3) 24 0.6 (0.1-2.8) 
Trisomy of chromosome 3 75 0.5 (0.1-1.7) 33 1.6 (0.4-6.2) 71 0.7 (0.2-2.5) 29 2.1 (0.4-11.9) 
Trisomy of chromosome 7 60 1.8 (0.5-6.6) 20 2.0 (0.4-11.0) 57 1.8 (0.5-6.8) 18 3.7 (0.3-46.4) 
Trisomy of chromosome 9 81 0.9 (0.4-2.3) 34 1.3 (0.4-4.2) 77 1.4 (0.5-3.5) 30 1.0 (0.2-5.4) 
Chromosome 13q deletion (del 13p) 120 1.5 (0.8-2.9) 52 2.3 (0.9-6.0) 114 2.0 (1.0-4.2) 45 3.3 (1.0-2.6) 
Gain of ATM 75 0.8 (0.4-1.8) 20 1.5 (0.3-8.5) 72 0.8 (0.4-1.9) 15 — 
Loss of TP53 [17p13.1] (del 17p) 122 1.0 (0.4-2.5) 48 0.5 (0.1-3.4) 117 1.4 (0.5-3.7) 42 0.5 (0.1-4.0) 
Gain of TP53 70 0.6 (0.1-2.7) 24 7.3 (1.5-36.9) 68 0.8 (0.2-3.5) 22 — 
Gain/amplification of CKS1B [1q21](+1q) 82 2.8 (1.1-6.7) 36 1.5 (0.4-5.9) 77 3.4 (1.3-9.3) 32 1.4 (0.3-6.2) 
Tetraploidy 22 0.4 (0.1-2.4) 10 1.7 (0.2-15.5) 21 0.4 (0.0-3.7) — 

LDH, elevated lactate dehydrogenase levels.

HRs were calculated using the Cox proportional hazards regression models adjusting for age (years).

In EAs, the Cox model included age (years), sex (female/male), ISS (1/2-3), LDH (normal/elevated). In AAs, the Cox model included age (years), sex (female/male), and (ISS) (1/2-3).

IMWG molecular classification of MM: High-risk MM was defined by the presence of any HRCAs, including t(4;14), t(14;16), t(14;20), del 17p, and gain/amplification of 1q 19. Standard-risk MM was defined by the absence of HRCAs or the presence of any trisomies of odd-numbered chromosomes or t(11;14).

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