Patient and disease characteristics (intention-to-treat population)
. | Transplant arm (n = 139) . | Control arm (n = 138) . |
---|---|---|
Age, y | 61.3 (29.9-74.7) | 62.2 (41.9-74.5) |
Interval diagnosis to randomization, y | 3.9 (0.2-19.3) | 4.1 (0.7-16.4) |
Sex | ||
Female | 60 (43%) | 54 (39%) |
Male | 79 (57%) | 84 (61%) |
WHO PS | ||
0 | 96 (69%) | 105 (76%) |
1 | 43 (31%) | 32 (23%) |
2 | 0 | 1 (1%) |
ISS stage∗ | ||
I | 82/131 (63%) | 77/129 (60%) |
II | 32/131 (24%) | 40/129 (31%) |
III | 17/131 (13%) | 12/129 (9%) |
Heavy chain isotype | ||
IgG | 79 (57%) | 71 (52%) |
IgA | 33 (24%) | 33 (24%) |
IgD | 1 (1%) | 0 |
Light chain myeloma | 26 (19%) | 33 (24%) |
Light chain isotype | ||
κ | 87 (63%) | 102 (75%) |
λ | 52 (37%) | 35 (26%) |
Cytogenetic aberrations∗ | ||
t(4;14) | 19/94 (20%) | 10/99 (10%) |
t(11;14) | 17/88 (19%) | 20/96 (21%) |
t(14;16) | 2/90 (2%) | 0/97 |
del13q14 | 59/97 (61%) | 45/104 (43%) |
del17p13 | 14/98 (14%) | 15/107 (14%) |
Gain1q (>3 copies) | 11/97 (11%) | 12/105 (11%) |
High risk† | 39/91 (43%) | 31/98 (32%) |
Standard risk | 52/91 (57%) | 67/98 (68%) |
LDH | ||
Normal | 115 (83%) | 114 (83%) |
Elevated | 24 (17%) | 24 (17%) |
eGFR | ||
≥60 mL/min per 1.73 m2 | 108 (82%) | 106 (79%) |
<60 mL/min per 1.73 m2 | 23 (18%) | 28 (21%) |
Prior lines of therapy | ||
1 | 131 (94%) | 129 (94%) |
2 | 5 (4%) | 8 (6%) |
3 | 3 (2%) | 1 (1%) |
Frontline HDCT/ASCT | 129 (93%) | 130 (94%) |
Single | 83 (64%) | 71 (55%) |
Tandem | 46 (36%) | 59 (45%) |
TTP1, mo‡ | 34.3 (12.3-136.8) | 31.3 (12.1-131) |
12-24 | 44 (34%) | 47 (36%) |
24-48 | 42 (33%) | 51 (39%) |
>48 | 43 (33%) | 32 (25%) |
Prior therapies | ||
Bortezomib | 107 (77%) | 106 (77%) |
Thalidomide | 31 (22%) | 25 (18%) |
Lenalidomide | 12 (9%) | 18 (13%) |
Interferon | 9 (6%) | 9 (7%) |
Chemotherapy only | 14 (10%) | 10 (7%) |
Prior maintenance therapies | ||
Any | 46 (33%) | 50 (36%) |
Thalidomide | 25 (18%) | 19 (14%) |
Interferon | 9 (6%) | 9 (7%) |
Lenalidomide | 6 (4%) | 10 (7%) |
Bortezomib | 5 (4%) | 12 (9%) |
Ixazomib | 4 (3%) | 2 (1%) |
Dexamethasone | 1 (1%) | 2 (1%) |
. | Transplant arm (n = 139) . | Control arm (n = 138) . |
---|---|---|
Age, y | 61.3 (29.9-74.7) | 62.2 (41.9-74.5) |
Interval diagnosis to randomization, y | 3.9 (0.2-19.3) | 4.1 (0.7-16.4) |
Sex | ||
Female | 60 (43%) | 54 (39%) |
Male | 79 (57%) | 84 (61%) |
WHO PS | ||
0 | 96 (69%) | 105 (76%) |
1 | 43 (31%) | 32 (23%) |
2 | 0 | 1 (1%) |
ISS stage∗ | ||
I | 82/131 (63%) | 77/129 (60%) |
II | 32/131 (24%) | 40/129 (31%) |
III | 17/131 (13%) | 12/129 (9%) |
Heavy chain isotype | ||
IgG | 79 (57%) | 71 (52%) |
IgA | 33 (24%) | 33 (24%) |
IgD | 1 (1%) | 0 |
Light chain myeloma | 26 (19%) | 33 (24%) |
Light chain isotype | ||
κ | 87 (63%) | 102 (75%) |
λ | 52 (37%) | 35 (26%) |
Cytogenetic aberrations∗ | ||
t(4;14) | 19/94 (20%) | 10/99 (10%) |
t(11;14) | 17/88 (19%) | 20/96 (21%) |
t(14;16) | 2/90 (2%) | 0/97 |
del13q14 | 59/97 (61%) | 45/104 (43%) |
del17p13 | 14/98 (14%) | 15/107 (14%) |
Gain1q (>3 copies) | 11/97 (11%) | 12/105 (11%) |
High risk† | 39/91 (43%) | 31/98 (32%) |
Standard risk | 52/91 (57%) | 67/98 (68%) |
LDH | ||
Normal | 115 (83%) | 114 (83%) |
Elevated | 24 (17%) | 24 (17%) |
eGFR | ||
≥60 mL/min per 1.73 m2 | 108 (82%) | 106 (79%) |
<60 mL/min per 1.73 m2 | 23 (18%) | 28 (21%) |
Prior lines of therapy | ||
1 | 131 (94%) | 129 (94%) |
2 | 5 (4%) | 8 (6%) |
3 | 3 (2%) | 1 (1%) |
Frontline HDCT/ASCT | 129 (93%) | 130 (94%) |
Single | 83 (64%) | 71 (55%) |
Tandem | 46 (36%) | 59 (45%) |
TTP1, mo‡ | 34.3 (12.3-136.8) | 31.3 (12.1-131) |
12-24 | 44 (34%) | 47 (36%) |
24-48 | 42 (33%) | 51 (39%) |
>48 | 43 (33%) | 32 (25%) |
Prior therapies | ||
Bortezomib | 107 (77%) | 106 (77%) |
Thalidomide | 31 (22%) | 25 (18%) |
Lenalidomide | 12 (9%) | 18 (13%) |
Interferon | 9 (6%) | 9 (7%) |
Chemotherapy only | 14 (10%) | 10 (7%) |
Prior maintenance therapies | ||
Any | 46 (33%) | 50 (36%) |
Thalidomide | 25 (18%) | 19 (14%) |
Interferon | 9 (6%) | 9 (7%) |
Lenalidomide | 6 (4%) | 10 (7%) |
Bortezomib | 5 (4%) | 12 (9%) |
Ixazomib | 4 (3%) | 2 (1%) |
Dexamethasone | 1 (1%) | 2 (1%) |
Data are presented as n (%), median (range), or n/N (%).
eGFR, estimated glomerular filtration rate; IgG/A/D, immunoglobulin G/A/D/; ISS, International Staging System; LDH, lactate dehydrogenase; WHO PS, World Health Organization performance status.
Data are not available for all randomized patients.
t(4;14), t(14;16), deletion 17p13, and gain 1q21 (>3 copies).
TTP1 in the n = 259 patients with frontline HDCT/ASCT.