Table 3.

Hematologic and renal response

dFLC ≥50 mg/LdFLC <50 mg/LP*
Hematologic response    
 3 mo n = 565 n = 85  
  aCR 34 (6) 20 (24) <.001 
  Low-dFLC PR n.a. 18 (21) n.a. 
  VGPR 137 (24 n.a. n.a. 
  PR 132 (23) n.a. n.a. 
  No response 144 (26) 41 (48) .001 
  Early death 118 (21) 6 (7) .002 
 6 mo n = 554 n = 88  
  aCR 48 (9) 34 (39) <.001 
  Low-dFLC PR n.a. 14 (16) n.a. 
  VGPR 130 (23) n.a. n.a. 
  PR 112 (20) n.a. n.a. 
  No response 77 (14) 31 (35) .001 
  Early death 187 (34) 9 (10) <.001 
Renal response    
 6 mo n = 476 n = 85  
  Response 130 (27) 22 (26) Eval.: .004 
  Stable 61 (13) 29 (34) ITT: <.001 
  Progression 98 (21) 25 (29)  
  Early death 187 (39) 9 (11) 
 12 mo n = 501 n = 81  
  Response 122 (24) 25 (31) Eval.: .123 
  Stable 34 (7) 15 (19) ITT: <.001 
  Progression 105 (21) 29 (36)  
  Early death 240 (48) 12 (15) 
dFLC ≥50 mg/LdFLC <50 mg/LP*
Hematologic response    
 3 mo n = 565 n = 85  
  aCR 34 (6) 20 (24) <.001 
  Low-dFLC PR n.a. 18 (21) n.a. 
  VGPR 137 (24 n.a. n.a. 
  PR 132 (23) n.a. n.a. 
  No response 144 (26) 41 (48) .001 
  Early death 118 (21) 6 (7) .002 
 6 mo n = 554 n = 88  
  aCR 48 (9) 34 (39) <.001 
  Low-dFLC PR n.a. 14 (16) n.a. 
  VGPR 130 (23) n.a. n.a. 
  PR 112 (20) n.a. n.a. 
  No response 77 (14) 31 (35) .001 
  Early death 187 (34) 9 (10) <.001 
Renal response    
 6 mo n = 476 n = 85  
  Response 130 (27) 22 (26) Eval.: .004 
  Stable 61 (13) 29 (34) ITT: <.001 
  Progression 98 (21) 25 (29)  
  Early death 187 (39) 9 (11) 
 12 mo n = 501 n = 81  
  Response 122 (24) 25 (31) Eval.: .123 
  Stable 34 (7) 15 (19) ITT: <.001 
  Progression 105 (21) 29 (36)  
  Early death 240 (48) 12 (15) 

Data are shown as counts (percentages of n). See “Methods” for definition of aCR and PR. Organ response criteria were applied according to Gertz et al and Palladini et al.8,19  Dialysis was assigned as renal progression.

Early death, death before envisaged follow-up; Eval., P value with respect to evaluable patients; ITT, intention-to-treat P value includes patients who experienced early death; Low-dFLC PR, drop of dFLC <10 mg/L if the initial dFLC was 0.20 mg/L (only in cases without aCR and for patients with a dFLC <50 mg/L); n, number of patients evaluable for hematologic or organ response, including early death; na, not applicable; No response, less than PR, progress, or start of second-line chemotherapy; VGPR, very good PR (only patients with a dFLC ≥50 mg/L).

*

P values in italics indicate statistical significance.

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