Patient demographics and baseline characteristics in the VMP arm within subgroups defined by response and by timing of CR
Variable . | Response subgroup . | ||||
---|---|---|---|---|---|
Early CR . | Late CR . | All CR . | PR . | < PR . | |
No. | 73 | 29 | 102 | 136 | 99 |
Male, % | 48 | 34 | 44 | 50 | 60 |
White, % | 81 | 86 | 82 | 91 | 90 |
Age, y | |||||
Median | 71 | 70 | 71 | 71 | 74 |
≥ 75, % | 25 | 34 | 27 | 26 | 42* |
KPS, % | |||||
≤ 70 | 40 | 38 | 39 | 32 | 36 |
80 | 32 | 28 | 30 | 29 | 26 |
≥ 90 | 29 | 34 | 30 | 40 | 37 |
β2-microglobulin, mg/L | |||||
Median | 4.40 | 5.10 | 4.65 | 4.00 | 4.10 |
< 2.5, % | 10 | 7 | 9 | 13 | 13 |
2.5-5.5, % | 51 | 45 | 49 | 61 | 55 |
> 5.5, % | 40 | 48 | 42† | 26 | 32 |
Albumin, g/L | |||||
Median | 34.0 | 32.0 | 33.0 | 33.5 | 33.0 |
< 3.5, % | 53 | 76 | 60 | 57 | 58 |
ISS staging, % | |||||
I | 22 | 3 | 17 | 19 | 19 |
II | 38 | 48 | 41 | 51 | 47 |
III | 40 | 48 | 42‡ | 29 | 33 |
Region, % | |||||
North America | 15 | 7 | 13 | 9 | 7 |
Europe | 70 | 76 | 72 | 82 | 82 |
Other | 15 | 17 | 16 | 9 | 11 |
Type of MM, % § | |||||
IgG | 34 | 76 | 46 | 71 | 74 |
IgA | 45 | 17 | 37 | 24 | 13 |
Light chain | 16 | 3 | 13 | 3 | 9 |
Creatinine clearance, mL/min | |||||
Median | 61.7 | 56.7 | 60.2 | 57.9 | 57.6 |
≤ 30, % | 7 | 7 | 7 | 5 | 5 |
31-60, % | 41 | 48 | 43 | 50 | 48 |
> 60, % | 52 | 45 | 50 | 45 | 46 |
High-risk cytogenetics (t(4;14), t(14;16), del17p), % of patients with cytogenetic information‖ | 15 | 17 | 15 | 16 | 13 |
Variable . | Response subgroup . | ||||
---|---|---|---|---|---|
Early CR . | Late CR . | All CR . | PR . | < PR . | |
No. | 73 | 29 | 102 | 136 | 99 |
Male, % | 48 | 34 | 44 | 50 | 60 |
White, % | 81 | 86 | 82 | 91 | 90 |
Age, y | |||||
Median | 71 | 70 | 71 | 71 | 74 |
≥ 75, % | 25 | 34 | 27 | 26 | 42* |
KPS, % | |||||
≤ 70 | 40 | 38 | 39 | 32 | 36 |
80 | 32 | 28 | 30 | 29 | 26 |
≥ 90 | 29 | 34 | 30 | 40 | 37 |
β2-microglobulin, mg/L | |||||
Median | 4.40 | 5.10 | 4.65 | 4.00 | 4.10 |
< 2.5, % | 10 | 7 | 9 | 13 | 13 |
2.5-5.5, % | 51 | 45 | 49 | 61 | 55 |
> 5.5, % | 40 | 48 | 42† | 26 | 32 |
Albumin, g/L | |||||
Median | 34.0 | 32.0 | 33.0 | 33.5 | 33.0 |
< 3.5, % | 53 | 76 | 60 | 57 | 58 |
ISS staging, % | |||||
I | 22 | 3 | 17 | 19 | 19 |
II | 38 | 48 | 41 | 51 | 47 |
III | 40 | 48 | 42‡ | 29 | 33 |
Region, % | |||||
North America | 15 | 7 | 13 | 9 | 7 |
Europe | 70 | 76 | 72 | 82 | 82 |
Other | 15 | 17 | 16 | 9 | 11 |
Type of MM, % § | |||||
IgG | 34 | 76 | 46 | 71 | 74 |
IgA | 45 | 17 | 37 | 24 | 13 |
Light chain | 16 | 3 | 13 | 3 | 9 |
Creatinine clearance, mL/min | |||||
Median | 61.7 | 56.7 | 60.2 | 57.9 | 57.6 |
≤ 30, % | 7 | 7 | 7 | 5 | 5 |
31-60, % | 41 | 48 | 43 | 50 | 48 |
> 60, % | 52 | 45 | 50 | 45 | 46 |
High-risk cytogenetics (t(4;14), t(14;16), del17p), % of patients with cytogenetic information‖ | 15 | 17 | 15 | 16 | 13 |
Response is categorized by EBMT criteria (response-evaluable population, N = 337). Early CR occurred within 24 weeks of treatment; and late CR, after 24 weeks.
CR indicates complete response; EBMT, European Group for Blood and Marrow Transplantation; IgA, immunoglobulin A; IgG, immunoglobulin G; KPS, Karnofsky performance status; MM, multiple myeloma; PR, partial response; and VMP, bortezomib-melphalan-prednisone.
P = .0067, Fisher exact test, for difference in rate of age ≥ 75 years between patients achieving CR/PR vs < PR.
P = .0229, Fisher exact test, for difference in rate of β2-microglobulin > 5.5 mg/L between patients achieving CR vs PR/< PR.
P = .0610, Fisher exact test, for difference in rate of ISS stage III disease between patients achieving CR vs PR/< PR.
P = .0068, Cochran-Mantel-Haenszel test, for difference in MM type between patients achieving CR/PR versus < PR; P < .0001 for CR versus PR/< PR.
There were only 25 response-evaluable patients with high-risk cytogenetics, of whom 7 achieved CR (5 early, 2 late), 12 achieved PR, and 6 had < PR.