Comparison of ex vivo results vs clinical outcomes for patients treated with agents tested in My-DST
Patient # . | HR . | Prior treatment lines . | My-DST of drugs in next LOT, Norm% . | My-DST comb . | Drugs sens . | Clinical resp . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
134 | 1q+ | None | V 5 | D 129 | 6 | 1 | −71 | ||||
576-1 | None | None | V 35 | C 116 | D 70 | 28 | 2 | −72 | |||
616 | None | None | V 2 | C 88 | D 19 | 0.3 | 2 | −100 | |||
656 | 1q+ | None | V 13 | C 45 | D 51 | 3 | 3 | −100 | |||
748 | None | None | V 45 | C 67 | D 81 | 24 | 2 | −100 | |||
820 | 1q+ | None | V 56 | R 16 | D 165 | 15 | 2 | −100 | |||
829 | None | None | V 89 | R 74 | D 70 | 46 | 2 | −79 | |||
839 | None | None | V 47 | C 113 | D 70 | 37 | 2 | −100 | |||
847* | None | None | R 81 | V15 | D 39 | 5 | 1 | −100 | |||
854 | t(4;14) | None | V 7 | C 65 | D 42 | 2 | 3 | −99 | |||
897 | None | None | V 46 | C 72 | D 84 | 28 | 2 | −78 | |||
1003 | 1q+ | None | V 14 | C 63 | D 84 | 7 | 2 | −100 | |||
1023 | 1q+ | None | V 73 | R 76 | D 74 | 41 | 3 | −97 | |||
1064 | None | None | V 10 | C 26 | D 33 | 1 | 3 | −100 | |||
1093 | 1q+ | None | V 52 | C 103 | R 36 | D 85 | 16 | 2 | −80 | ||
1115 | None | None | V 90 | R 71 | D 74 | 47 | 2 | −72 | |||
1128 | None | None | V 64 | C 110 | D 90 | 63 | 1 | +15 | |||
1229 | None | None | V 48 | R 73 | D 95 | 33 | 2 | −100 | |||
1230 | 1q+ | None | V 25 | R 93 | D 70 | 16 | 2 | −94 | |||
1238 | None | None | V 56 | R 94 | D 138 | 72 | 2 | −100 | |||
700-1 | 1q+ | VCD/SCT | R 73 | D 145 | 105 | 1 | −15 | ||||
951 | None | VRD/Mul/tSCT/cRVD/mRD | Dar 78 | D 79 | 61 | 2 | −42 | ||||
1270 | 1q+ | KRD/SCT/mR | Dar 43 | V 13 | D 53 | 3 | 3 | −16 | |||
573 | 1q+ | VRD/Mul/SCT/mR, KRD | C 71 | P 68 | D 58 | 28 | 3 | −80 | |||
700-2 | 1q+ | VCD/SCT/Ob/RD | V 87 | D 81 | 70 | 0 | +38 | ||||
1044 | 1q+ | VRD/SCT/cVRD/mVD, EloRD/Obs | Dar 26 | P 67 | D 53 | 9 | 3 | −28.5 | |||
1322 | None | VRD, DarPD | Dar 114 | V 72 | P 88 | D 97 | 70 | 1 | +185 | ||
955 | 1q+ | Unk/Mul/SCT/mRD/Obs, RD, KRD | P 65 | D 71 | 46 | 2 | −50 | ||||
614-2 | 1q+ | VCD/Mul/KRD/SCT/cVRD, EloRD, PD | Dar 78 | V 27 | D 90 | 19 | 2 | −89 | |||
649-2 | None | VCD, KRD/SCT/mR, BiRD, PemPD | Dar 65 | V 82 | D 94 | 50 | 1 | −25 | |||
634-3 | None | VD/SCT, RD, VD, KD, ID, PemPD | Dar 76 | V 47 | D 15 | 5 | 3 | −73 |
Patient # . | HR . | Prior treatment lines . | My-DST of drugs in next LOT, Norm% . | My-DST comb . | Drugs sens . | Clinical resp . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
134 | 1q+ | None | V 5 | D 129 | 6 | 1 | −71 | ||||
576-1 | None | None | V 35 | C 116 | D 70 | 28 | 2 | −72 | |||
616 | None | None | V 2 | C 88 | D 19 | 0.3 | 2 | −100 | |||
656 | 1q+ | None | V 13 | C 45 | D 51 | 3 | 3 | −100 | |||
748 | None | None | V 45 | C 67 | D 81 | 24 | 2 | −100 | |||
820 | 1q+ | None | V 56 | R 16 | D 165 | 15 | 2 | −100 | |||
829 | None | None | V 89 | R 74 | D 70 | 46 | 2 | −79 | |||
839 | None | None | V 47 | C 113 | D 70 | 37 | 2 | −100 | |||
847* | None | None | R 81 | V15 | D 39 | 5 | 1 | −100 | |||
854 | t(4;14) | None | V 7 | C 65 | D 42 | 2 | 3 | −99 | |||
897 | None | None | V 46 | C 72 | D 84 | 28 | 2 | −78 | |||
1003 | 1q+ | None | V 14 | C 63 | D 84 | 7 | 2 | −100 | |||
1023 | 1q+ | None | V 73 | R 76 | D 74 | 41 | 3 | −97 | |||
1064 | None | None | V 10 | C 26 | D 33 | 1 | 3 | −100 | |||
1093 | 1q+ | None | V 52 | C 103 | R 36 | D 85 | 16 | 2 | −80 | ||
1115 | None | None | V 90 | R 71 | D 74 | 47 | 2 | −72 | |||
1128 | None | None | V 64 | C 110 | D 90 | 63 | 1 | +15 | |||
1229 | None | None | V 48 | R 73 | D 95 | 33 | 2 | −100 | |||
1230 | 1q+ | None | V 25 | R 93 | D 70 | 16 | 2 | −94 | |||
1238 | None | None | V 56 | R 94 | D 138 | 72 | 2 | −100 | |||
700-1 | 1q+ | VCD/SCT | R 73 | D 145 | 105 | 1 | −15 | ||||
951 | None | VRD/Mul/tSCT/cRVD/mRD | Dar 78 | D 79 | 61 | 2 | −42 | ||||
1270 | 1q+ | KRD/SCT/mR | Dar 43 | V 13 | D 53 | 3 | 3 | −16 | |||
573 | 1q+ | VRD/Mul/SCT/mR, KRD | C 71 | P 68 | D 58 | 28 | 3 | −80 | |||
700-2 | 1q+ | VCD/SCT/Ob/RD | V 87 | D 81 | 70 | 0 | +38 | ||||
1044 | 1q+ | VRD/SCT/cVRD/mVD, EloRD/Obs | Dar 26 | P 67 | D 53 | 9 | 3 | −28.5 | |||
1322 | None | VRD, DarPD | Dar 114 | V 72 | P 88 | D 97 | 70 | 1 | +185 | ||
955 | 1q+ | Unk/Mul/SCT/mRD/Obs, RD, KRD | P 65 | D 71 | 46 | 2 | −50 | ||||
614-2 | 1q+ | VCD/Mul/KRD/SCT/cVRD, EloRD, PD | Dar 78 | V 27 | D 90 | 19 | 2 | −89 | |||
649-2 | None | VCD, KRD/SCT/mR, BiRD, PemPD | Dar 65 | V 82 | D 94 | 50 | 1 | −25 | |||
634-3 | None | VD/SCT, RD, VD, KD, ID, PemPD | Dar 76 | V 47 | D 15 | 5 | 3 | −73 |
My-DST of drugs in next LOT, ex vivo effects of the drugs subsequently received in clinical treatment (numbers represent the number of viable MM cells normalized as percentage of untreated control samples). My-DST comb, the proportional ex vivo effect calculated the product of the individual mean effects for the drugs received in clinical treatment. Drugs Sens, the number of drugs received in clinical treatment that were scored as sensitive in My-DST. Clinical resp, clinical response shown as the percent change in paraprotein after 4 cycles.
Bi, Biaxin; c, consolidation; C, cyclophosphamide; D, dexamethasone; Dar, daratumumab; I, ixazomib; K, carfilzomib; L, line; m, maintenance; Mul, multiple agent inpatient chemotherapy; Ob, observation; P, pomalidomide; Pan, panobinostat; Pem, pembrolizumab; R, Revlimid (lenalidomide); SCT, autologous stem cell transplant with melphalan; Unk, unknown; V, Velcade (bortezomib).
Patient #847 was treated with 2 cycles of RD, followed by switch to VD.