Table 1.

Cox regression results for survival comparisons

Treatment (data set)Comparisonn1n2Median survival 1, moMedian survival 2, moHR* (CI)P
Bortezomib based (C) Bortezomib standard vs bortezomib good (PFS) 108 39 21.9 36.2 0.37 (0.17-0.81) .0063 
RD (C) Bortezomib standard vs bortezomib good (PFS) 29 11 Not reached 18.8 2.35 (0.76-7.63) .16 
Bortezomib based or RD (C) Incorrectly treated vs correctly treated (PFS) 119 68 20.1 Not reached 0.40 (0.23-0.72) .0012 
Bortezomib based or RD (C) Incorrectly treated vs correctly treated (OS) 119 68 30.7 Not reached 0.41 (0.21-0.80) .0049 
Bortezomib based or RD or VRD (C) All VRD vs all non-VRD (PFS) 208 187 43.7 26.0 1.50 (1.06-2.13) .02 
Bortezomib based or RD or VRD (C) All VRD vs all non-VRD (OS) 208 187 Not reached 37.8 2.05 (1.34-3.13) .00084 
Bortezomib based or RD or VRD (C) All VRD vs non-VRD correctly treated (OS) 208 68 Not reached Not reached 1.12 (0.58-2.13) .74 
Bortezomib based or RD or VRD (C) All VRD vs non-VRD correctly treated (PFS) 208 68 43.7 Not reached 0.86 (0.50-1.47) .57 
Bortezomib based ± ASCT Bortezomib correctly treated vs ASCT (PFS) 47 39 36.6 36.2 1.16 (0.47-2.87) .75 
Bortezomib based ± ASCT Bortezomib correctly treated vs ASCT (OS) 47 39 43.7 Not reached 3.10 (0.80-12.01) .08 
VRD (C) Lenalidomide best vs bortezomib best (OS) 164 44 Not reached Not reached 1.41 (0.69-2.90) .36 
VRD (C) Lenalidomide best vs bortezomib best (PFS) 164 44 43.7 45.4 1.11 (0.62-1.97) .74 
Bortezomib alone (M) Lenalidomide best vs bortezomib best (PFS) 135 38 4.14 4.77 0.66 (0.43-1.0) .04 
Bortezomib alone (M) Lenalidomide best vs bortezomib best (OS) 148 40 15.2 21.8 0.57 (0.53-0.91) .01 
RD (PCL) Lenalidomide best vs bortezomib best (PFS) 10 Not reached 1.0 Not defined 2.52 × 10−5 
RD (PCL) Lenalidomide best vs bortezomib best (OS) 10 Not reached 12.5 Not defined .0013 
PAD/ASCT (H) Lenalidomide best vs bortezomib best (PFS) 84 57 26.6 31.8 0.91 (0.60-1.37) .63 
PAD/ASCT (H) Lenalidomide best vs bortezomib best (OS) 85 58 Not reached Not reached 0.73 (0.40-1.34) .30 
Treatment (data set)Comparisonn1n2Median survival 1, moMedian survival 2, moHR* (CI)P
Bortezomib based (C) Bortezomib standard vs bortezomib good (PFS) 108 39 21.9 36.2 0.37 (0.17-0.81) .0063 
RD (C) Bortezomib standard vs bortezomib good (PFS) 29 11 Not reached 18.8 2.35 (0.76-7.63) .16 
Bortezomib based or RD (C) Incorrectly treated vs correctly treated (PFS) 119 68 20.1 Not reached 0.40 (0.23-0.72) .0012 
Bortezomib based or RD (C) Incorrectly treated vs correctly treated (OS) 119 68 30.7 Not reached 0.41 (0.21-0.80) .0049 
Bortezomib based or RD or VRD (C) All VRD vs all non-VRD (PFS) 208 187 43.7 26.0 1.50 (1.06-2.13) .02 
Bortezomib based or RD or VRD (C) All VRD vs all non-VRD (OS) 208 187 Not reached 37.8 2.05 (1.34-3.13) .00084 
Bortezomib based or RD or VRD (C) All VRD vs non-VRD correctly treated (OS) 208 68 Not reached Not reached 1.12 (0.58-2.13) .74 
Bortezomib based or RD or VRD (C) All VRD vs non-VRD correctly treated (PFS) 208 68 43.7 Not reached 0.86 (0.50-1.47) .57 
Bortezomib based ± ASCT Bortezomib correctly treated vs ASCT (PFS) 47 39 36.6 36.2 1.16 (0.47-2.87) .75 
Bortezomib based ± ASCT Bortezomib correctly treated vs ASCT (OS) 47 39 43.7 Not reached 3.10 (0.80-12.01) .08 
VRD (C) Lenalidomide best vs bortezomib best (OS) 164 44 Not reached Not reached 1.41 (0.69-2.90) .36 
VRD (C) Lenalidomide best vs bortezomib best (PFS) 164 44 43.7 45.4 1.11 (0.62-1.97) .74 
Bortezomib alone (M) Lenalidomide best vs bortezomib best (PFS) 135 38 4.14 4.77 0.66 (0.43-1.0) .04 
Bortezomib alone (M) Lenalidomide best vs bortezomib best (OS) 148 40 15.2 21.8 0.57 (0.53-0.91) .01 
RD (PCL) Lenalidomide best vs bortezomib best (PFS) 10 Not reached 1.0 Not defined 2.52 × 10−5 
RD (PCL) Lenalidomide best vs bortezomib best (OS) 10 Not reached 12.5 Not defined .0013 
PAD/ASCT (H) Lenalidomide best vs bortezomib best (PFS) 84 57 26.6 31.8 0.91 (0.60-1.37) .63 
PAD/ASCT (H) Lenalidomide best vs bortezomib best (OS) 85 58 Not reached Not reached 0.73 (0.40-1.34) .30 

All signature assignments were based on the 7-gene signature. Correctly treated patients (rows 3, 4, and 7-10) were those predicted by the signature as lenalidomide best and who were treated with RD or those predicted as bortezomib best and treated with bortezomib-based therapy.

C, CoMMpass data set; CI, confidence interval; H, HOVON/GMMG data set; M, Millennium data set; n1, first group in comparison; n2, second group in comparison; OS, overall survival.

*

HR: second group vs first group.

HR for the PCL group is not defined because all patients in group 2 experienced progression before any progressions in group 1 (row 11) or because there were no deaths in group 1 (row 12).

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