Table 3.

Definitions of deep hematologic responses in AL amyloidosis are evolving

ParameterComplete responseModified complete response*Stringent dFLC response*Absolute iFLC response*
Gertz 200537 Comenzo 201214 Palladini 201253 AMY3001 2020Manwani 201944 Muchtar 201943 
Negative serum IFE     Not required Not required 
Negative urine IFE     Not required Not required 
Bone marrow plasma cells <5%  Not required Not required Not required Not required Not required 
FLC Normal levels Normal levels Not required iFLC <ULN dFLC <10 mg/L iFLC ≤20 mg/L 
FLC ratio (normal)    Not required Not required Not required 
ParameterComplete responseModified complete response*Stringent dFLC response*Absolute iFLC response*
Gertz 200537 Comenzo 201214 Palladini 201253 AMY3001 2020Manwani 201944 Muchtar 201943 
Negative serum IFE     Not required Not required 
Negative urine IFE     Not required Not required 
Bone marrow plasma cells <5%  Not required Not required Not required Not required Not required 
FLC Normal levels Normal levels Not required iFLC <ULN dFLC <10 mg/L iFLC ≤20 mg/L 
FLC ratio (normal)    Not required Not required Not required 
*

Pending validation and international consensus agreement.

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