Definitions of deep hematologic responses in AL amyloidosis are evolving
Parameter . | Complete response . | Modified complete response* . | Stringent dFLC response* . | Absolute iFLC response* . | ||
---|---|---|---|---|---|---|
Gertz 200537 . | Comenzo 201214 . | Palladini 201253 . | AMY3001 2020 . | Manwani 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 |
Parameter . | Complete response . | Modified complete response* . | Stringent dFLC response* . | Absolute iFLC response* . | ||
---|---|---|---|---|---|---|
Gertz 200537 . | Comenzo 201214 . | Palladini 201253 . | AMY3001 2020 . | Manwani 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.