Impact of high-risk cytogenetic aberrations on PFS
Definition of high-risk cytogenetic profile . | Studies in patients with NDMM . | Studies in patients with RRMM . | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MAIA4 . | ALCYONE21 . | CASSIOPEIA6 . | POLLUX22 . | CASTOR23 . | CANDOR24 . | ICARIA25 . | IKEMA26 . | |||||||||
t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | del(17p) with cutoff 50% or t(4;14) with cutoff 30% by FISH . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | del(17p), t(14;16) or t(4;14) by FISH . | del(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH . | del(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH . | |||||||||
Cytogenetic risk category . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . |
No. of patients | 550 | 92 | 518 | 98 | 914 | 168 | 369 | 70 | 258 | 95 | 156 | 74 | 181 | 60 | 192 | 73 |
Median follow-up, mo | 36.4 | 36.4 | 27.8 | 27.8 | 18.8 | 18.8 | 44.3 | 44.3 | 50.2 | 50.2 | 16.9 | 16.9 | 11.6 | 11.6 | 20.7 | 20.7 |
PFS | ||||||||||||||||
HR | 0.50 | 0.57 | 0.34 | 0.78 | 0.41 | 0.67 | 0.43 | 0.34 | 0.25 | 0.41 | 0.55 | 0.58 | 0.62 | 0.66 | 0.44 | 0.72 |
95% CI | 0.38-0.65 | 0.32-1.04 | 0.26-0.45 | 0.49-1.26 | 0.26-0.62 | 0.35-1.30 | 0.32-0.57 | 0.16-0.72 | 0.18-0.35 | 0.21-0.83 | 0.31-0.97 | 0.30-1.12 | 0.42-0.93 | 0.33-1.28 | 0.27-0.73 | 0.36-1.45 |
Definition of high-risk cytogenetic profile . | Studies in patients with NDMM . | Studies in patients with RRMM . | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MAIA4 . | ALCYONE21 . | CASSIOPEIA6 . | POLLUX22 . | CASTOR23 . | CANDOR24 . | ICARIA25 . | IKEMA26 . | |||||||||
t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | del(17p) with cutoff 50% or t(4;14) with cutoff 30% by FISH . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | t(4;14), t(14;16), or del(17p) by FISH or karyotype analysis . | del(17p), t(14;16) or t(4;14) by FISH . | del(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH . | del(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH . | |||||||||
Cytogenetic risk category . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . | Standard . | High . |
No. of patients | 550 | 92 | 518 | 98 | 914 | 168 | 369 | 70 | 258 | 95 | 156 | 74 | 181 | 60 | 192 | 73 |
Median follow-up, mo | 36.4 | 36.4 | 27.8 | 27.8 | 18.8 | 18.8 | 44.3 | 44.3 | 50.2 | 50.2 | 16.9 | 16.9 | 11.6 | 11.6 | 20.7 | 20.7 |
PFS | ||||||||||||||||
HR | 0.50 | 0.57 | 0.34 | 0.78 | 0.41 | 0.67 | 0.43 | 0.34 | 0.25 | 0.41 | 0.55 | 0.58 | 0.62 | 0.66 | 0.44 | 0.72 |
95% CI | 0.38-0.65 | 0.32-1.04 | 0.26-0.45 | 0.49-1.26 | 0.26-0.62 | 0.35-1.30 | 0.32-0.57 | 0.16-0.72 | 0.18-0.35 | 0.21-0.83 | 0.31-0.97 | 0.30-1.12 | 0.42-0.93 | 0.33-1.28 | 0.27-0.73 | 0.36-1.45 |
FISH, fluorescence in situ hybridization; RRMM, relapsed/refractory multiple myeloma.