Table 2.

Impact of high-risk cytogenetic aberrations on PFS

Definition of high-risk cytogenetic profileStudies in patients with NDMMStudies in patients with RRMM
MAIAALCYONE21 CASSIOPEIAPOLLUX22 CASTOR23 CANDOR24 ICARIA25 IKEMA26 
t(4;14), t(14;16), or del(17p) by FISH or karyotype analysist(4;14), t(14;16), or del(17p) by FISH or karyotype analysisdel(17p) with cutoff 50% or t(4;14) with cutoff 30% by FISHt(4;14), t(14;16), or del(17p) by FISH or karyotype analysist(4;14), t(14;16), or del(17p) by FISH or karyotype analysisdel(17p), t(14;16) or t(4;14) by FISHdel(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISHdel(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH
Cytogenetic risk categoryStandardHighStandardHighStandardHighStandardHighStandardHighStandardHighStandardHighStandardHigh
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 profileStudies in patients with NDMMStudies in patients with RRMM
MAIAALCYONE21 CASSIOPEIAPOLLUX22 CASTOR23 CANDOR24 ICARIA25 IKEMA26 
t(4;14), t(14;16), or del(17p) by FISH or karyotype analysist(4;14), t(14;16), or del(17p) by FISH or karyotype analysisdel(17p) with cutoff 50% or t(4;14) with cutoff 30% by FISHt(4;14), t(14;16), or del(17p) by FISH or karyotype analysist(4;14), t(14;16), or del(17p) by FISH or karyotype analysisdel(17p), t(14;16) or t(4;14) by FISHdel(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISHdel(17p) with cutoff of 50%; t(14;16) with cutoff 30%; or t(4;14) with cutoff 30% by FISH
Cytogenetic risk categoryStandardHighStandardHighStandardHighStandardHighStandardHighStandardHighStandardHighStandardHigh
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.

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