Development and Validation of a Simplified Score to Predict Early Relapse in Newly Diagnosed Multiple Myeloma in a Pooled Dataset of 2,190 Patients.


Journal

Clinical cancer research : an official journal of the American Association for Cancer Research
ISSN: 1557-3265
Titre abrégé: Clin Cancer Res
Pays: United States
ID NLM: 9502500

Informations de publication

Date de publication:
01 07 2021
Historique:
received: 12 01 2021
revised: 12 03 2021
accepted: 26 04 2021
pubmed: 1 5 2021
medline: 2 4 2022
entrez: 30 4 2021
Statut: ppublish

Résumé

Despite the improvement of therapeutic regimens, several patients with multiple myeloma (MM) still experience early relapse (ER). This subset of patients currently represents an unmet medical need. We pooled data from seven European multicenter phase II/III clinical trials enrolling 2,190 patients with newly diagnosed MM from 2003 to 2017. Baseline patient evaluation included 14 clinically relevant features. Patients with complete data ( The Simplified Early Relapse in Multiple Myeloma (S-ERMM) score was modeled on six features weighted by a score: 5 points for high lactate dehydrogenase or t(4;14); 3 for del17p, abnormal albumin, or bone marrow plasma cells >60%; and 2 for λ free light chain. The S-ERMM identified three patient groups with different risks of ER18: Intermediate (Int) versus Low (OR = 2.39, On the basis of simple, widely available baseline features, the S-ERMM and DS-ERMM properly identified patients with different risks of ER and survival outcomes.

Identifiants

pubmed: 33926915
pii: 1078-0432.CCR-21-0134
doi: 10.1158/1078-0432.CCR-21-0134
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

3695-3703

Informations de copyright

©2021 American Association for Cancer Research.

Références

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Auteurs

Gian Maria Zaccaria (GM)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
Hematology and Cell Therapy Unit, IRCCS Istituto Tumori 'Giovanni Paolo II,' Bari, Italy.

Luca Bertamini (L)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.

Maria Teresa Petrucci (MT)

Hematology, Department of Translational and Precision Medicine, Azienda Ospedaliera Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

Massimo Offidani (M)

Clinica di Ematologia, AOU Ospedali Riuniti di Ancona, Ancona, Italy.

Paolo Corradini (P)

Divisione di Ematologia, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano; Università degli Studi di Milano, Milano, Italy.

Andrea Capra (A)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.

Alessandra Romano (A)

Department of General Surgery and Medical-Surgical Specialties, Haematology Section, University of Catania, Catania, Italy.

Anna Marina Liberati (AM)

Università degli Studi di Perugia, Azienda Ospedaliera Santa Maria, Terni, Italy.

Donato Mannina (D)

Division of Hematology, Azienda Ospedaliera Papardo, Messina, Italy.

Paolo de Fabritiis (P)

Hematology, St. Eugenio Hospital ASL Roma 2, Tor Vergata University, Rome, Italy.

Nicola Cascavilla (N)

Ematologia, Ospedale "Casa Sollievo della Sofferenza" IRCCS, San Giovanni Rotondo, Italy.

Marina Ruggeri (M)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.

Roberto Mina (R)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.

Francesca Patriarca (F)

Clinica Ematologica e Unità di Terapie Cellulari, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Dipartimento di Area Medica (DAME), Università di Udine, Udine, Italy.

Giulia Benevolo (G)

SC Hematology, AO Città della Salute e della Scienza, Turin, Italy.

Angelo Belotti (A)

Hematology Division, ASST Spedali Civili Brescia, Brescia, Italy.

Gianluca Gaidano (G)

Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.

Arnon Nagler (A)

Hematology Division, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Roman Hájek (R)

Department of Haematooncology, University Hospital Ostrava, Ostrava, Czech Republic.
Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.

Andrew Spencer (A)

Alfred Health-Monash University, Melbourne, Australia.

Pieter Sonneveld (P)

Department of Hematology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.

Pellegrino Musto (P)

Department of Emergency and Organ Transplantation, "Aldo Moro" University School of Medicine, Bari, Italy.
Unit of Hematology and Stem Cell Transplantation, AOUC Policlinico, Bari, Italy.

Mario Boccadoro (M)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.

Francesca Gay (F)

Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Torino, Italy. fgay@cittadellasalute.to.it.

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