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A multicenter retrospective study of 223 patients with t(14;16) in multiple myeloma
S. Goldman-Mazur, A. Jurczyszyn, JJ. Castillo, A. Waszczuk-Gajda, N. Grząśko, J. Radocha, M. Bittrich, KM. Kortüm, A. Gozzetti, L. Usnarska-Zubkiewicz, J. Davila Valls, DS. Jayabalan, R. Niesvizky, J. Kelman, D. Coriu, L. Rosiñol, Ł. Szukalski,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie
NLK
Free Medical Journals
od 1998 do Před 1 rokem
Wiley Free Content
od 1996 do Před 1 rokem
PubMed
32072687
DOI
10.1002/ajh.25758
Knihovny.cz E-zdroje
- MeSH
- doba přežití bez progrese choroby MeSH
- lidé středního věku MeSH
- lidé MeSH
- mnohočetný myelom genetika mortalita MeSH
- retrospektivní studie MeSH
- translokace genetická MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
The t(14;16) translocation, found in 3%-5% of newly diagnosed (ND) multiple myeloma (MM), has been associated with adverse outcomes. However, the studies establishing the characteristics of t(14;16) included solely small cohorts. The goal of the current international, multicenter (n = 25 centers), retrospective study was to describe the characteristics and outcomes of t(14;16) patients in a large, real-world cohort (n = 223). A substantial fraction of patients had renal impairment (24%) and hemoglobin <10 g/dL (56%) on initial presentation. Combined therapy of both immunomodulatory drug and proteasome inhibitor (PI) in the first line was used in 35% of patients. Autologous stem cell transplantation was performed in 42% of patients. With a median follow up of 4.1 years (95% CI 3.7-18.7), the median progression-free survival (PFS) and overall survival (OS) from first line therapy were 2.1 years (95% CI 1.5-2.4) and 4.1 years (95% CI 3.3-5.5), respectively. Worse OS was predicted by age > 60 years (HR = 1.65, 95% CI [1.05-2.58]), as well as revised International Scoring System (R-ISS) 3 (vs R-ISS 2; HR = 2.59, 95% CI [1.59-4.24]). In conclusion, based on the largest reported cohort of t(14;16) patients, quarter of this subset of MM patients initially presents with renal failure, while older age and the R-ISS 3 predict poor survival.
Complejo Asistencial de Avila Avila Spain
Department of Cancer Prevention Medical University of Silesia Katowice Poland
Department of Clinical Oncology Maria Sklodowska Curie National Institute of Oncology Cracow Poland
Department of Hematology Jagiellonian University Medical College Cracow Poland
Department of Hematology Oncology and Internal Diseases Warsaw Medical University Warsaw Poland
Department of Hematology Oncology Medstar Georgetown University Hospital Washington DC
Department of Hematology SPZOZ ZSM in Chorzów Chorzów Poland
Department of Hematology UZ Leuven Leuven Belgium
Department of Infectious and Tropical Diseases Jagiellonian University Medical College Cracow Poland
Department of Internal Medicine 2 University Hospital Würzburg Würzburg Germany
Department of Medicine Queen Mary Hospital University of Hong Kong Pokfulam Hong Kong
Department of Medicine Warren Alpert Medical School Brown University Providence Rhode Island
Hematology Department of Medical Science Surgery and Neuroscience University of Siena Siena Italy
Hematology Unit AO Cosenza Cosenza Italy
Hospital Universitario de Salamanca Instituto Biosanitario de Salamanca Salamanca Spain
Institute of Hematology and Transfusion Medicine Warsaw Poland
John Theurer Cancer Center Hackensack University Medical Center Hackensack New Jersey
Medical University of Lódź Lódź Poland
Tisch Cancer Institute Icahn School of Medicine at Mount Sinai New York New York
Citace poskytuje Crossref.org
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