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An early post-transplant relapse prediction score in multiple myeloma: a large cohort study from the chronic malignancies working party of EBMT
M. Beksac, S. Iacobelli, L. Koster, J. Cornelissen, L. Griskevicius, NK. Rabin, AM. Stoppa, E. Meijer, JB. Mear, S. Zeerleder, J. Mayer, R. Fenk, N. Fegueux, P. Chevallier, E. Konirova, JA. Snowden, M. Engelhardt, K. Orchard, C. Hulin, N. Schaap,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 1997 do Před 1 rokem
Freely Accessible Science Journals
od 1997 do Před 1 rokem
ProQuest Central
od 2000-01-01 do Před 1 rokem
Open Access Digital Library
od 1997-01-01
Health & Medicine (ProQuest)
od 2000-01-01 do Před 1 rokem
- MeSH
- autologní transplantace MeSH
- kohortové studie MeSH
- lidé MeSH
- lokální recidiva nádoru MeSH
- melfalan MeSH
- mnohočetný myelom * terapie MeSH
- příprava pacienta k transplantaci MeSH
- transplantace hematopoetických kmenových buněk * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Early relapse (ER) following Autologous Hematopoietic Cell Transplantation (AHCT) confers a poor prognosis. We therefore developed a novel scoring system to predict ER. A total of 14,367 AHCT-1 patients were transplanted between 2014 and 2019, and were conditioned with Melphalan 200 mg/m2 (Mel200) (n = 7228; 2014-2017) (training cohort); Mel200 (n = 5616; 2018-2019) or Mel140 (n = 1523; 2018-2019) (validation cohorts). PFS-12 and the Cumulative Incidence of Relapse at 12 months were 84.1% and 14.7% (training Mel200), 87.2% and 11.6% (validation Mel200), and 80.3% and 16.9% (validation Mel140), respectively. The points in the risk score were: 0, 1,2 for ISS stages I, II, and III; Disease status: 0 (CR/VGPR); 1 (PR); 2 (SD/MR); 4 (Relapse/Progression); and 1 for Karnofsky ≤ 70. The distribution of scores: 0 (24%), 1 (33.9%), 2 (29.6 %), 3 (9.5%), and ≥4 (2.7%). The score separated PFS-12, with the lowest risk group (n = 1752) having a PFS-12 of 91.7% and the highest risk group (n = 195) 57.1%. This also applied in cytogenetically high-risk patients. If the pre-score baseline risks are 15% (standard risk) and 25% (high-risk), a score of ≥4 confers calculated risks of 38% and 54%, respectively. This novel EBMT ER score, therefore, allows for the identification of five discrete prognostic groups.
Ankara University Ankara Turkey
Asklepios Klinik St Georg Hamburg Germany
Centre Hospitalier Universitaire de Rennes Rennes France
Charles University Prague Czech Republic
CHU de Lille Univ Lille Infinite Lille France
CHU Lapeyronie Montpellier France
Clinica FOSCAL Floridablanca Santander Colombia
Department of Haematology School of Medicine Trinity College Dublin Dublin Ireland
Erasmus University Medical Center Daniel Den Hoed Rotterdam the Netherlands
European Society for Blood and Marrow Transplantation Leiden Study Unit Leiden the Netherlands
Institute Paoli Calmettes Marseille France
Queen's University Belfast Marseille France
Radboud University Nijmegen Medical Centre Nijmegen the Netherlands
Sheffield Teaching Hospitals NHS Trust Sheffield UK
Universidad Autónoma de Bucaramanga UNAB Bucaramanga Santander Colombia
University College London Hospitals NHS Foundation Trust London UK
University Hospital Brno Brno Czech Republic
University Hospital Duesseldorf Dusseldorf Germany
University Hospital of Bern Bern Switzerland
University Hospital Southampton NHS Foundation Trust Southampton UK
University Medical Center Freiburg Freiburg Germany
University of Heidelberg Heidelberg Germany
University of Rome Tor Vergata Rome Italy
Vilnius University Hospital Santariskiu Clinics Vilnius Lithuania
Citace poskytuje Crossref.org
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