Table 3.

Cox proportional hazard regression analysis for OS in patients with stage IIIb AL amyloidosis

CharacteristicUnivariableMultivariable
HR (95% CI)P valueHR (95% CI)P value
Sx duration > 6 mo 1.60 (1.10-2.31) .01 1.92 (1.25-2.98) .003 
Lambda LC isotype 0.76 (0.47-1.23) .27   
dFLC > 350 mg/L 1.81 (1.26-2.62) .002 1.28 (0.82-1.98) .28 
BMPC ≥ 10% 1.80 (1.18-2.75) .006 2.06 (1.22-3.46) .007 
BNP > 1200 pg/mL 1.39 (0.96-2.02) .08   
TnI > 0.635 ng/mL 1.62 (1.09-2.42) .02 1.66 (1.03-2.66) .04 
ALP > 105 IU/L 1.08 (0.75-1.57) .68   
Albumin < 3.6 g/dL 1.02 (0.71-1.46) .93   
eGFR < 15 mL per min per 1.73 m2 0.86 (0.50-1.49) .60   
Proteinuria > 115 mg per 24 h 1.01 (0.67-1.53) .95   
Proteinuria > 5000 mg per 24 h 0.93 (0.59-1.47) .77   
Dialysis 0.87 (0.46-1.67) .68   
Systolic BP < 105 mmHg 1.09 (0.74-1.60) .66   
Diastolic BP < 75 mmHg 1.00 (0.70-1.44) .99   
NYHA class III or IV 1.65 (0.13-2.41) .009 1.71 (1.06-2.78) .03 
6MWT < 200 m 1.72 (1.13-2.63) .01 1.84 (1.16-2.94) .01 
Low voltage 1.32 (0.92-1.90) .13   
Atrial fibrillation/flutter 1.25 (0.73-2.15) .42   
AV blockade 1.36 (0.88-2.08) .16   
RBBB 1.36 (0.83-2.23) .23   
LBBB 1.23 (0.80-1.89) .35   
IVCD 0.56 (0.20-1.51) .25   
PAC 0.71 (0.35-1.46) .35   
PVC 1.30 (0.73-2.32) .38   
IVSd > 15 mm 1.18 (0.82-1.71) .38   
LVIDd > 25 mm 0.26 (0.04-1.91) .19   
LVPWd > 15 mm 1.09 (0.75-1.59) .66   
LVIDs > 32 mm 0.85 (0.58-1.24) .41   
LVEF < 28% 0.99 (0.52-1.91) .99   
Grade 3 diastolic dysfunction 1.31 (0.90-1.94) .16   
LV mass > 276 g 0.98 (0.64-1.48) .91   
LV mass index > 136 g/m2 1.11 (0.74-1.66) .62   
LV mass index > 153 g/m 1.09 (0.73-1.64) .67   
Bortezomib-based treatment 0.56 (0.38-0.93) .003 0.44 (0.27-0.70) <.001 
CharacteristicUnivariableMultivariable
HR (95% CI)P valueHR (95% CI)P value
Sx duration > 6 mo 1.60 (1.10-2.31) .01 1.92 (1.25-2.98) .003 
Lambda LC isotype 0.76 (0.47-1.23) .27   
dFLC > 350 mg/L 1.81 (1.26-2.62) .002 1.28 (0.82-1.98) .28 
BMPC ≥ 10% 1.80 (1.18-2.75) .006 2.06 (1.22-3.46) .007 
BNP > 1200 pg/mL 1.39 (0.96-2.02) .08   
TnI > 0.635 ng/mL 1.62 (1.09-2.42) .02 1.66 (1.03-2.66) .04 
ALP > 105 IU/L 1.08 (0.75-1.57) .68   
Albumin < 3.6 g/dL 1.02 (0.71-1.46) .93   
eGFR < 15 mL per min per 1.73 m2 0.86 (0.50-1.49) .60   
Proteinuria > 115 mg per 24 h 1.01 (0.67-1.53) .95   
Proteinuria > 5000 mg per 24 h 0.93 (0.59-1.47) .77   
Dialysis 0.87 (0.46-1.67) .68   
Systolic BP < 105 mmHg 1.09 (0.74-1.60) .66   
Diastolic BP < 75 mmHg 1.00 (0.70-1.44) .99   
NYHA class III or IV 1.65 (0.13-2.41) .009 1.71 (1.06-2.78) .03 
6MWT < 200 m 1.72 (1.13-2.63) .01 1.84 (1.16-2.94) .01 
Low voltage 1.32 (0.92-1.90) .13   
Atrial fibrillation/flutter 1.25 (0.73-2.15) .42   
AV blockade 1.36 (0.88-2.08) .16   
RBBB 1.36 (0.83-2.23) .23   
LBBB 1.23 (0.80-1.89) .35   
IVCD 0.56 (0.20-1.51) .25   
PAC 0.71 (0.35-1.46) .35   
PVC 1.30 (0.73-2.32) .38   
IVSd > 15 mm 1.18 (0.82-1.71) .38   
LVIDd > 25 mm 0.26 (0.04-1.91) .19   
LVPWd > 15 mm 1.09 (0.75-1.59) .66   
LVIDs > 32 mm 0.85 (0.58-1.24) .41   
LVEF < 28% 0.99 (0.52-1.91) .99   
Grade 3 diastolic dysfunction 1.31 (0.90-1.94) .16   
LV mass > 276 g 0.98 (0.64-1.48) .91   
LV mass index > 136 g/m2 1.11 (0.74-1.66) .62   
LV mass index > 153 g/m 1.09 (0.73-1.64) .67   
Bortezomib-based treatment 0.56 (0.38-0.93) .003 0.44 (0.27-0.70) <.001 

Optimal data cutoff for continuous variables were based on receiver operating characteristic analyses for death at 3 months.

AV, atrioventricular; BP, blood pressure; eGFR, estimated glomerular filtration rate; IVCD, interventricular conduction delay; IVSd, interventricular septum at end diastole; LBBB, left bundle branch block; LVEF, LV ejection fraction; LVIDd, LV internal diameter at end diastole; LVIDs, LV internal diameter at end systole; LVPWd, LV posterior wall at end diastole; PAC, premature atrial contraction; PVC, premature ventricular contraction; RBBB, right bundle branch block; Sx, symptom.

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