Table 4.

Predictors of an EIR at 28 days after primary SARS-CoV-2 vaccination series in MM and WM

OR (95% CI)P value
MM 
Age >75 years 0.17 (0.01-1.49) .11 
Male sex 1.34 (0.55-3.29) .54 
Non-White race 1.77 (0.39-9.16) .51 
mRNA-1273 (vs BNT162b2) 2.86(1.07-7.97) .03 
R-ISS stage III (vs I/II) 0.53 (0.13-1.93) .39 
IgG isotype (vs non-IgG) 2.82 (1.13-7.32) .02 
Treatment naïve 1.12 (0.20-6.45) 1.00 
Current treatment   
IMiD 1.74 (0.71-4.33) .22 
PI 0.43 (0.16-1.10) .06 
Anti-CD38 mAb 0.37 (0.13-0.97) .03 
BCMA CAR-T 1.11 (0.01-89.4) 1.00 
Corticosteroid 0.29 (0.11-0.73) .006 
Previous ASCT 1.59 (0.60-4.27) .37 
CR (vs less than CR) 1.27 (0.42-3.89) .80 
>1 previous treatment line (vs 0-1) 0.35 (0.10-1.05) .07 
Hypogammaglobulinemia 0.04 (0.01-0.25) .004 
IV immunoglobulin within 90 days 0.29 (0.05-1.24) .08 
ALC ×103/μL 0.23 (0.09-0.54) <.001 
Pulmonary disease 1.13 (0.24-5.30) 1.00 
Chronic kidney disease 1.11 (0.01-89.4) 1.00 
Diabetes 1.66 (0.41-7.20) .54 
Hypertension 0.58 (0.23-1.44) .22 
Cardiovascular disease 1.12 (0.14-8.84) 1.00 
Obesity 1.87 (0.75-4.71) .15 
Current tobacco use UTC UTC 
WM 
Age >65 years 2.93 (0.60-19.6) .18 
Male sex 0.38 (0.06-1.86) .31 
Non-White race UTC UTC 
mRNA-1273 (vs BNT162b2) 8.82 (1.69-63.4) .004 
MYD88 mutation 0.63 (0.08-7.83) .63 
CXCR4 mutation 0.32 (0.01-4.77) .59 
Asymptomatic WM 7.86 (1.58-46.5) .01 
Treatment naïve 4.80 (1.03-26.2) .04 
Current BTKi use 0.11 (0.01-0.85) .01 
Current rituximab use UTC .04 
Progressive disease 2.90 (0.34-19.8) .28 
>1 previous treatment line (vs 0-1) 3.29 (0.51-21.7) .20 
Hypogammaglobulinemia 1.36 (0.27-9.37) 1.00 
IV immunoglobulin within 90 days 2.24 (0.16-23.0) .58 
ALC ×103/μL 0.87 (0.46-1.13) .48 
Pulmonary disease 1.23 (0.10-9.13) 1.00 
Chronic kidney disease 0.57 (0.01-5.97) 1.00 
Diabetes UTC UTC 
Hypertension 0.67 (0.10-3.40) .73 
Cardiovascular disease 1.23 (0.10-9.13) 1.00 
Obesity 0.73 (0.01-8.52) 1.00 
Current tobacco use 0.57 (0.01-5.97) 1.00 
OR (95% CI)P value
MM 
Age >75 years 0.17 (0.01-1.49) .11 
Male sex 1.34 (0.55-3.29) .54 
Non-White race 1.77 (0.39-9.16) .51 
mRNA-1273 (vs BNT162b2) 2.86(1.07-7.97) .03 
R-ISS stage III (vs I/II) 0.53 (0.13-1.93) .39 
IgG isotype (vs non-IgG) 2.82 (1.13-7.32) .02 
Treatment naïve 1.12 (0.20-6.45) 1.00 
Current treatment   
IMiD 1.74 (0.71-4.33) .22 
PI 0.43 (0.16-1.10) .06 
Anti-CD38 mAb 0.37 (0.13-0.97) .03 
BCMA CAR-T 1.11 (0.01-89.4) 1.00 
Corticosteroid 0.29 (0.11-0.73) .006 
Previous ASCT 1.59 (0.60-4.27) .37 
CR (vs less than CR) 1.27 (0.42-3.89) .80 
>1 previous treatment line (vs 0-1) 0.35 (0.10-1.05) .07 
Hypogammaglobulinemia 0.04 (0.01-0.25) .004 
IV immunoglobulin within 90 days 0.29 (0.05-1.24) .08 
ALC ×103/μL 0.23 (0.09-0.54) <.001 
Pulmonary disease 1.13 (0.24-5.30) 1.00 
Chronic kidney disease 1.11 (0.01-89.4) 1.00 
Diabetes 1.66 (0.41-7.20) .54 
Hypertension 0.58 (0.23-1.44) .22 
Cardiovascular disease 1.12 (0.14-8.84) 1.00 
Obesity 1.87 (0.75-4.71) .15 
Current tobacco use UTC UTC 
WM 
Age >65 years 2.93 (0.60-19.6) .18 
Male sex 0.38 (0.06-1.86) .31 
Non-White race UTC UTC 
mRNA-1273 (vs BNT162b2) 8.82 (1.69-63.4) .004 
MYD88 mutation 0.63 (0.08-7.83) .63 
CXCR4 mutation 0.32 (0.01-4.77) .59 
Asymptomatic WM 7.86 (1.58-46.5) .01 
Treatment naïve 4.80 (1.03-26.2) .04 
Current BTKi use 0.11 (0.01-0.85) .01 
Current rituximab use UTC .04 
Progressive disease 2.90 (0.34-19.8) .28 
>1 previous treatment line (vs 0-1) 3.29 (0.51-21.7) .20 
Hypogammaglobulinemia 1.36 (0.27-9.37) 1.00 
IV immunoglobulin within 90 days 2.24 (0.16-23.0) .58 
ALC ×103/μL 0.87 (0.46-1.13) .48 
Pulmonary disease 1.23 (0.10-9.13) 1.00 
Chronic kidney disease 0.57 (0.01-5.97) 1.00 
Diabetes UTC UTC 
Hypertension 0.67 (0.10-3.40) .73 
Cardiovascular disease 1.23 (0.10-9.13) 1.00 
Obesity 0.73 (0.01-8.52) 1.00 
Current tobacco use 0.57 (0.01-5.97) 1.00 

Values corresponding to P < 0.05 are set in bold.

ALC, absolute lymphocyte count; ASCT, autologous stem cell transplantation; CI, confidence interval; CR, complete response; IMiD, immunomodulatory agent; mAb, monoclonal antibody; OR, odds ratio; PI, proteasome inhibitor; UTC, unable to calculate.

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