Patient characteristics
Characteristic . | Value . |
---|---|
Median age, y (range) | 65 (44-76) |
Sex | |
Female | 27 |
Male | 34 |
Presence of heavy chain | |
Yes | 24 |
No | 37 |
Monoclonal light chain, no. of patients | |
Kappa | 15 |
Lambda | 46 |
Median absolute involved free light chain concentration, mg/L (range)* | 237 (27-1840) |
Kappa | 467 |
Lambda | 202 |
Plasma cell content of the bone marrow, median % (range) | 10 (1-90) |
Number of organs involved, no. of patients | |
1 organ | 5 |
2 organs | 25 |
3 or more organs | 31 |
Dominant organ, no. of patients | |
Heart | 28 |
Liver | 5 |
Gut | 4 |
Kidney | 21 |
Peripheral nerves | 1 |
Soft-tissue involvement | 2 |
NYHA stage, no. of patients | |
0 | 4 |
1 | 2 |
2 | 14 |
3 | 36 |
n.a. | 5 |
NT-proBNP, ng/L, median (range)* | 4420 (157-27 624) |
cTNT, μg/L, median (range)* | 0.04 (< 0.005-0.6) |
Mayo stage, no. of patients* | |
1 | 5 |
2 | 20 |
3 | 28 |
n.a. | 8 |
Median Karnofsky Index (range) | 80% (50-90) |
Median creatinine clearance, mL/min (range)* | 51 (17-134) |
Median albumin in serum, g/L (range) | 35 (21-49) |
Reason not eligible for ASCT, no. of patients | |
Age | 17 |
Patient refusal | 2 |
NYHA stage > 2 | 33 |
Performance status > 2 or Karnofsky Index < 80% | 6 |
Severe factor X deficiency | 1 |
Symptomatic pleural effusion | 2 |
Characteristic . | Value . |
---|---|
Median age, y (range) | 65 (44-76) |
Sex | |
Female | 27 |
Male | 34 |
Presence of heavy chain | |
Yes | 24 |
No | 37 |
Monoclonal light chain, no. of patients | |
Kappa | 15 |
Lambda | 46 |
Median absolute involved free light chain concentration, mg/L (range)* | 237 (27-1840) |
Kappa | 467 |
Lambda | 202 |
Plasma cell content of the bone marrow, median % (range) | 10 (1-90) |
Number of organs involved, no. of patients | |
1 organ | 5 |
2 organs | 25 |
3 or more organs | 31 |
Dominant organ, no. of patients | |
Heart | 28 |
Liver | 5 |
Gut | 4 |
Kidney | 21 |
Peripheral nerves | 1 |
Soft-tissue involvement | 2 |
NYHA stage, no. of patients | |
0 | 4 |
1 | 2 |
2 | 14 |
3 | 36 |
n.a. | 5 |
NT-proBNP, ng/L, median (range)* | 4420 (157-27 624) |
cTNT, μg/L, median (range)* | 0.04 (< 0.005-0.6) |
Mayo stage, no. of patients* | |
1 | 5 |
2 | 20 |
3 | 28 |
n.a. | 8 |
Median Karnofsky Index (range) | 80% (50-90) |
Median creatinine clearance, mL/min (range)* | 51 (17-134) |
Median albumin in serum, g/L (range) | 35 (21-49) |
Reason not eligible for ASCT, no. of patients | |
Age | 17 |
Patient refusal | 2 |
NYHA stage > 2 | 33 |
Performance status > 2 or Karnofsky Index < 80% | 6 |
Severe factor X deficiency | 1 |
Symptomatic pleural effusion | 2 |
ASCT indicates autologous stem cell transplantation; cTNT, cardiac troponin T; n.a., not applicable; NT-proBNP, N-terminal prohormone of brain natriuretic peptide; and NYHA, New York Heart Association.
Patients on dialysis (n = 6) were excluded.