Table 3

Factors affecting rate of reversal of renal impairment by univariate and multivariate analysis

FactorReversal rate, %OR (95% CI)P (uni)P (multi)
Age, y     
    < 75 35.8 0.7 (0.37-1.58) .46  
    ≥ 75 29.8    
Sex     
    Male 44.8 0.4 (0.2-0.85) .016 .022 
    Female 25    
Karnofsky performance status     
    > 70 32.2 1.15 (0.55-2.41) .70  
    ≤ 70 35.4    
e-GFR, mL/min     
    ≥ 30 40.4 0.1 (0.02-0.48) .004 .003 
    < 30 6.9    
β2-microglobulin, mg/dL     
    < 3.5 41.7 0.52 (0.2-1.34) .18  
     ≥ 3.5 27.3    
Albumin, g/dL     
    ≥ 3.5 33.3 0.67 (0.28-1.56) .35  
     < 3.5 25    
LDH serum levels     
    Normal 32.7 1.29 (0.39-4.25) .67  
    Abnormal 38.5    
Cytogenetic risk     
    Standard 29.5 1.33 (0.53-3.31) .54  
    High 35.7    
Response (≥ PR)     
    Yes 35.3 0.57 (0.19-1.67) .3  
    No 23.8    
Arm     
    VMPT-VT 25.8 1.87 (0.9-3.90) .09 .06 
    VMP 40.3    
Bortezomib schedule     
    Once weekly 30.5 1.68 (0.75-3.76) .2  
    Twice weekly 42.4    
FactorReversal rate, %OR (95% CI)P (uni)P (multi)
Age, y     
    < 75 35.8 0.7 (0.37-1.58) .46  
    ≥ 75 29.8    
Sex     
    Male 44.8 0.4 (0.2-0.85) .016 .022 
    Female 25    
Karnofsky performance status     
    > 70 32.2 1.15 (0.55-2.41) .70  
    ≤ 70 35.4    
e-GFR, mL/min     
    ≥ 30 40.4 0.1 (0.02-0.48) .004 .003 
    < 30 6.9    
β2-microglobulin, mg/dL     
    < 3.5 41.7 0.52 (0.2-1.34) .18  
     ≥ 3.5 27.3    
Albumin, g/dL     
    ≥ 3.5 33.3 0.67 (0.28-1.56) .35  
     < 3.5 25    
LDH serum levels     
    Normal 32.7 1.29 (0.39-4.25) .67  
    Abnormal 38.5    
Cytogenetic risk     
    Standard 29.5 1.33 (0.53-3.31) .54  
    High 35.7    
Response (≥ PR)     
    Yes 35.3 0.57 (0.19-1.67) .3  
    No 23.8    
Arm     
    VMPT-VT 25.8 1.87 (0.9-3.90) .09 .06 
    VMP 40.3    
Bortezomib schedule     
    Once weekly 30.5 1.68 (0.75-3.76) .2  
    Twice weekly 42.4    

e-GFR indicates estimated glomerular filtration rate; high-risk cytogenetic profile, presence of a t(4;14), t(14,16), or a 17p deletion; PR, partial remission; VMP, bortezomib-melphalan-prednisone; and VMPT-VT, bortezomib-melphalan-prednisone-thalidomide followed by bortezomib-thalidomide maintenance.

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