Table 1 Baseline characteristics.
|  | Full cohort (n = 560) | OR for early relapse OR (95% CI) | |||||
|---|---|---|---|---|---|---|---|
Characteristic n (%)/(range) | Early relapse (n = 250) | Late relapse (n = 310) | p value | Univariate analysis | p value | Multivariate analysis | p value |
Age, y | 66 (29-84) | 66 (36-88) | NS | 1.007 (0.989–1.024) | 0.450 |  |  |
Gender | Â | ||||||
 Male | 151 (60.4) | 162 (52.3) | NS | 1.393 (0.994–1.953) | 0.054 |  |  |
 Female | 99 (39.6) | 148 (47.7) | Reference category | ||||
Performance status | Â | ||||||
 ECOG 0-2 | 238 (95.2) | 301 (97.1) | NS | Reference category | |||
 ECOG > 2 | 12 (4.8) | 9 (2.9) | 1.686 (0.699–4.069) | 0.245 |  |  | |
 Cardiac involvement | 149 (59.6) | 164 (52.9) | NS | 1.313 (0.938–1.840) | 0.113 |  |  |
Mayo stage (European modification) | Â | ||||||
I | 39 (12.6) | 74 (23.9) | 0.01 | 0.589 (0.383–0.906) | 0.016 |  |  |
II | 102 (40.8) | 116 (37.4) | NS | 1.153 (0.819–1.622) | 0.415 |  |  |
IIIa | 81 (32.4) | 99 (31.9) | NS | 1.022 (0.715–1.459) | 0.907 |  |  |
IIIb | 28 (11.2) | 21 (6.8) | NS | 1.736 (0.960–3.138) | 0.068 |  |  |
Revised Mayo stage | Â | ||||||
 I | 31 (12.4) | 82 (26.5) | <0.005 | 0.394 (0.250–0.619) | <0.005 |  |  |
 II | 76 (30.4) | 94 (30.3) | NS | 1.004 (0.699–1.442) | 0.984 |  |  |
 III | 76 (30.4) | 84 (27.1) | NS | 1.175 (0.813–1.698) | 0.390 |  |  |
 IV | 67 (26.8) | 50 (16.1) | <0.005 | 1.904 (1.261–2.875) | 0.002 |  |  |
 NT-proBNP, ng/L | 1353 (12–37290) | 474 (4–93602) | <0.005 | 1.884 (1.512–2.348) | <0.005 |  |  |
 High-sensitivity cardiac troponin T, ng/L | 47 (3–742) | 38 (1–689) | 0.012 | 1.554 (1.096–2.202) | 0.013 |  |  |
 Renal involvement | 172 (68.8) | 225 (72.6) | NS | 0.833 (0.578–1.201) | 0.328 |  |  |
 Serum creatinine, µmol/L | 96 (40–1124) | 96 (27–610) | NS | 1.000 (0.998–1.002) | 0.992 |  |  |
 Proteinuria, g/24 h | 2.8 (0–29.8) | 3.8 (0.1–36) | NS | 0.988 (0.954–1.023) | 0.484 |  |  |
 Liver involvement | 24 (9.6) | 47 (15.2) | 0.049 | 0.594 (0.352–1.002) | 0.051 |  |  |
 Alkaline Phosphatase, U/L | 82 (41–1035) | 88 (16–1178) | NS | 0.999 (0.997–1.000) | 0.060 |  |  |
 GI Involvement | 11 (4.4) | 8 (2.6) | NS | 1.737 (0.688–4.388) | 0.243 |  |  |
 Autonomic nervous system involvement | 19 (7.6) | 16 (5.2) | NS | 1.511 (0.760–3.004) | 0.239 |  |  |
 Peripheral nervous system involvement | 19 (7.6) | 17 (5.5) | NS | 1.418 (0.721–2.789) | 0.312 |  |  |
 Soft tissue involvement | 46 (18.4) | 40 (12.9) | NS | 1.522 (0.960–2.414) | 0.074 |  |  |
Heavy chain isotype | Â | ||||||
 IgA | 42 (16.8) | 45 (14.5) | NS | 1.189 (0.752–1.880) | 0.459 |  |  |
 IgD | 1 (0.4) | 1 (0.3) | NS | 1.241 (0.077–19.940) | 0.879 |  |  |
 IgG | 87 (34.8) | 106 (34.2) | NS | 1.027 (0.724–1.458) | 0.881 |  |  |
 IgM | 4 (1.6) | 8 (2.6) | NS | 0.614 (0.183–2.063) | 0.430 |  |  |
 LC | 57 (22.8) | 67 (21.6) | NS | 1.071 (0.718–1.599) | 0.737 |  |  |
 None | 59 (23.6) | 83 (26.8) | NS | 0.845 (0.575–1.242) | 0.391 |  |  |
Serum monoclonal protein, g/L | 9 (IF-45) | 6.5 (IF-38) | 0.023 | 2.110 (1.104–4.032) | 0.024 | 2.636 (1.033–6.732) | 0.012 |
Light chain isotype | Â | ||||||
 Kappa | 56 (22.4) | 60 (19.4) | NS | Reference category | |||
 Lambda | 194 (77.6) | 250 (80.6) | 0.831 (0.552–1.252) | 0.377 |  |  | |
 dFLC, mg/L | 205 (1–13007) | 128.8 (1–5316) | <0.005 | 1.938 (1.458–2.578) | <0.005 |  |  |
 dFLC > 180 mg/l | 138 (55.2) | 121 (39) | <0.005 | 1.925 (1.373–2.698) | <0.005 |  |  |
 dFLC > 500 mg/l | 66 (26.4) | 49 (15.8) | 0.002 | 1.911 (1.262–2.893) | 0.002 |  |  |
 dFLC > 1000 mg/l | 31 (12.4) | 16 (5.2) | 0.002 | 2.601 (1.388–4.875) | 0.003 |  |  |
 FLC ratio ≥ 100 | 33 (13.2) | 20 (6.5) | 0.006 | 2.205 (1.231–3.949) | 0.008 |  |  |
 Bone marrow plasma cells at diagnosis (morphology) | n = 174 10 (1–90) | n = 226 10 (1–95) | NS | 1.644 (0.985–2.745) | 0.057 |  |  |
 Bone marrow plasma cells >10% | 116 (66.7) | 130 (57.5) | NS | 1.477 (0.979–2.228) | 0.063 |  |  |
 Bone marrow plasma cells > 20% | 59 (33.9) | 53 (23.5) | 0.02 | 1.675 (1.079–2.599) | 0.021 |  |  |
 Number of cycles of chemotherapy (1st line) | 6 (2-9) | 6 (2-11) | NS |  |  |  |  |
 ≥VGPR after 1st line | 153 (61.2) | 270 (87.1) | <0.005 | 0.234 (0.154–0.355) | <0.005 |  |  |
 dFLC < 10 mg/l after 1st line | 59 (23.6) | 214 (69) | <0.005 | 0.139 (0.095–0.202) | <0.005 | 0.122 (0.063–0.235) | <0.005 |
 iFLC < 20 mg/l after 1st line | 40 (16) | 153 (49.4) | <0.005 | 0.195 (0.130–0.293) | <0.005 |  |  |