Table 1 Baseline characteristics.

From: Early relapse is an adverse prognostic marker in systemic immunoglobulin light chain (AL) Amyloidosis

 

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

 

 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

 

 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)

 

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

 

 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

 

 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

 

 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

  
  1. dFLC the difference between involved and uninvolved light chains, ECOG Eastern co-operative oncology group, NT-proBNP N-terminal pro-brain natriuretic peptide, iFLC involved free light chain, NS not significant