Table 1 Incorporation of EI-score gene expression information improves the performance of established risk classifiers in the MMRF CoMMpass dataset.
From: Redefining high risk multiple myeloma with an APOBEC/Inflammation-based classifier
Multivariate model | Cox Proportional Hazard Regression | ML Model ROC-AUC | n | ||||||
---|---|---|---|---|---|---|---|---|---|
Progression free survival (PFS) | Likeli-hood ratio | Wald test | Log rank test | Concor-dance index (Ci) | Random forest | gradient boosting | Negative binomial | total | events |
(1) mSMARTcyto | 10.47 | 11.02 | 11.04 | 0.54 | 0.48 | 0.52 | 0.52 | 817 | 391 |
mSMARTcyto + APOBEC2, APOBEC3B | 49.15 | 58.82 | 62.15 | 0.60 | 0.54 | 0.57 | 0.58 | 645 | 316 |
mSMARTcyto + IL11, TGFB1, TGFB3 | 24.19 | 24.64 | 24.87 | 0.58 | 0.55 | 0.56 | 0.57 | 645 | 316 |
mSMARTcyto + APOBECs + Cytokines | 56.46 | 60.62 | 62.24 | 0.63 | 0.6 | 0.6 | 0.61 | 645 | 316 |
(2) ISS | 59.41 | 59.28 | 60.75 | 0.60 | 0.6 | 0.6 | 0.59 | 1113 | 573 |
ISS + APOBEC2, APOBEC3B | 79.16 | 87.18 | 90.55 | 0.63 | 0.62 | 0.63 | 0.63 | 746 | 375 |
ISS + IL11, TGFB1, TGFB3 | 52.04 | 51.97 | 52.98 | 0.62 | 0.61 | 0.62 | 0.61 | 746 | 375 |
ISS + APOBECs + Cytokines | 96.22 | 103.5 | 107.7 | 0.65 | 0.62 | 0.65 | 0.65 | 746 | 375 |
(3) R-ISS | 36.92 | 36.91 | 37.05 | 0.60 | 0.55 | 0.55 | 0.54 | 690 | 319 |
R-ISS + APOBEC2, APOBEC3B | 71.75 | 79.01 | 83.4 | 0.65 | 0.6 | 0.61 | 0.6 | 536 | 254 |
R-ISS + IL11, TGFB1, TGFB3 | 52.84 | 52.14 | 53.06 | 0.65 | 0.56 | 0.59 | 0.6 | 536 | 254 |
R-ISS + APOBECs + Cytokines | 90.28 | 96.5 | 102.4 | 0.68 | 0.61 | 0.62 | 0.63 | 536 | 254 |
(4) R-ISS-nocyto | 38.58 | 38 | 38.46 | 0.60 | 0.58 | 0.59 | 0.59 | 526 | 292 |
R-ISS-nocyto + APOBEC2, APOBEC3B | 77.63 | 85.04 | 90.72 | 0.66 | 0.65 | 0.67 | 0.67 | 419 | 223 |
R-ISS-nocyto + IL11, TGFB1, TGFB3 | 56.02 | 54.22 | 55.46 | 0.66 | 0.62 | 0.65 | 0.66 | 419 | 223 |
R-ISS-nocyto + APOBECs + Cytokines | 92.5 | 97.33 | 104.8 | 0.69 | 0.66 | 0.69 | 0.68 | 419 | 223 |
(5) R2-ISS | 38.17 | 39.37 | 39.83 | 0.61 | 0.57 | 0.65 | 0.64 | 694 | 318 |
R2-ISS + APOBEC2, APOBEC3B | 77.12 | 85.83 | 90.16 | 0.65 | 0.67 | 0.69 | 0.69 | 543 | 255 |
R2-ISS + IL11, TGFB1, TGFB3 | 54.51 | 54.64 | 55.87 | 0.64 | 0.63 | 0.7 | 0.69 | 543 | 255 |
R2-ISS + APOBECs + Cytokines | 94.25 | 100.2 | 106.5 | 0.68 | 0.68 | 0.72 | 0.73 | 543 | 255 |
(6) blood parameters (Ăź2M, LDH) | 38.6 | 43.57 | 44.36 | 0.62 | 0.61 | 0.6 | 0.6 | 872 | 420 |
ß2M + LDH + APOBEC2, APOBEC3B | 97.3 | 103 | 108.4 | 0.67 | 0.63 | 0.65 | 0.66 | 599 | 285 |
ß2M + LDH + IL11, TGFB1, TGFB3 | 70.43 | 69.52 | 71.11 | 0.66 | 0.63 | 0.64 | 0.65 | 599 | 285 |
ß2M/LDH + APOBECs + Cytokines (EI-score) | 114.4 | 120.1 | 126.4 | 0.69 | 0.65 | 0.67 | 0.66 | 599 | 285 |
7) gene expression only: | - | - | - | - | - | - | - | - | - |
APOBEC2, APOBEC3B | 45.01 | 53.23 | 55.81 | 0.58 | 0.56 | 0.56 | 0.54 | 767 | 390 |
IL11, TGFB1, TGFB3 | 18.86 | 19.19 | 19.43 | 0.57 | 0.53 | 0.55 | 0.55 | 767 | 390 |
APOBECs + Cytokines | 63.51 | 71.75 | 74.84 | 0.62 | 0.6 | 0.6 | 0.6 | 767 | 390 |
Overall survival (OS) | Likeli-hood ratio | Wald test | Log rank test | Concor-dance index (Ci) | Random forest | gradient boosting | Negative binomial | total | events |
---|---|---|---|---|---|---|---|---|---|
(1) mSMARTcyto | 18.46 | 20.22 | 20.35 | 0.58 | 0.52 | 0.55 | 0.56 | 817 | 173 |
mSMARTcyto + APOBEC2, APOBEC3B | 47.67 | 53.18 | 56.15 | 0.66 | 0.63 | 0.64 | 0.64 | 645 | 141 |
mSMARTcyto + IL11, TGFB1, TGFB3 | 52.42 | 51.74 | 54.5 | 0.66 | 0.6 | 0.63 | 0.65 | 645 | 141 |
mSMARTcyto + APOBECs + Cytokines | 82.76 | 82.65 | 88.22 | 0.71 | 0.66 | 0.69 | 0.69 | 645 | 141 |
(2) ISS | 75.21 | 71.09 | 76.12 | 0.66 | 0.54 | 0.65 | 0.63 | 1113 | 266 |
ISS + APOBEC2, APOBEC3B | 92.07 | 94.68 | 102 | 0.72 | 0.65 | 0.7 | 0.7 | 746 | 172 |
ISS + IL11, TGFB1, TGFB3 | 77.62 | 74.89 | 79.61 | 0.69 | 0.63 | 0.69 | 0.69 | 746 | 172 |
ISS + APOBECs + Cytokines | 121.5 | 125.2 | 132.8 | 0.74 | 0.68 | 0.73 | 0.73 | 746 | 172 |
(3) R-ISS | 39.14 | 39.11 | 39.23 | 0.64 | 0.55 | 0.61 | 0.6 | 690 | 142 |
R-ISS + APOBEC2, APOBEC3B | 64.36 | 65.24 | 69.48 | 0.71 | 0.62 | 0.67 | 0.68 | 536 | 116 |
R-ISS + IL11, TGFB1, TGFB3 | 62.57 | 60.36 | 64.59 | 0.70 | 0.6 | 0.68 | 0.67 | 536 | 116 |
R-ISS + APOBECs + Cytokines | 93.43 | 90.28 | 99.19 | 0.74 | 0.66 | 0.71 | 0.7 | 536 | 116 |
(4) R-ISS-nocyto | 33.15 | 32.43 | 32.63 | 0.64 | 0.52 | 0.63 | 0.61 | 526 | 127 |
R-ISS-nocyto + APOBEC2, APOBEC3B | 55.98 | 58.99 | 62.18 | 0.72 | 0.65 | 0.69 | 0.68 | 419 | 105 |
R-ISS-nocyto + IL11, TGFB1, TGFB3 | 57.76 | 55.47 | 59.1 | 0.71 | 0.65 | 0.7 | 0.7 | 419 | 105 |
R-ISS-nocyto + APOBECs + Cytokines | 83.75 | 83.38 | 89.97 | 0.74 | 0.68 | 0.73 | 0.73 | 419 | 105 |
(5) R2-ISS | 47.16 | 48.76 | 49.99 | 0.67 | 0.57 | 0.65 | 0.64 | 694 | 142 |
R2-ISS + APOBEC2, APOBEC3B | 72.25 | 75.82 | 80.15 | 0.72 | 0.67 | 0.69 | 0.69 | 543 | 116 |
R2-ISS + IL11, TGFB1, TGFB3 | 67.04 | 65.98 | 69.72 | 0.71 | 0.63 | 0.7 | 0.69 | 543 | 116 |
R2-ISS + APOBECs + Cytokines | 96.89 | 97.7 | 104.5 | 0.74 | 0.68 | 0.72 | 0.73 | 543 | 116 |
(6) blood parameters (Ăź2M, LDH) | 58.47 | 54.58 | 58.09 | 0.67 | 0.64 | 0.67 | 0.66 | 872 | 184 |
ß2M + LDH + APOBEC2, APOBEC3B | 92.73 | 93.2 | 102.6 | 0.74 | 0.69 | 0.72 | 0.72 | 599 | 127 |
ß2M + LDH + IL11, TGFB1, TGFB3 | 81.34 | 78.4 | 83.48 | 0.73 | 0.67 | 0.72 | 0.7 | 599 | 127 |
ß2M/LDH + APOBECs + Cytokines (EI-score) | 119.3 | 119.1 | 130.9 | 0.76 | 0.72 | 0.74 | 0.75 | 599 | 127 |
(7) gene expression only: | - | - | - | - | - | - | - | - | - |
APOBEC2, APOBEC3B | 48.03 | 53.18 | 57 | 0.64 | 0.54 | 0.61 | 0.61 | 767 | 178 |
IL11, TGFB1, TGFB3 | 35.03 | 36.34 | 37.99 | 0.63 | 0.55 | 0.61 | 0.59 | 767 | 178 |
APOBECs + Cytokines | 85.14 | 87.42 | 93.32 | 0.69 | 0.64 | 0.67 | 0.67 | 767 | 178 |