Table 5 Treatment and outcomes in 3821 newly diagnosed ASCT patients.

From: Real-world results of autologous stem cell transplantation in newly diagnosed multiple myeloma: a report from the Canadian Myeloma Research Group database

Treatments

mPFS

p-value

mOS

p-value

No. of induction regimens

1 regimen (n = 3445)

36.2 (34.1–38.1)

0.001

126 (120–138)

0.011

2 regimens (n = 376)

27.9 (24.3–33.9)

 

118 (93.7 NRY)

 

No. of ASCTs

Single (n = 3507)

35.4 (33.6–37.3)

0.62

126 (120–138)

0.23

Tandem (n = 314)

34.2 (30.2–47.5)

 

113 (84.4-NRY)

 

Single ASCT and maintenance given

Standard-risk (n = 769)

54.7 (47.9–60.3)

0.002

164.2 (158.4, NRY)

<0.001

High-risk (n = 290)

36.7 (28.4–47.7)

 

99.8 (80.1, NRY)

 

Tandem ASCT and maintenance given

Standard-risk (n = 29)

47.4 (21.9–73.5)

0.4

NRY (NRY-NRY)

0.1

High-risk (n = 153)

35.3 (26.2–47.8)

 

84.1 (69.7-133.0)

 

No. of ASCTs—High-risk*

Single (n = 503)

25.1 (23.1–30.5)

0.01

91.5 (75.8-106)

0.008

Tandem (n = 201)

35.4 (26.2–52.4)

 

84.4 (70.3-NRY)

 

No. of ASCTs—Standard-risk

Single (n = 1178)

46.5 (43.1-51.3)

<0.001

158.6 (147.1-NRY)

/

Tandem (n = 37)

33.8 (29.4-NRY)

 

NRY (NRY–NRY)

 

No. of ASCTs—Unknown-risk

Single (n = 1825)

32.7 (31.2–35.4)

0.23

120.6 (110.6-134)

0.02

Tandem (n = 76)

34.2 (22.9–42.8)

 

113.3 (73.6-NRY)

 

Consolidation given

No (n = 3616)

34.4 (32.9–36.6)

<0.001

124 (118-135)

0.07

Yes (n = 205)

55.3 (43.9–76.0)

 

NRY (114-NRY)

 

No Consolidation given

Standard-risk (n = 1117)

45.9 (41–50.8)

 

164.4 (147.1-NRY)

 

High-risk (n = 630)

26.6 (23.6–32)

<0.001

87.9 (76.4-103)

<0.001

Unknown risk (n = 1868)

32.3 (30.8–34.6)

 

119.5 (110.4-128)

 

Consolidation given

Standard-risk (n = 98)

52.2 (43.9–78.3)

 

NRY (114-NRY)

 

High-risk (n = 74)

42.4 (26.7-NRY)

<0.001

NRY (68.5-NRY)

<0.001

Unknown risk (n = 33)

86.9 (54.8-NRY)

 

NRY (NRY-NRY)

 

Maintenance given (any)

Yes (n = 2061)

48.8 (46.1–53.5)

<0.001

159 (142-NRY)

<0.001

No (n = 1760)

24.5 (23.2–26.7)

 

105 (97.2-115)

 

No Maintenance given

Standard-risk (n = 417)

28.9 (23.7–33.7)

 

129.8 (107.9-NRY)

 

High-risk (n = 261)

13.4 (11.9–18.8)

<0.001

63.5 (52.3-82.9)

<0.001

Unknown risk (n = 1082)

25.7 (24–28.1)

 

105.1 (97.2-116.5)

 

Maintenance given (any)

Standard-risk (n = 798)

54.7 (47.9–60.3)

 

164.4 (158.6-NRY)

 

High-risk (n = 443)

36.6 (32.2–47.5)

<0.001

97.4 (87.9-NRY)

<0.001

Unknown risk (n = 820)

48.7 (44.2–58.7)

 

158.5 (136.6-NRY)

 

No. of induction regimens and no maintenance

1 regimen (n = 1602)

32.0 (30.0–34.1)

0.021

108 (100.1-117)

<0.001

2 regimens (n = 158)

23.5 (20.1–33.4)

 

75.8 (39.6-118)

 

1 induction and no maintenance

Standard-risk (n = 377)

30.4 (25.3–35.4)

0.005

129.0 (107.5-164.2)

0.1

High-risk (n = 224)

16.1 (12.2–20.4)

 

68.0 (51.8-91.9)

 

2 inductions and no maintenance

Standard-risk (n = 40)

13.5 (4.0–24.4)

0.3

75.6 (27.0-NRY)

0.5

High-risk (n = 37)

11.4 (5.4–16.4)

 

41.3 (23.1-91.0)

 

No. of induction regimens & maintenance

1 regimen (n = 1843)

55.3 (52.1–60.5)

 

158.6 (142.5-NRY)

 

2 regimens (n = 218)

51.1 (44.7 70.7)

0.11

NRY (135.1 NRY)

0.13

1 induction and maintenance

Standard-risk (n = 726)

55.1 (48.4–61.5)

0.002

164.0 (158.4-NRY)

<0.001

High-risk (n = 391)

35.6 (30.9–47.3)

 

97.0 (81.2-NRY)

 

2 inductions and maintenance

Standard-risk (n = 72)

47.1 (27.3–57.1)

0.1

NRY (85.3-NRY)

0.001

High-risk (n = 52)

36.5 (22.6–60.9)

 

84.1 (59.9-NRY)

 
  1. *Risk characterization based on fluorescent in situ hybridization (FISH). High-risk: presence of any one or combination of del17p, t(4:14), t(14:16); Standard-risk: negative for del17p, t(4:14) and t(14:16).