Table 4 Univariate and multivariate Cox Model for characteristics associated with progression-free survival in the EMD group only.

From: Impact of Extraosseous Extramedullary Disease on Outcomes of Patients with Relapsed-Refractory Multiple Myeloma receiving Standard-of-Care Chimeric Antigen Receptor T-Cell Therapy

Variables

Progression-free survival

Univariate analysis

Multivariable analysis

HR (95% CI)

p-Value

HR (95% CI)

p-Value

Age

<65 years

Ref.

   

≥65 years

1.05 (0.53–2.075)

0.889

  

ECOG PS

0-1

Ref.

 

Ref.

 

≥2

3.36 (1.50–7.52)

0.0032

3.90 (1.54–9.87)

0.004

R-ISS

I

Ref.

   

II

2.33 (0.66–8.14)

0.185

  

III

0.68 (0.20–2.34)

0.547

  

Cytogenetics by FISH

Standard risk

Ref.

   

High risk

1.46 (0.68–3.11)

0.322

  

Bone marrow plasma cell burden

Low

Ref.

   

High (>50% plasma cells)

0.77 (0.33–1.81)

0.559

  

Bridging therapy

No

Ref.

   

Yes

1.03 (0.43–2.46)

0.947

  

Number of prior lines

4

Ref.

 

Ref.

 

>4

0.43 (0.19–1.009)

0.052

0.22 (0.08–0.58)

0.021

Penta-refractory

No

Ref.

 

Ref.

 

Yes

1.96 (1.02–3.76)

0.042

1.91 (0.92–3.97)

0.08

Prior anti-BCMA therapy

No

Ref.

 

Ref.

 

Yes

2.14 (0.95–4.80)

0.065

7.72 (2.73–21.8)

0.0001

CAR T-cell product

Ide-cel

Ref.

   

Cilta-cel

0.81 (0.33–1.95)

0.646

  

Baseline CRP

Low

Ref.

   

High

1.41 (0.74–2.67)

0.291

  

Baseline ferritin

Low

Ref.

   

High

1.45 (0.68–3.08)

0.327

  

Number of EMD lesions

1–2 lesions

Ref.

   

3 or more lesions

1.14 (0.59–2.22)

0.64

  

Presence of visceral EMD

No

Ref.

   

Yes

1.34 (0.71–2.54)

0.359

  

Radiation therapy prior to CAR T

No

Ref.

 

Ref.

 

Yes

0.48 (0.24–0.95)

0.037

0.39 (0.18–0.88)

0.023

Lesion size

Lesion size ≤5 cm

Ref.

 

Ref.

 

Lesion size >5 cm

3.29 (1.328.51)

0.0102

6.44 (2.14–19.33)

0.0008

  1. EMD extramedullary disease, ECOG PS Eastern Cooperative Oncology Group performance status, R-ISS revised international staging system, FISH fluorescence in-situ hybridization, CRP C-reactive protein.
  2. Bold p-values indicates statistically significant.