Table 1 HRMS detects sustained increases in monoclonal light chain before standard methods do.

From: Sensitive multiple myeloma disease monitoring by mass spectrometry

PID

Arm

BOR (INV)

BOR cycle

Clinical progression method by IMWG

Progression cycle by IMWG

Last cycle measured by data cut-off

Sustained M-protein increase by HRMS

Last cycle measured by HRMS

Difference in cycles, HRMS vs standard methoda

Notes

001

EPd

VGPR

C7

NA

NA

C26

ND

C26

 

No documented progression

031

Pd

VGPR

C9

Plasmacytoma

C24

C23

C20

C23

4

C24 was an assessment visit, not a treatment cycle. Progression by SPEP at assessment visit C25

044

EPd

VGPR

C4

UPEP

C9

C9

C6

C9

3

 

058

EPd

CRb

C25-C26c

NA

NA

C27

ND

C39

 

No documented progression

060

EPd

VGPR

C4

UPEP

C18

C19

C7

C19

11

 

084

EPd

VGPR

C9

Plasmacytoma

C18

C17

C15

C17

3

No progression by SPEP/UPEP

087

Pd

VGPR

C2

sFLC

C11

C15

C8

C15

3

No progression by SPEP/UPEP

097

Pd

CRb

C11

NA

NA

C24

ND

C36

 

No documented progression

100

EPd

CR

C13

SPEP

C22

C24

C14

C24

8

 

101

Pd

VGPR

C10

sFLC

C18

C19

ND

C19

 

No progression by SPEP/UPEP

103

EPd

sCR

C5

NA

NA

C24

ND

C28

 

No documented progression

109

EPd

VGPR

C14

NA

NA

C24

ND

C35

 

No documented progression

116

EPd

VGPR

C8

NA

NA

C23

C14

C35

9

No documented progression

121

EPd

CR

C4

UPEP

C15

C17

C8

C17

7

 

122

Pd

CRb

C7

NA

NA

C22

C21

C31

 

No documented progression

133

EPd

VGPR

C10

NA

NA

C22

C31

C34

 

No documented progression

151

EPd

VGPR

C6

NA

NA

C20

C15

C25

5

No documented progression

  1. The time point (in treatment cycles) of patient relapse, as well as method used to determine clinical relapse, is shown together with the time point where a sustained increase in monoclonal light chain levels is detected by HRMS.
  2. PID patient identification, BOR best overall response, INV investigator, IMWG International Myeloma Working Group, HRMS high-resolution mass spectrometry.
  3. aAs determined by the date of data cut-off.
  4. bNo bone marrow available to confirm CR.
  5. cBOR documented between C25 and C26.