Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc |
Journal website https://www.thejh.org |
Original Article
Volume 12, Number 5, October 2023, pages 201-207
The Impact of Renal Impairment in Multiple Myeloma Patients Undergoing Autologous Stem Cell Transplantation With Melphalan Conditioning
Figures
Table
Characteristics | No-CKD (n = 108) | CKD (n = 16) |
---|---|---|
aEight patients did not have staging documented. bSeven patients did not have cytogenetics documented/performed. Cytogenetics and disease status were classified according to the International Myeloma Working Group (IMWG) criteria. ASCT: autologous stem cell transplantation; CKD: chronic kidney disease; ISS: International Staging System. | ||
Age, years, median (range) | 60 (37 - 75) | 64 (48 - 77) |
Sex, n (%) | ||
Male | 69 (64) | 8 (50) |
Female | 39 (36) | 8 (50) |
Ethnicity, n (%) | ||
White | 93 (86) | 12 (75) |
Black | 13 (12) | 4 (25) |
Other | 2 (2) | 0 |
ISS stagea, n, (%) | ||
I | 24 (22) | 0 |
II | 40 (37) | 5 (31) |
III | 26 (24) | 11 (69) |
Paraprotein, n (%) | ||
Immunoglobulin G | 67 (62) | 10 (63) |
Non-immunoglobulin G | 41 (38) | 6 (37) |
Cytogeneticsb, n (%) | ||
High | 30 (28) | 7 (44) |
Standard | 72 (67) | 8 (50) |
History of prior ASCT, n (%) | ||
Yes | 4 (4) | 0 |
No | 104 (96) | 16 (100) |
Disease status prior to ASCT, n (%) | ||
Stringent complete response | 0 | 0 |
Complete response | 10 (9) | 4 (25) |
Very good partial response | 30 (28) | 2 (13) |
Partial response | 64 (59) | 10 (62) |
Stable | 2 (2) | 0 |
Progressive | 2 (2) | 0 |
Stage of CKD | ||
1 | 0 | 0 |
2 | 0 | 0 |
3 | 0 | 12 (75) |
4 | 0 | 3 (19) |
5 | 0 | 1 (6) |
Melphalan dose (mg/m2) | ||
200 | 104 (96) | 11 (69) |
140 | 4 (4) | 5 (31) |