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

Figure 1.
Figure 1. Kaplan’s survival function in months by renal function. CKD: chronic kidney disease; PFS: progression-free survival.
Figure 2.
Figure 2. Kaplan’s overall survival function in months by renal function. CKD: chronic kidney disease.
Figure 3.
Figure 3. Grade 3 or 4 toxicities by renal function. CKD: chronic kidney disease.

Table

Table 1. Baseline Characteristics
 
CharacteristicsNo-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 (%)
  Male69 (64)8 (50)
  Female39 (36)8 (50)
Ethnicity, n (%)
  White93 (86)12 (75)
  Black13 (12)4 (25)
  Other2 (2)0
ISS stagea, n, (%)
  I24 (22)0
  II40 (37)5 (31)
  III26 (24)11 (69)
Paraprotein, n (%)
  Immunoglobulin G67 (62)10 (63)
  Non-immunoglobulin G41 (38)6 (37)
Cytogeneticsb, n (%)
  High30 (28)7 (44)
  Standard72 (67)8 (50)
History of prior ASCT, n (%)
  Yes4 (4)0
  No104 (96)16 (100)
Disease status prior to ASCT, n (%)
  Stringent complete response00
  Complete response10 (9)4 (25)
  Very good partial response30 (28)2 (13)
  Partial response64 (59)10 (62)
  Stable2 (2)0
  Progressive2 (2)0
Stage of CKD
  100
  200
  3012 (75)
  403 (19)
  501 (6)
Melphalan dose (mg/m2)
  200104 (96)11 (69)
  1404 (4)5 (31)