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Table 2 Myeloma disease characteristics of patients

From: A tertiary center experience of multiple myeloma patients with COVID-19: lessons learned and the path forward

 

All patients

Patients not admitted to hospital

Hospitalized, discharged alive

Hospitalized, deceased

n = 58

n = 22

n = 22

n = 14

Disease characteristics

 SMM

7%

(4)

9%

(2)

5%

(1)

7%

(1)

 SMM/MM subtype

  IgD

2%

(1)

5%

(1)

0%

(0)

0%

(0)

  IgG

59%

(34)

59%

(13)

64%

(14)

50%

(7)

  IgA

19%

(11)

23%

(5)

14%

(3)

21%

(3)

  Light chain disease

33%

(19)

23%

(5)

41%

(9)

36%

(5)

 Extramedullary disease history

31%

(18)

36%

(8)

32%

(7)

21%

(3)

 ISS at diagnosis

  1

33%

(18/54)

45%

(9/20)

43%

(9/21)

0%

(0/13)

  2

26%

(14/54)

25%

(5/20)

33%

(7/21)

15%

(2/13)

  3

19%

(10/54)

20%

(4/20)

14%

(3/21)

23%

(3/13)

  Not known

22%

(12/54)

10%

(2/20)

10%

(2/21)

62%

(8/13)

 High-risk cytogenetics

39%

(22/56)

33%

(7/21)

41%

(9)

46%

(6/13)

 Time since MM diagnosis (months)

29.8

[44.2]

44.8

[38.7]

27.2

[55.8]

28.6

[23.6]

 History of ASCT

41%

(22/54)

60%

(12/20)

24%

(5/21)

38%

(5/13)

  Time since ASCT (days)

985

[1590]

985

[744]

2148

[2206]

460

[1734]

  ASCT within last year

9%

(5/54)

15%

(3/20)

0%

(0/21)

15%

(2/13)

 Lines of therapy (n)

1.5

[2]

2

[2]

2

[3]

1

[1]

  More than 4 lines of treatment

17%

(9/54)

20%

(4/20)

19%

(4/21)

8%

(1/13)

 ECOG 0

47%

(27)

64%

(14)

41%

(9)

29%

(4)

 Current response status*

  sCR or CR

26%

(15)

45%

(10)

14%

(3)

14%

(2)

  VGPR

19%

(11)

18%

(4)

14%

(3)

29%

(4)

  PR

22%

(13)

18%

(4)

23%

(5)

29%

(4)

  SD

3%

(2)

5%

(1)

5%

(1)

0%

(0)

  PD

16%

(9)

5%

(1)

23%

(5)

21%

(3)

  Not evaluable

14%

(8)

9%

(2)

23%

(5)

7%

(1)

Current MM treatment regimen

 Contains CD38 mAb

48%

(28)

50%

(11)

50%

(11)

43%

(6)

 Contains IMiD

55%

(32)

55%

(12)

59%

(13)

50%

(7)

 Contains proteasome inhibitor

38%

(22)

27%

(6)

41%

(9)

50%

(7)

 Contains corticosteroids

52%

(30)

45%

(10)

50%

(11)

64%

(9)

 Contains venetoclax

9%

(5)

14%

(3)

9%

(2)

0%

(0)

 No active treatment

19%

(11)

18%

(4)

18%

(4)

21%

(3)

Biochemical parameters at last clinic visit before COVID-19 episode

 Leukocyte count (× 10e9/L)

4.6

[2.1]

4.1

[2.1]

5.2

[2.4]

4.7

[1.5]

 Leukocytopenia (< 4 × 10e9/L)

35%

(20/57)

41%

(9)

33%

(7/21)

29%

(4)

 Absolute neutrophil count (× 10e9/L)

2.6

[2.2]

2.4

[1]

3.4

[3]

2.4

[1.4]

 Neutropenia (< 2 × 10e9/L)

26%

(15/57)

32%

(7)

29%

(6/21)

14%

(2)

 Absolute lymphocyte count (× 10e9/L)

1

[0.8]

1.1

[1.2]

0.8

[0.9]

1.2

[0.5]

 Lymphocytopenia (< 0.5 × 10e9/L)

12%

(7/57)

0%

(0)

33%

(7/21)

0%

(0)

 Serum free light chain ratio (involved/uninvolved)

2.5

[11.9]

1.6

[3.3]

7.7

[45.5]

1.8

[5.2]

 M spike (g/dL)

0

[0.6]

0

[0.2]

0.3

[1.2]

0.1

[0.4]

 IgG (mg/dL)

805

[736]

1074.5

[683.8]

764

[1121]

727

[496.8]

 Hypogammaglobulinemia (IgG < 700 mg/dL)

37%

(21/57)

32%

(7)

38%

(8/21)

43%

(6)

 Severe hypogammaglobulinemia (IgG < 400 mg/dL)

11%

(6/57)

0%

(0)

10%

(2/21)

29%

(4)

 Immunoparesis

89%

(51/57)

82%

(18)

95%

(20/21)

93%

(13)

  1. Note: values are presented as percentage (n) or median [interquartile range]
  2. Abbreviations: SMM smoldering multiple myeloma, Ig immunoglobulin, ISS international staging system, MM multiple myeloma, ASCT autologous stem cell transplant, ECOG Eastern Cooperative Oncology Group, sCR stringent complete response, CR complete response, VGPR very good partial response, SD stable disease, PD progressive disease, mAb monoclonal antibody, IMiD immunomodulatory agent
  3. *According to IMWG criteria