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Table 5 Summary of median PFS of high cytogenetic risk patients with RRMM in randomized, phase 3 trials

From: Daratumumab, bortezomib, and dexamethasone in relapsed or refractory multiple myeloma: subgroup analysis of CASTOR based on cytogenetic risk

Trial name

High cytogenetic risk definition

Arm 1 (n)

Arm 2 (n)

Arm 1 median PFS, months

Arm 2 median PFS, months

Hazard ratio (95% CI); P value

CASTOR

t(4;14), t(14;16), or del17p assessed by FISH or karyotyping

D-Vd (40)

Vd (35)

12.6

6.2

0.41 (0.21–0.83); 0.0106

ENDEAVOR [19]

t(4;14) or t(14;16) in ≥ 10% of screened plasma cells or del17p in ≥ 20% of screened plasma cells assessed by FISH

Kd (97)

Vd (113)

8.8

6.0

0.65 (0.45–0.92); 0.0075

ASPIRE [20]

t(4;14), t(14;16), or del17p (in ≥ 60% of screened plasma cells) assessed by FISH

KRd (48)

Rd (52)

23.1

13.9

0.70 (0.43–1.16); 0.0829

PANORAMA-1 [21]

t(4;14), t(14;16), or del17p assessed by FISH

Panobinostat plus Vd

Vd

0.47 (0.18–1.25)

  1. CI confidence interval, D-Vd daratumumab plus bortezomib/dexamethasone, FISH fluorescence in situ hybridization, Kd carfilzomib/dexamethasone, KRd carfilzomib/lenalidomide/dexamethasone, PFS progression-free survival, Rd lenalidomide/dexamethasone, Vd bortezomib/dexamethasone