Characteristic No. (%) | Total NDMM N = 618 | sEMD group N = 77 (12.5%) | Non- sEMD group N = 541 (87.5%) | P value |
---|---|---|---|---|
Age, years | Â | |||
 Median (range) | 62 (26–84) | 62 (26–84) | 63 (36–80) | 0.631 |
 Age ≤ 65, No. (%) | 387 (62.6%) | 48 (62.3%) | 339 (62.7%) | 0.956 |
Gender, No. (%) | Â | Â | Â | 0.294 |
 Male | 351 (56.8%) | 48 (62.3%) | 303 (56.0%) |  |
 Female | 267 (43.2%) | 29 (37.7%) | 238 (44.0%) |  |
ISS stage, No. (%) | Â | Â | Â | 0.184 |
 Stage1 | 211 (34.1%) | 22 (28.6%) | 189 (34.9%) |  |
 Stage2 | 250 (40.5%) | 29 (37.7%) | 221 (40.9%) |  |
 Stage3 | 157 (25.4%) | 26 (33.8%) | 131 (24.2%) |  |
R-ISS stage, No. (%) | Â | Â | Â | 0.078 |
 Stage1 | 104 (20.8%) | 10 (15.4%) | 94 (21.6%) |  |
 Stage2 | 336 (67.2%) | 42 (64.6%) | 294 (67.6%) |  |
 Stage3 | 60 (12.0%) | 13 (20.0%) | 47 (10.8%) |  |
Cytogenetics, No. (%) | ||||
 Gain/amplification of 1q21 | 266 (53.5%) | 42 (65.6%) | 224 (51.7%) | 0.038 |
 del(17p) | 53 (10.7%) | 10 (15.6%) | 43 (9.9%) | 0.168 |
 t(11;14) | 76 (16.6%) | 9 (14.1%) | 67 (17.0%) | 0.563 |
 t(4;14) | 73 (15.6%) | 14 (21.5%) | 59 (14.6%) | 0.155 |
 t(14;16) | 5 (1.1%) | 1 (1.7%) | 4 (1.0%) | 0.635 |
 Double-hit cytogenetics | 77 (17.1%) | 20 (34.5%) | 57 (14.6%) | < 0.001 |
Baseline features | ||||
 Hypercalcemia, No. (%) | 37 (6.0%) | 10 (13.0%) | 27 (5.0%) | 0.006 |
 Renal dysfunction (Ccr < 60 ml/min), No. (%) | 159 (25.7%) | 22 (28.6%) | 137 (25.3%) | 0.542 |
 Anemia (< 100 g/L), No. (%) | 297 (48.1%) | 38 (49.4%) | 259 (47.9%) | 0.808 |
 Osteolytic lesions (≥ 3 lesions), No. (%) | 362 (58.6%) | 64 (83.1%) | 298 (55.1%) | < 0.001 |
 LVEF (≥ 60%), No. (%) | 570 (96.1%) | 73 (97.3%) | 497 (95.9%) | 0.561 |
 NT-proBNP, median (range) (ng/ml) | 134 (5–32,606) | 189 (21–11,328) | 128 (5–32,606) | 0.155 |
 ECOG Score 0–2, No. (%) | 544 (90.5%) | 69 (92.0%) | 475 (90.3%) | 0.639 |
Elevated LDH, No. (%) | Â | Â | Â | 0.083 |
 Yes | 130 (21.0%) | 22 (28.6%) | 108 (20.0%) |  |
 No | 488 (79.0%) | 55 (71.4%) | 433 (80.0%) |  |
EMD at diagnosis, No. (%) | ||||
 ALL EMD | 149 (24.1%) | 32 (41.6%) | 117 (21.6%) | < 0.001 |
 EM-B (bone-related) | 121 (19.6%) | 20 (26.0%) | 101 (18.7%) | 0.175 |
 EM-E (extraosseous) | 28 (4.5%) | 12 (15.6%) | 16 (3.0%) | < 0.001 |
Induction regimen, No. (%) | ||||
 PI-based | 486 (78.6%) | 61 (79.2%) | 452 (78.6%) | 0.433 |
 IMiD-based | 51 (8.3%) | 5 (6.5%) | 46 (8.5%) | 0.705 |
 PI and IMiD combination | 57 (9.2%) | 6 (7.8%) | 51 (9.4%) | 0.800 |
 PI, IMiD and CD38 Ab combination | 20 (3.2%) | 4 (5.2%) | 16 (3.0%) | 0.488 |
ASCT, No. (%) | 0.010 | |||
 Yes | 235 (38.0%) | 19 (24.7%) | 216 (39.9%) |  |
 No | 383 (62.0%) | 58 (75.3%) | 325 (61.0%) |  |
M type, No. (%) | ||||
 IgA | 145 (23.5%) | 20 (26.0%) | 125 (23.1%) | 0.819 |
 IgG | 309 (50.1%) | 40 (51.9%) | 269 (49.8%) | 0.687 |
 IgD | 23 (3.7%) | 6 (7.8%) | 17 (3.1%) | 0.090 |
 sFLC | 125 (20.3%) | 9 (11.7%) | 116 (21.5%) | 0.064 |
 Non-secretory | 15 (2.4%) | 2 (2.6%) | 13 (2.4%) | 1.000 |