PMID- 33194599 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 10 DP - 2020 TI - What Multiple Myeloma With t(11;14) Should Be Classified Into in Novel Agent Era: Standard or Intermediate Risk? PG - 538126 LID - 10.3389/fonc.2020.538126 [doi] LID - 538126 AB - OBJECTIVE: To investigate the prognostic value of t(11;14) for de novo multiple myeloma (MM) patients in novel agent era. METHODS: A total of 455 patients with fluorescence in situ hybridization (FISH), before treatments from three hospitals in China, were included in the study. All patients received autologous stem cell transplantation (ASCT) after induction therapy as consolidation. High risk (HR) cytogenetics were defined as t(4;14), t(14;16), and/or del 17p. RESULTS: A total of 152 patients were in the HR group. Of patients without HR cytogenetics, 55 were in the t(11;14) group, and 248 were in the standard risk (SR) group without t(11;14). Gain in 1q21 was observed in 38.9% patients with t(11;14). There were no differences in median progression free survival (PFS) and overall survival (OS), respectively, between patients in the t(11;14) group and those in the SR group. Patients in the t(11;14) group had the longer median PFS and OS, respectively, compared with those in the HR group. Regardless of coexisting with 1q21 gain or not, patients in the t(11;14) group still had similar median PFS and OS compared to those in the SR group. Finally, multivariate analysis indicated that including 1q21 gain and bone marrow plasma cell with CD20 expression, no variables were found to predict the outcome of the t(11;14) group in our cohort. CONCLUSIONS: These results confirm that outcomes of t(11;14) MM are similar to standard risk patients when they receive novel agent induction therapy consolidated by ASCT. Gain of 1q21 coexists with t(11;14) frequently. In addition, both bone marrow plasma cell with CD20 expression and 1q21 gain have no impact on median PFS or OS for patients with t(11;14). CI - Copyright (c) 2020 Gao, Du, Liu, Zhou, Zhang, Jian, Yang, Wang, Tian, Li, Wu, Fu, Li and Chen. FAU - Gao, Wen AU - Gao W AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Du, Juan AU - Du J AD - Department of Hematology, The Myeloma & Lymphoma Center, Changzheng Hospital, The Second Military Medical University, Shanghai, China. FAU - Liu, Junru AU - Liu J AD - Department of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Zhou, Huixing AU - Zhou H AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Zhang, Zhiyao AU - Zhang Z AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Jian, Yuan AU - Jian Y AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Yang, Guangzhong AU - Yang G AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Wang, Guorong AU - Wang G AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Tian, Ying AU - Tian Y AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Li, Yanchen AU - Li Y AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Wu, Yin AU - Wu Y AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. FAU - Fu, Weijun AU - Fu W AD - Department of Hematology, The Myeloma & Lymphoma Center, Changzheng Hospital, The Second Military Medical University, Shanghai, China. FAU - Li, Juan AU - Li J AD - Department of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Chen, Wenming AU - Chen W AD - Department of Hematology, Myeloma Research Center of Beijing, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. LA - eng PT - Journal Article DEP - 20201026 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC7649769 OTO - NOTNLM OT - 1q21 gain OT - autologous stem cell transplantation OT - multiple myeloma OT - novel agent OT - t(11;14) EDAT- 2020/11/17 06:00 MHDA- 2020/11/17 06:01 PMCR- 2020/01/01 CRDT- 2020/11/16 08:52 PHST- 2020/04/22 00:00 [received] PHST- 2020/08/20 00:00 [accepted] PHST- 2020/11/16 08:52 [entrez] PHST- 2020/11/17 06:00 [pubmed] PHST- 2020/11/17 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2020.538126 [doi] PST - epublish SO - Front Oncol. 2020 Oct 26;10:538126. doi: 10.3389/fonc.2020.538126. eCollection 2020.