Research Article

The Applicability of the International Staging System in Chinese Patients with Multiple Myeloma Receiving Bortezomib or Thalidomide-Based Regimens as Induction Therapy: A Multicenter Analysis

Table 2

Patient characteristics at diagnosis according to the type of novel agents in the first-line therapy.

ParametersTotal (%)Bortezomib-based group (%) Thalidomide-based group (%) value

Patient ()1016709307
Male59.7%60.1%59.0%0.394
Age >60 years44.2%40.3%53.1%0.0001
Hemoglobin <10 g/dL61.5%60.2%64.8%0.253
Creatinine ≥2 mg/mL19.2%20.3%16.4%0.183
BM plasma cell percentage ≥40%36.3%38.8%30.2%0.012
Platelet counts <130 109/L30.9%31.7%29.2%0.454
PN12.3%10.7%15.4%0.063
LDH ≥245 U/L14.6%14.9%13.8%0.689
Albumin (<35 g/L)47.4%43.6%56.1%0.0001
β2-MG (≥3.5 mg/L)55.3%56.1%53.4%0.028
DS stage0.483
 I2.5%2.2%3.6%
 II9.5%9.3%10.1%
 III88.0%88.5%86.3%
ISS stage 0.343
 I22.7%24.0%26.4%
 II33.6%33.3%34.2%
 III43.7%42.7%45.9%
Myeloma type0.050
 IgG44.1%42.6%47.6%
 IgA22.2%23.6%19.2%
 IgD7.4%8.5%4.9%
κ light chain12.0%12.1%11.7%
λ light chain11.1%11.0%11.4%
 others 3.2%2.2%5.2%
Regimens of the first-line therapyPAD/VD/BCD/V-DECPTAD/TD/MPT/CTP/T-DECP
≥PR to the first-line therapy80%84.1%68.8%0.0001

BM: bone marrow, PN: peripheral neuropathy, LDH: lactate dehydrogenase, DS stage: Durie-Salmon stage, ISS: International Staging System, OS: overall survival, PAD: Bortezomib (Velcade), Adriamycin, and Dexamethasone, VD: Bortezomib (Velcade) and Dexamethasone, BCD: Bortezomib (Velcade), Cyclophosphamide, and Dexamethasone, V-DECP: Bortezomib Cisplatin, Etoposide, Cyclophosphamide, and Dexamethasone; TD: Thalidomide and Dexamethasone, TAD: Thalidomide, Adriamycin, and Dexamethasone, MPT: Melphalan, Prednisone, and Thalidomide, T-DECP: Thalidomide, Cisplatin, Etoposide, Cyclophosphamide, and Dexamethasone; CTP: Cyclophosphamide, Thalidomide, and Dexamethasone, and PR: partial response.