Complications of Autologous Stem Cell Transplantation in Multiple Myeloma: Results from the CALM Study
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Complications of Autologous Stem Cell Transplantation in Multiple Myeloma: Results from the CALM Study. / Waszczuk-Gajda, Anna; Penack, Olaf; Sbianchi, Giulia; Koster, Linda; Blaise, Didier; Reményi, Péter; Russell, Nigel; Ljungman, Per; Trneny, Marek; Mayer, Jiri; Iacobelli, Simona; Kobbe, Guido; Scheid, Christof; Apperley, Jane; Touzeau, Cyrille; Lenhoff, Stig; Jantunen, Esa; Anagnostopoulos, Achilles; Paris, Laura; Browne, Paul; Thieblemont, Catherine; Schaap, Nicolaas; Sierra, Jorge; Yakoub-Agha, Ibrahim; Garderet, Laurent; Styczynski, Jan; Schoemans, Helene; Moiseev, Ivan; Duarte, Rafael F; Peric, Zinaida; Montoto, Silvia; van Biezen, Anja; Mikulska, Malgorzata; Aljurf, Mahmoud; Ruutu, Tapani; Kröger, Nicolaus; Morris, Curly; Koenecke, Christian; Schoenland, Stefan; Basak, Grzegorz W.
in: J CLIN MED, Jahrgang 11, Nr. 12, 3541, 20.06.2022.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Complications of Autologous Stem Cell Transplantation in Multiple Myeloma: Results from the CALM Study
AU - Waszczuk-Gajda, Anna
AU - Penack, Olaf
AU - Sbianchi, Giulia
AU - Koster, Linda
AU - Blaise, Didier
AU - Reményi, Péter
AU - Russell, Nigel
AU - Ljungman, Per
AU - Trneny, Marek
AU - Mayer, Jiri
AU - Iacobelli, Simona
AU - Kobbe, Guido
AU - Scheid, Christof
AU - Apperley, Jane
AU - Touzeau, Cyrille
AU - Lenhoff, Stig
AU - Jantunen, Esa
AU - Anagnostopoulos, Achilles
AU - Paris, Laura
AU - Browne, Paul
AU - Thieblemont, Catherine
AU - Schaap, Nicolaas
AU - Sierra, Jorge
AU - Yakoub-Agha, Ibrahim
AU - Garderet, Laurent
AU - Styczynski, Jan
AU - Schoemans, Helene
AU - Moiseev, Ivan
AU - Duarte, Rafael F
AU - Peric, Zinaida
AU - Montoto, Silvia
AU - van Biezen, Anja
AU - Mikulska, Malgorzata
AU - Aljurf, Mahmoud
AU - Ruutu, Tapani
AU - Kröger, Nicolaus
AU - Morris, Curly
AU - Koenecke, Christian
AU - Schoenland, Stefan
AU - Basak, Grzegorz W
PY - 2022/6/20
Y1 - 2022/6/20
N2 - Background: The main goal of this post hoc analysis of the Collaboration to Collect Autologous Transplant Outcomes in Lymphoma and Myeloma (CALM) study was to evaluate the rate of short- and long-term infectious and non-infectious complications occurring after ASCT in patients with multiple myeloma (MM). Methods: The analysis included all patients with MM from the CALM study who underwent ≥1 ASCT. The primary endpoint of the analysis was to determine the rate of infectious and non-infectious complications after ASCT and to compare them in three time periods: 0−100 days, 101 days−1 year, and >1 year after the first transplant. Results: The analysis included a total of 3552 patients followed up for a median of 56.7 months (range 0.4−108.1). Complication rates decreased with the time from ASCT with 24.85 cases per 100 patient-years from day 0 to 100 days after the transplant, and <2.31 cases per 100 patient-years from the 101st day. At 100 days after ASC T, 45.7% of patients had complications, with infectious events being twice as frequent as non-infectious complications. Bacterial infections (6.5 cases per 100 patient-years, 95% CI: 6.1−7.0) and gastrointestinal complications (4.7 cases per 100 patient-years, 95% CI: 4.3−5.1) were the most common early events. The pattern of complications changed with time from ASCT. The presence of complications after ASCT was not associated with overall survival. Conclusions: Our data provide a solid basis for comparing ASCT-related complications to those caused by emerging treatments in multiple myeloma, such as CAR T-cell therapy and other immunotherapies.
AB - Background: The main goal of this post hoc analysis of the Collaboration to Collect Autologous Transplant Outcomes in Lymphoma and Myeloma (CALM) study was to evaluate the rate of short- and long-term infectious and non-infectious complications occurring after ASCT in patients with multiple myeloma (MM). Methods: The analysis included all patients with MM from the CALM study who underwent ≥1 ASCT. The primary endpoint of the analysis was to determine the rate of infectious and non-infectious complications after ASCT and to compare them in three time periods: 0−100 days, 101 days−1 year, and >1 year after the first transplant. Results: The analysis included a total of 3552 patients followed up for a median of 56.7 months (range 0.4−108.1). Complication rates decreased with the time from ASCT with 24.85 cases per 100 patient-years from day 0 to 100 days after the transplant, and <2.31 cases per 100 patient-years from the 101st day. At 100 days after ASC T, 45.7% of patients had complications, with infectious events being twice as frequent as non-infectious complications. Bacterial infections (6.5 cases per 100 patient-years, 95% CI: 6.1−7.0) and gastrointestinal complications (4.7 cases per 100 patient-years, 95% CI: 4.3−5.1) were the most common early events. The pattern of complications changed with time from ASCT. The presence of complications after ASCT was not associated with overall survival. Conclusions: Our data provide a solid basis for comparing ASCT-related complications to those caused by emerging treatments in multiple myeloma, such as CAR T-cell therapy and other immunotherapies.
U2 - 10.3390/jcm11123541
DO - 10.3390/jcm11123541
M3 - SCORING: Journal article
C2 - 35743620
VL - 11
JO - J CLIN MED
JF - J CLIN MED
SN - 2077-0383
IS - 12
M1 - 3541
ER -