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Table 4 PBSC mobilization and collection

From: Stem cell collection after lenalidomide, bortezomib and dexamethasone plus elotuzumab or isatuximab in newly diagnosed multiple myeloma patients: a single centre experience from the GMMG-HD6 and -HD7 trials

Variable

Overall cohort

RVd (six 21-day cycles)

isatuximab-RVd (six 21-day cycles)

RVd (four 21-day cycles)

elotuzumab-RVd (four 21-day cycles)

p value

n

%

n

%

n

%

n

%

n

%

Patient number

179

100

44

100

35

100

51

100

49

100

/

Mobilization regimen

          

/

 CAD

167

93

39

89

28

80

51

100

49

100

 Cyclophosphamide

12

7

5

11

7

20

0

0

0

0

G-CSF dosage

          

 < 0.001

 5 µg/kg bw/day

95

53

1

2

0

0

46

90

48

98

 10 µg/kg bw/day

84

47

43

98

35

100

5

10

1

2

Plerixafor application

          

 < 0.001

 Yes

25

14

7

16

12

34

4

8

2

4

 No

154

86

37

84

23

66

47

92

47

96

Prolonged mobilization

 Median delay, days (range)

0

(0–21)

0

(0–5)

0

(0–5)

0

(0–3)

0

(0–21)

0.785

 Patients with distinct number of days in delay

          

0.777a

  0

135

75

31

70

26

74

39

76

39

80

  1

28

16

9

20

5

14

9

18

5

10

  ≥ 2

16

9

4

9

4

11

3

6

5

10

Blood count prior to first LP

 Mean leukocyte count /nl (SD)

20

(12)

21

15

27

14

17

(8)

16

(8)

 < 0.001

 Mean PB CD34+ cells/µl (SD)

103

(75)

116

80

80

60

111

(91)

97

(57)

0.143

First LP session

 Mean CD34+ cells × 106/kg (SD)

8,2

(4.2)

7,6

3,6

5,8

2,8

8,8

(4,8)

9,8

(4,1)

0.004

 Mean processed blood volume, l (SD)

15,7

(3.8)

15,0

3,8

16,4

3,4

15,4

(4,2)

16,2

(3,3)

0.436

Overall PBSC collection result

 Mean CD34+ cells × 106/kg

10,1

(2.9)

9,7

2,6

8,8

1,8

10,5

(3,5)

10,9

(3,0)

 < 0.001

 Collection failure, n (%)

3

2

2

5

0

0

1

2

0

0

0.301

LP sessions

 Median, n (range)

1

(1–3)

1

(1–3)

2

(1–3)

1

(1–3)

1

(1–3)

0.008

 Patients with distinct number of LP sessions

          

0.017b

  1

110

61

25

57

14

40

34

67

37

76

 

  2

59

33

18

41

17

49

14

27

10

20

 

  3

10

6

1

2

4

11

3

6

2

4

 
  1. bw Body weight, CAD Cyclophosphamide, doxorubicin, dexamethasone, CR Complete response, G-CSF Granulocyte-colony stimulating factor, LP Leukapheresis, MR Minimal response, NA Not available, PBSC Peripheral blood stem cells, PD Progressive disease, PR Partial response, RVd Lenalidomide, bortezomib, dexamethasone, SD Stable disease, VCD Bortezomib, cyclophosphamide, dexamethasone, VGPR Very good partial response
  2. a0 days versus 1 day versus 2 or more days
  3. b1 LP versus 2 LPs versus ≥ 3 LPs