TP53 deletion is not an adverse feature in multiple myeloma treated with total therapy 3

Br J Haematol. 2009 Nov;147(3):347-51. doi: 10.1111/j.1365-2141.2009.07864.x. Epub 2009 Aug 21.

Abstract

Contrary to Total Therapy (TT) 2 for multiple myeloma patients, FGFR3- translocation bore no adverse effects on outcome in TT3 with added bortezomib. Del TP53, another poor-risk feature in TT2 and present in 10% of 441 patients treated, was examined for its prognostic consequences in TT3. Not affecting rate or duration of complete response, TP53 haplo-insufficiency also did not compromise, in the 83% with genomically defined low-risk myeloma, survival or event-free survival. FGFR3+ and FGFR3- molecular subgroups fared worse in the presence of del TP53 when applying TT2 but not TT3. Thus, the prognostic implications of del TP53 were protocol-, genome-defined risk- and molecular subgroup-dependent.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Boronic Acids / administration & dosage
  • Bortezomib
  • Follow-Up Studies
  • Gene Deletion*
  • Humans
  • Multiple Myeloma / drug therapy
  • Multiple Myeloma / genetics*
  • Prognosis
  • Pyrazines / administration & dosage
  • Survival Analysis
  • Treatment Outcome
  • Tumor Suppressor Protein p53 / genetics*

Substances

  • Boronic Acids
  • Pyrazines
  • TP53 protein, human
  • Tumor Suppressor Protein p53
  • Bortezomib