Translocation t(14;16) and multiple myeloma: is it really an independent prognostic factor?

Author:

Avet-Loiseau Hervé1,Malard Florent1,Campion Loic2,Magrangeas Florence1,Sebban Catherine3,Lioure Bruno4,Decaux Olivier5,Lamy Thierry6,Legros Laurence7,Fuzibet Jean-Gabriel8,Michallet Mauricette9,Corront Bernadette10,Lenain Pascal11,Hulin Cyrille12,Mathiot Claire13,Attal Michel14,Facon Thierry15,Harousseau Jean-Luc16,Minvielle Stephane1,Moreau Philippe17,

Affiliation:

1. Hematology Laboratory, University Hospital, and Inserm U892, Nantes, France;

2. Department of Statistics, Centre René Gauducheau, Nantes, France;

3. Hematology Department, Centre Léon Bérard, Lyon, France;

4. Hematology Department, University Hospital, Strasbourg, France;

5. Internal Medicine Department, University Hospital, Rennes, France;

6. Hematology Department, University Hospital, Rennes, France;

7. Hematology Department, University Hospital, Nice, France;

8. Internal Medicine Department, University Hospital, Nice, France;

9. Hematology Department, University Hospital, Lyon, France;

10. Hematology Department, University Hospital, Annecy, France;

11. Hematology Department, Centre François Baclesse, Rouen, France;

12. Hematology Department, University Hospital, Nancy, France;

13. Hematology Laboratory, Institut Curie, Paris, France;

14. Hematology Department, University Hospital, Toulouse, France;

15. Hematology Department, University Hospital, Lille, France;

16. Hematology Department, Centre René Gauducheau, Nantes, France; and

17. Hematology Department, University Hospital, Nantes, France

Abstract

Abstract Many trials in myeloma are stratified on cytogenetic abnormalities. Among them, the most commonly chosen are the t(4;14), the del(17p), and the t(14;16). If data are well established for t(4;14) and del(17p), very few data support the use of t(14;16). To address this issue, we retrospectively analyzed 1003 patients with newly diagnosed myeloma for this abnormality. We identified 32 patients with the t(14;16). Compared with patients lacking the t(14;16), we did not observe any difference in overall survival (P = .28). Moreover, in multivariate analyses, the t(14;16) was not prognostic (P = .39). In conclusion, our data do not support the use of t(14;16)-specific probes in the diagnostic panels of multiple myeloma.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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