Response criteria.
Hematologic response | CR:negative bone marrow and negative immunofixation of serum and urine |
VGPR:over 90% reduction in M-protein, plus urine M-protein level of <100 mg per 24-h | |
PR:50% reduction in M-protein or positive immunofixation as long as the baseline M protein is at least 1.0 g/dL | |
PET responses | CR:the disappearance of all FDG uptake lesions |
PR:≥50% improvement in the sum of the maximum standardized uptake value of FDG-avid lesions | |
No response:the failure to meet CR or PR criteria | |
VEGF response (evaluable: ×2 UNL) | CR:normalization of VEGF |
PR:a decrease of over 50% VEGF | |
No response:the failure to meet CR or PR criteria | |
Progression:50% increase from the lowest level | |
Clinical response (clinical improvement, clinical progression, mixed clinical response, and clinical stability) | Peripheral neuropathy, organomegaly, papilledema, erythrocytosis/thrombocytosis, endocrinopathy, extravascular fluid overload (ascites, effusions, edema) |
Pulmonary function tests |
Abbreviations: CR, complete response; PR, partial response; UNL, upper normal limit; VGPR,very good partial response.