ASH Clinical News April 2017 New | Page 20

Written in Featured research from recent issues of Blood PAPER SPOTLIGHT Encouraging Trends in Six-Month Mortality in Amyloid Light-Chain Amyloidosis With recent advances in diagnosis, treatment, and response assessment, clinicians have observed a significant decrease in six- month mortality (p<0.001) among patients with amyloid light-chain (AL) amyloidosis, according to a study published in Blood by researchers at the Mayo Clinic in Rochester, Min- nesota. This was true for patients who underwent autologous hematopoietic cell transplantation (AHCT; p=0.07) and those who did not (p<0.001). “For 40 years, six-month mortality was fixed at approximately 40 percent,” wrote the authors, led by Eli Muchtar, MD, from the Division of Hematology at the Mayo Clinic. “For the first time, however, we have observed a reduc- tion in six-month mortal- ity from 36 percent to 24 percent.” The researchers analyzed data from 1,551 patients (median age = 63 years; range = 55-70 years) with biopsy-proven systemic AL amyloidosis who were seen at the Mayo Clinic within 90 days of diagnosis, be- tween January 1, 2000, and Decem