Evidence map›Paper›PMID 21292777›Full record

GuidelineBlood2011

Consensus recommendations for risk stratification in multiple myeloma: report of the International Myeloma Workshop Consensus Panel 2.

Nikhil C Munshi, Kenneth C Anderson, P Leif Bergsagel, John Shaughnessy, Antonio Palumbo, Brian Durie, Rafael Fonseca, A Keith Stewart, Jean-Luc Harousseau, Meletios Dimopoulos and 11 more

2 registry-linked trialsOpen access · bronzeAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 152 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 10 pooled it
23.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02906332 phase2terminatednot on this mapstarted 2016, after this paper: background citation

A Phase II Trial of the Anti -PD-1 Monoclonal Antibody Pembrolizumab (MK-3475) + Lenalidomide + Dexamethasone as Post Autologous Transplant Consolidation in Patients With High-risk Multiple Myeloma

TypeinterventionalSponsorHackensack Meridian HealthRan2016 to 2022Enrolled12ConditionsMultiple MyelomaArmsPembrolizumab, Lenalidomide, Dexamethasone
NCT03683277 phase2terminatednot on this mapstarted 2019, after this paper: background citation

Multicenter Open Label Phase 2 Single Arm Study of Ixazomib, Pomalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma Characterized With Genomic Abnormalities of Adverse Adverse Prognostic

TypeinterventionalSponsorIntergroupe Francophone du MyelomeRan2019 to 2023Enrolled26ConditionsMultiple Myeloma, Relapsed and Refractory Multiple Myeloma, Genetic ConditionArmsIxazomib/Pomalidomide/Dexamethasone
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 10 syntheses or guidelines pooled it, 315 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Guideline
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  8. Guideline
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  11. Trial
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92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 8 countries.

Nikhil C MunshiDana-Farber Cancer Institute, Boston, MA, USA. nikhil_munshi@dfci.harvard.edu
Kenneth C Anderson
P Leif Bergsagel
John Shaughnessy
Antonio Palumbo
Brian Durie
Rafael Fonseca
A Keith Stewart
Jean-Luc Harousseau
Meletios Dimopoulos
Sundar Jagannath
Roman Hajek
Orhan Sezer
Robert Kyle
Pieter Sonneveld
Michele Cavo
S Vincent Rajkumar
Jesus San Miguel
John Crowley
Hervé Avet-Loiseau
International Myeloma Workshop Consensus Panel 2
Mayo Clinic in Arizona · USCentre Hospitalier Universitaire de Nantes · FRDana-Farber Cancer Institute · USBrno University of Technology · CZCancer Research And Biostatistics · USCedars-Sinai Medical Center · USErasmus University Rotterdam · NLNational and Kapodistrian University of Athens · GRUniversidad de Salamanca · ESUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Arkansas for Medical Sciences · USUniversity of Bologna · ITUniversity of Turin · IT

Funding

Tumor Cell-Microenvironment Interactions in the Molecular Pathogenesis of MultiplP01CA055819 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI BELLAMY, WILLIAM T · 1993 to 2013
$49.7M
Mouse models of age-associated monoclonal gammopathyR01AG020686 · NIA · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI BERGSAGEL, PETER LEIF · 2003 to 2014
$3.3M
Molecular Pathogenesis of Multiple MyelomaR01CA133966 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2009 to 2013
$1.6M
Comparative Pharmaco-oncogenomics of Myeloma Drug ResistanceR01CA136671 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2009 to 2013
$1.6M
A Genome Wide RNAi Vulnerability Map for MyelomaR01CA133115 · NCI · MAYO CLINIC ARIZONA · PI STEWART, ALEXANDER KEITH · 2008 to 2012
$1.3M
Mouse Models of Age-Associated Monoclonal GammopathyR56AG020686 · NIA · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2009 to 2009
$405k
NCI NIH HHS P01 CA055819NCI NIH HHS R01 CA133115NCI NIH HHS R01 CA133966NCI NIH HHS R01 CA136671NIA NIH HHS R01 AG020686NIA NIH HHS R56 AG020686
6 · The paper itself

Abstract

A panel of members of the 2009 International Myeloma Workshop developed guidelines for risk stratification in multiple myeloma. The purpose of risk stratification is not to decide time of therapy but to prognosticate. There is general consensus that risk stratification is applicable to newly diagnosed patients; however, some genetic abnormalities characteristic of poor outcome at diagnosis may suggest poor outcome if only detected at the time of relapse. Thus, in good-risk patients, it is necessary to evaluate for high-risk features at relapse. Although detection of any cytogenetic abnormality is considered to suggest higher-risk disease, the specific abnormalities considered as poor risk are cytogenetically detected chromosomal 13 or 13q deletion, t(4;14) and del17p, and detection by fluorescence in situ hybridization of t(4;14), t(14;16), and del17p. Detection of 13q deletion by fluorescence in situ hybridization only, in absence of other abnormalities, is not considered a high-risk feature. High serum β(2)-microglobulin level and International Staging System stages II and III, incorporating high β(2)-microglobulin and low albumin, are considered to predict higher risk disease. There was a consensus that the high-risk features will change in the future, with introduction of other new agents or possibly new combinations.

Indexed as

Chromosome AberrationsGene Expression ProfilingHumansMultiple MyelomaNeoplasm StagingPrognosisRecurrenceRisk Factors

Identifiers

PMID21292777
PMCPMC3293763
OpenAlexW1977691688

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.