Evidence map›Paper›PMID 23224402›Full record

ReviewClinical cancer research : an official journal of the American Association for Cancer Research2013

Monoclonal gammopathy of undetermined significance and smoldering multiple myeloma: a review of the current understanding of epidemiology, biology, risk stratification, and management of myeloma precursor disease.

Amit Agarwal, Irene M Ghobrial

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02661022 (A Phase 1/2 Open Label Study of SL-401 in Combination With Pomalidomide and Dexamethasone in Relapsed or Relapsed and Refractory Multiple Myeloma), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

NCT02661022 phase1 / phase2terminatednot on this mapstarted 2016, after this paper: background citation

A Phase 1/2 Open Label Study of SL-401 in Combination With Pomalidomide and Dexamethasone in Relapsed or Relapsed and Refractory Multiple Myeloma

TypeinterventionalSponsorStemline Therapeutics, Inc.Ran2016 to 2019Enrolled9ConditionsMultiple MyelomaArmsSL-401 7 µg/kg/day, SL-401 9 µg/kg/day
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 90 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Smouldering Myeloma: Chasing a Hyperviscous Sample.Indian journal of clinical biochemistry : IJCB · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Targeted Therapies for Multiple Myeloma.Journal of personalized medicine · 2021
    Review
  17. Review
  18. Influence of gut microbiome on multiple myeloma: friend or foe?Journal for immunotherapy of cancer · 2020
    Article
  19. Article
  20. Review
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

2 authors at 1 institution in 1 country.

Amit AgarwalDivision of Hematology/Oncology, University of Arizona, Tuscon, Arizona 02215, USA.
Irene M Ghobrial
University of Arizona · US

Funding

The role of miRNA15a and 16-1 in Multiple MyelomaR01CA154648 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2011 to 2015
$1.8M
CXCR4 regulation of tumor progression in Multiple MyelomaR01CA125690 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2012
$1.6M
Targeting cell trafficking as a new therapeutic modality for Multiple MyelomaR01CA133799 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2011
$1.4M
NCI NIH HHS R01 CA125690NCI NIH HHS R01CA125690NCI NIH HHS R01 CA133799NCI NIH HHS R01CA133799NCI NIH HHS R01 CA154648NCI NIH HHS R01CA154648
6 · The paper itself

Abstract

The term monoclonal gammopathy of undetermined significance (MGUS) was coined in 1978. The recent advances in our knowledge about MGUS and smoldering multiple myeloma (SMM) have helped us better understand the pathogenesis of myeloma. It seems that myeloma evolves from a precursor state in almost all cases. We do not completely understand the multistep process from the precursor state to myeloma, but studies like whole genome sequencing continue to improve our understanding of this process. The process of transformation may not be linear acquisition of changes, but rather a branched heterogeneous process. Clinical features that are prognostic of rapid transformation have been identified, but no specific molecular markers have been identified. Even with recent advances, multiple myeloma remains an incurable disease in the vast majority, and intervening at the precursor state provides a unique opportunity to alter the natural history of the disease. A limitation is that a vast majority of patients with precursor disease, especially low-risk MGUS, will never progress to myeloma in their lifetime, and treating these patients is not only unnecessary but may be potentially harmful. The challenge is to identify a subset of patients with the precursor state that would definitely progress to myeloma and in whom interventions will have a meaningful impact. As our understanding of the molecular and genetic processes improves, these studies will guide the selection of high-risk patients more appropriately and ultimately direct a tailored management strategy to either delay progression to symptomatic myeloma or even "cure" a person at this premalignant stage.

Indexed as

HumansMonoclonal Gammopathy of Undetermined SignificanceMultiple MyelomaPrognosisRisk Factors

Identifiers

PMID23224402
PMCPMC3593941
OpenAlexW2032798455

What OpenQuestion holds

Textmetadata
LicenceTDM
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.