Evidence map›Paper›PMID 23860448›Full record

ArticleLeukemia2014

Critical evaluation of ASO RQ-PCR for minimal residual disease evaluation in multiple myeloma. A comparative analysis with flow cytometry.

N Puig, M E Sarasquete, A Balanzategui, J Martínez, B Paiva, H García, S Fumero, C Jiménez, M Alcoceba, M C Chillón and 13 more

Registry-linked trialAbstract read
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In one paragraph

Article in Leukemia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06109233 (A Perspective Study of the MRD-tailored Therapy in Patients With Newly Diagnosed Multiple Myeloma With Persistent Minimal Residual Disease After Initial Treatment), which is not on this map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06109233 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Perspective Study of the MRD-tailored Therapy in Patients With Newly Diagnosed Multiple Myeloma With Persistent Minimal Residual Disease After Initial Treatment

TypeobservationalSponsorFengYan JinRan2022 to 2026Enrolled80ConditionsMultiple Myeloma, Minimal Residual Disease
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Reduced splenic uptake of [EJNMMI research · 2025
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  13. [Minimal residual disease assessment and progress in multiple myeloma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024
    Article
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

N PuigDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
M E SarasqueteDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
A BalanzateguiDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
J MartínezDepartment of Hematology, Hospital 12 de Octubre, Madrid, Spain.
B PaivaDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
H GarcíaDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
S FumeroDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
C JiménezDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
M AlcocebaDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
M C ChillónDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
E SebastiánDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
L MarínDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
M A MontalbánDepartment of Hematology, Hospital 12 de Octubre, Madrid, Spain.
M V MateosDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
A OriolDepartment of Hematology, Hospital Germans Trias I Pujol, Badalona, Spain.
L PalomeraDepartment of Hematology, Hospital Clínico 'Lozano Blesa', Zaragoza, Spain.
J de la RubiaDepartment of Hematology, Hospital Universitario La Fe and Universidad Católica 'San Vicente Mártir', Valencia, Spain.
M B VidrialesDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
J BladéDepartment of Hematology, Hospital Clinic I Provincial, Barcelona, Spain.
J J LahuertaDepartment of Hematology, Hospital 12 de Octubre, Madrid, Spain.
M GonzálezDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
J F S MiguelDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.
R García-SanzDepartment of Hematology, Hospital Universitario de Salamanca; IBSAL; IBMCC (USAL-CSIC), Salamanca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have analyzed the applicability, sensitivity and prognostic value of allele-specific oligonucleotide real-time quantitative PCR (ASO RQ-PCR) as a method for minimal residual disease (MRD) assessment in patients with multiple myeloma (MM), comparing the results with those of multiparameter flow cytometry (MFC). A total of 170 patients enrolled in three consecutive Spanish trials achieving at least partial response after treatment were included. Lack of clonality detection (n=31), unsuccessful sequencing (n=17) and suboptimal ASO performance (n=51) limited the applicability of PCR to 42% of cases. MRD was finally investigated in 103 patients (including 32 previously studied) with persistent disease identified by PCR and MFC in 54% and 46% of cases, respectively. A significant correlation in MRD quantitation by both the techniques was noted (r=0.881, P<0.001), being reflective of treatment intensity. Patients with <10(-4) residual tumor cells showed longer progression-free survival (PFS) compared with the rest (not reached (NR) vs 31 months, P=0.002), with similar results observed with MFC. Among complete responders (n=62), PCR discriminated two risk groups with different PFS (49 vs 26 months, P=0.001) and overall survival (NR vs 60 months, P=0.008). Thus, although less applicable than MFC, ASO RQ-PCR is a powerful technique to assess treatment efficacy and risk stratification in MM.

Indexed as

AllelesFlow CytometryGene Rearrangement, B-LymphocyteHumansImmunoglobulin Heavy ChainsImmunoglobulin kappa-ChainsMultiple MyelomaNeoplasm, ResidualReal-Time Polymerase Chain ReactionSequence Analysis, DNAImmunoglobulin Heavy ChainsImmunoglobulin kappa-Chains

Identifiers

PMID23860448

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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.