Evidence map›Paper›PMID 25645353›Full record

Trial reportBlood2015

Minimal residual disease in myeloma by flow cytometry: independent prediction of survival benefit per log reduction.

Andy C Rawstron, Walter M Gregory, Ruth M de Tute, Faith E Davies, Sue E Bell, Mark T Drayson, Gordon Cook, Graham H Jackson, Gareth J Morgan, J Anthony Child and 1 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2015. 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 90 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 3 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.

NCT03421132 active not recruitingnot on this mapstarted 2018, after this paper: background citation

The Terry Fox Pan-Canadian Multiple Myeloma Molecular Monitoring Study

TypeobservationalSponsorHorizon Health NetworkRan2018 to 2026Enrolled96ConditionsMultiple Myeloma
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

90 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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30 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

11 authors.

Andy C RawstronSt James's University Hospital, Leeds, United Kingdom;
Walter M GregoryUniversity of Leeds, Leeds, United Kingdom;
Ruth M de TuteSt James's University Hospital, Leeds, United Kingdom;
Faith E DaviesInstitute of Cancer Research, London, United Kingdom;
Sue E BellUniversity of Leeds, Leeds, United Kingdom;
Mark T DraysonUniversity of Birmingham, Birmingham, United Kingdom; and.
Gordon CookSt James's University Hospital, Leeds, United Kingdom;
Graham H JacksonUniversity of Newcastle, Newcastle, United Kingdom.
Gareth J MorganInstitute of Cancer Research, London, United Kingdom;
J Anthony ChildUniversity of Leeds, Leeds, United Kingdom;
Roger G OwenSt James's University Hospital, Leeds, United Kingdom;

Funding

Medical Research Council G0100132Medical Research Council MR/L01629X/1
6 · The paper itself

Abstract

The detection of minimal residual disease (MRD) in myeloma using a 0.01% threshold (10(-4)) after treatment is an independent predictor of progression-free survival (PFS), but not always of overall survival (OS). However, MRD level is a continuous variable, and the predictive value of the depth of tumor depletion was evaluated in 397 patients treated intensively in the Medical Research Council Myeloma IX study. There was a significant improvement in OS for each log depletion in MRD level (median OS was 1 year for ≥10%, 4 years for 1% to <10%, 5.9 years for 0.1% to <1%, 6.8 years for 0.01% to <0.1%, and more than 7.5 years for <0.01% MRD). MRD level as a continuous variable determined by flow cytometry independently predicts both PFS and OS, with approximately 1 year median OS benefit per log depletion. The trial was registered at www.isrctn.com as #68454111.

Indexed as

AdultAgedDisease-Free SurvivalFemaleFlow CytometryHumansMaleMiddle AgedMultiple MyelomaNeoplasm, ResidualPredictive Value of TestsProportional Hazards ModelsRemission InductionSensitivity and SpecificityTime FactorsTreatment Outcome

Identifiers

PMID25645353
PMCPMC4375716

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.