Evidence map›Paper›PMID 28568244›Full record

ArticleAmerican journal of hematology2017

The prognostic significance of polyclonal bone marrow plasma cells in patients with relapsing multiple myeloma.

Toshi Ghosh, Wilson I Gonsalves, Dragan Jevremovic, Angela Dispenzieri, David Dingli, Michael M Timm, William G Morice, Prashant Kapoor, Taxiarchis V Kourelis, Martha Q Lacy and 14 more

Abstract read
In one paragraph

Article in American journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

24 authors.

Toshi GhoshDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Wilson I GonsalvesDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID http://orcid.org/0000-0001-6890-969X
Dragan JevremovicDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Angela DispenzieriDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
David DingliDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Michael M TimmDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
William G MoriceDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Prashant KapoorDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Taxiarchis V KourelisDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Martha Q LacyDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Suzanne R HaymanDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Francis K BuadiDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Nelson LeungDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID http://orcid.org/0000-0002-5651-1411
Ronald S GoDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID http://orcid.org/0000-0002-8284-3495
Yi LinDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Stephen J RussellDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
John A LustDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Steven R ZeldenrustDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Rahma WarsameDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID http://orcid.org/0000-0003-0240-0326
Yi L HwaDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Robert A KyleDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Morie A GertzDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
S Vincent RajkumarDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Shaji K KumarDivision of Hematology, Mayo Clinic, Rochester, Minnesota.

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Prevalence and Progression of Monoclonal GammopathiesR01CA107476 · NCI · MAYO CLINIC ROCHESTER · PI KUMAR, SHAJI KUNNATHU, RAJKUMAR, S VINCENT · 2004 to 2018
$4.6M
Onset and biomarkers for progression of monoclonal gammopathiesR01CA168762 · NCI · MAYO CLINIC ROCHESTER · PI KUMAR, SHAJI KUNNATHU, RAJKUMAR, S VINCENT · 2012 to 2024
$3.2M
Dysregulation of Glutamine Metabolism in the Pathogenesis of Multiple MyelomaK23CA218742 · NCI · MAYO CLINIC ROCHESTER · PI GONSALVES, WILSON · 2017 to 2019
$513k
NCI NIH HHS K23 CA218742NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA107476NCI NIH HHS R01 CA168762
6 · The paper itself

Abstract

Prior studies have revealed that the presence of increasing number of polyclonal plasma cells (pPCs) in the bone marrow (BM) are associated with better outcomes in newly diagnosed multiple myeloma (MM) patients. This effect has not been studied in patients with MM at the time of disease relapse. We determined the prognostic value of depletion of pPCs in the BM by 7-color multiparameter flow cytometry in a series of 174 relapsing MM patients. The time to next therapy (TTNT) in those with <5% pPCs was 9.4 months versus 13.9 months in those with ≥5% pPCs (P = .0091). The median overall survival (OS) in those with <5% pPCs was 21.4 months, while the median OS was not reached in those patients with ≥5% pPCs (P = .019). Of the 109 patients with standard risk cytogenetics, the median OS of those with <5% pPCs was 28.4 months, while the median OS was not reached in those with ≥5% pPCs (P = .033). As such, <5% pPCs in the BM appears to have prognostic utility in identifying a subset of relapsing MM patients, even with standard-risk cytogenetics, who have a particularly adverse outcome.

Indexed as

Flow CytometryMultiple MyelomaAdultAgedAged, 80 and overBone Marrow CellsDisease-Free SurvivalFemaleHumansMaleMiddle AgedPlasma CellsRecurrenceRetrospective StudiesSurvival Rate

Identifiers

PMID28568244
PMCPMC5546938

What OpenQuestion holds

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Registered trials

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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.