Evidence map›Paper›PMID 29344579›Full record

Trial reportBlood advances2018

Prognostic significance of cytogenetic heterogeneity in patients with newly diagnosed multiple myeloma.

Maximilian Merz, Anna Jauch, Thomas Hielscher, Tilmann Bochtler, Stefan Olaf Schönland, Anja Seckinger, Dirk Hose, Uta Bertsch, Kai Neben, Marc Steffen Raab and 9 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Frontiers in medicine · 2025
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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

19 authors.

Maximilian MerzMedizinische Klinik V and.
Anna JauchInstitute of Human Genetics, University Hospital of Heidelberg, Heidelberg, Germany.
Thomas HielscherDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Tilmann BochtlerMedizinische Klinik V and.
Stefan Olaf SchönlandMedizinische Klinik V and.
Anja SeckingerMedizinische Klinik V and.
Dirk HoseMedizinische Klinik V and.
Uta BertschMedizinische Klinik V and.
Kai NebenMedizinische Klinik V and.
Marc Steffen RaabMedizinische Klinik V and.
Jens HillengassMedizinische Klinik V and.
Hans SalwenderAsklepios Klinik Altona, Hamburg, Germany.
Igor Wolfgang BlauDepartment of Internal Medicine III, Charité Campus Benjamin Franklin, Berlin, Germany.
Hans-Walter LindemannHämatologie/Onkologie, Katholisches Krankenhaus Hagen gemeinnützige GmbH-St.-Marien-Hospital, Hagen, Germany.
Ingo G H Schmidt-WolfCenter for Integrated Oncology, Medizinische Klinik und Poliklinik III, University of Bonn, Bonn, Germany.
Christof ScheidDepartment of Internal Medicine I, University of Cologne, Cologne, Germany.
Mathias HaenelKlinikum Chemnitz gGmbH, Chemnitz, Germany; and.
Katja C WeiselUniversity Hospital of Tuebingen, Tuebingen, Germany.
Hartmut GoldschmidtMedizinische Klinik V and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated subclonal cytogenetic aberrations (CA) detected by interphase fluorescence in situ hybridization (iFISH) in patients with newly diagnosed multiple myeloma (MM) enrolled in the Haemato Oncology Foundation for Adults in the Netherlands (HOVON)-65/German-Speaking MM Group (GMMG)-HD4 phase 3 trial. Patients were either treated with 3 cycles of vincristine, Adriamycin, and dexamethasone or bortezomib, Adriamycin, and dexamethasone and then thalidomide or bortezomib maintenance after tandem autologous transplantation. Subclones were defined either by presence of different copy numbers of the same chromosome loci and/or CA present in at least 30% less and maximally 2/3 of cells compared with the main clone CA. Patients with subclones harbored more frequently high risk (31.0%) or hyperdiploid main clone aberrations (24.8%) than patients with t(11;14) in the main clone (10.1%). Gains and deletions of c-MYC were the only CA that occurred more frequently as subclone (8.1%/20.5%) than main clone (6.2%/3.9%, respectively). Treatment with bortezomib completely overcame the negative prognosis of high-risk CA in patients without subclones, but not in patients with additional subclonal CA. High-risk patients treated without bortezomib showed dismal outcome whether subclones were present or not. Cytogenetic heterogeneity defined by subclonal CA is of major prognostic significance in newly diagnosed MM patients treated with bortezomib within the HOVON-65/GMMG-HD4 trial.

Indexed as

Chromosome AberrationsAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBortezomibHumansIn Situ Hybridization, FluorescenceMiddle AgedMultiple MyelomaNetherlandsPrognosisTransplantation, AutologousYoung AdultBortezomib

Identifiers

PMID29344579
PMCPMC5761630

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.