Evidence map›Paper›PMID 29483709›Full record

ArticleLeukemia2018

Prognostic significance of circulating plasma cells by multi-parametric flow cytometry in light chain amyloidosis.

Surbhi Sidana, Nidhi Tandon, Angela Dispenzieri, Morie A Gertz, David Dingli, Dragan Jevremovic, William G Morice, Prashant Kapoor, Taxiarchis V Kourelis, Martha Q Lacy and 16 more

Open access · greenAbstract read
In one paragraph

Article in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Serum and Tissue Light-Chains as Disease Biomarkers in AL Amyloidosis.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. 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

26 authors at 1 institution in 1 country.

Surbhi SidanaDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Nidhi TandonDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0003-4008-9081
Angela DispenzieriDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Morie A GertzDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
David DingliDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Dragan JevremovicDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
William G MoriceDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Prashant KapoorDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Taxiarchis V KourelisDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Martha Q LacyDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Suzanne R HaymanDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Francis K BuadiDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Nelson LeungDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Ronald S GoDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-8284-3495
Yi LinDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Stephen J RussellDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
John A LustDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Steven R ZeldenrustDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Rahma WarsameDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Yi L HwaDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Miriam HobbsDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Amie FonderDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Robert A KyleDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
S Vincent RajkumarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Shaji K KumarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-5392-9284
Wilson I GonsalvesDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA. gonsalves.wilson@mayo.edu.
Mayo Clinic · US

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

We evaluated the prognostic impact of clonal circulating plasma cells (cPCs) detected by six-color multi-parametric flow cytometry (MFC) in light chain (AL) amyloidosis at diagnosis. Of the 154 patients who underwent MFC, cPCs were detected in 42% (n = 65) patients. Median number of cPCs was 81 per 150,000 events (range: 6-17,844). High bone marrow plasma cell percentage was an independent predictor of presence of cPCs. Presence of cPCs at diagnosis was associated with inferior overall survival (OS) (90 vs. 98 months, p = 0.003) and inferior progression free survival (PFS) (31 vs. 52 months, p = 0.02). Estimated 1, 2 and 5 year OS in the two groups was: 74, 64 and 57 and 89, 87, and 80%, respectively. Estimated PFS at 1, 2, and 5 years was: 69, 56, and 23% and 80, 74, and 37%, respectively. Furthermore, the presence of cPCs at diagnosis was an independent adverse predictor of OS in multivariable analysis. Achieving a very-good partial response, or better, was able to overcome the adverse impact of cPCs at diagnosis. Patients with cPCs at diagnosis may warrant closer monitoring post-treatment, especially if they do not achieve a deep hematologic response.

Indexed as

Plasma CellsAdultAgedAged, 80 and overDisease-Free SurvivalFemaleFlow CytometryHumansImmunoglobulin Light-chain AmyloidosisMaleMiddle AgedPrognosis

Identifiers

PMID29483709
PMCPMC5992020
OpenAlexW2794416083

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.