Evidence map›Paper›PMID 31867775›Full record

Trial reportAmerican journal of hematology2020

Enhancing the R-ISS classification of newly diagnosed multiple myeloma by quantifying circulating clonal plasma cells.

Wilson I Gonsalves, Dragan Jevremovic, Bharat Nandakumar, Angela Dispenzieri, Francis K Buadi, David Dingli, Martha Q Lacy, Suzanne R Hayman, Prashant Kapoor, Nelson Leung and 15 more

Abstract readClinical Trial
In one paragraph

Trial report in American journal of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Defining High-Risk Disease Biology in Multiple Myeloma: A Narrative Review.Blood and lymphatic cancer : targets and therapy · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Refining High-Risk Multiple Myeloma: Advancements in Genomic, Clinical, and Prognostic Criteria.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  19. Review
  20. 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

25 authors.

Wilson I GonsalvesDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-6890-969X
Dragan JevremovicDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Bharat NandakumarDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Angela DispenzieriDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8780-9512
Francis K BuadiDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
David DingliDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Martha Q LacyDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Suzanne R HaymanDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Prashant KapoorDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Nelson LeungDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-5651-1411
Amie FonderDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Miriam HobbsDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Yi Lisa HwaDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Eli MuchtarDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Rahma WarsameDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-0240-0326
Taxiarchis V KourelisDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-8573-9434
Stephen RussellDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
John A LustDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Yi LinDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Ronald S GoDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Mustaqeem A SiddiquiDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Robert A KyleDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Morie A GertzDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-3853-5196
S Vincent RajkumarDivision of Hematology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-5862-1833
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
Dysregulation of Glutamine Metabolism in the Pathogenesis of Multiple MyelomaK23CA218742 · NCI · MAYO CLINIC ROCHESTER · PI GONSALVES, WILSON · 2017 to 2019
$513k
Mayo ClinicNCI NIH HHS K23 CA218742NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

Our prior studies identified the prognostic significance of quantifying cPCs by multiparametric flow cytometry (MFC) in newly diagnosed multiple myeloma (NDMM) patients. We evaluated if a similar quantification of cPCs could add prognostic value to the current R-ISS classification of 556 consecutive NDMM patients seen at the Mayo Clinic, Rochester from 2009 to 2017. Those patients that had ≥5 cPCs/μL and either R-ISS stage I or stage II disease were re-classified as R-ISS IIB stage for the purposes of this study. The median time to next therapy (TTNT) and overall survival (OS) for patients with ≥5 cPCs/μL at diagnosis was as follows: R-ISS I (N = 110) - 40 months and not reached; R-ISS II (N = 69) - 30 and 72 months; R-ISS IIB (N = 96) - 21 and 45 months and R-ISS III (N = 281) - 20 and 47 months respectively. Finally, ≥ 5 cPCs/μL retained its adverse prognostic significance in a multivariable model for TTNT and OS. Hence, quantifying cPCs by MFC can potentially enhance the R-ISS classification of a subset of NDMM patients with stage I and II disease by identifying those patients with a worse than expected survival outcome.

Indexed as

Flow CytometryMultiple MyelomaAgedDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm StagingPlasma CellsRetrospective StudiesSurvival Rate

Identifiers

PMID31867775
PMCPMC7724649

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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.