Evidence map›Paper›PMID 32750129›Full record

ArticleBlood advances2020

Clinical characteristics and treatment outcomes of newly diagnosed multiple myeloma with chromosome 1q abnormalities.

Nadine Abdallah, Patricia Greipp, Prashant Kapoor, Morie A Gertz, Angela Dispenzieri, Linda B Baughn, Martha Q Lacy, Suzanne R Hayman, Francis K Buadi, David Dingli and 15 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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1 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

25 authors at 3 institutions in 2 countries.

Nadine AbdallahDivision of Hematology.
Patricia GreippDivision of Laboratory Genetics, Department of Laboratory Medicine and Pathology, and.
Prashant KapoorDivision of Hematology.
Morie A GertzDivision of Hematology.
Angela DispenzieriDivision of Hematology.
Linda B BaughnDivision of Laboratory Genetics, Department of Laboratory Medicine and Pathology, and.
Martha Q LacyDivision of Hematology.
Suzanne R HaymanDivision of Hematology.
Francis K BuadiDivision of Hematology.
David DingliDivision of Hematology.
Ronald S GoDivision of Hematology.
Yi L HwaDivision of Hematology.
Amie FonderDivision of Hematology.
Miriam HobbsDivision of Hematology.
Yi LinDivision of Hematology.
Nelson LeungDivision of Hematology.
Taxiarchis KourelisDivision of Hematology.
Rahma WarsameDivision of Hematology.
Mustaqeem SiddiquiDivision of Hematology.
John LustDivision of Hematology.
Robert A KyleDivision of Hematology.
Leif BergsagelDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Phoenix, AZ.
Rhett KetterlingDivision of Laboratory Genetics, Department of Laboratory Medicine and Pathology, and.
S Vincent RajkumarDivision of Hematology.
Shaji K KumarDivision of Hematology.
Laboratory of Molecular Genetics · PLMayo Clinic in Arizona · USWinnMed · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
Onset and biomarkers for progression of monoclonal gammopathiesR01CA168762 · NCI · MAYO CLINIC ROCHESTER · PI KUMAR, SHAJI KUNNATHU, RAJKUMAR, S VINCENT · 2012 to 2024
$3.2M
NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA168762
6 · The paper itself

Abstract

A gain in chromosome 1q (+1q) is among the most common cytogenetic abnormalities in multiple myeloma (MM). It is unclear whether +1q is independently associated with decreased overall survival (OS). The objective of this study was to evaluate the impact of +1q on clinical characteristics, treatment response, and survival outcomes. We included 1376 Mayo Clinic patients diagnosed with MM from 2005 to 2018 who underwent fluorescence in situ hybridization testing at diagnosis with a panel including the +1q probe. A gain in 1q was found in 391 patients (28%) and was associated with anemia, hypercalcemia, high tumor burden, International Staging System (ISS) stage 3, high-risk (HR) translocations, and chromosome 13 abnormalities. There was no difference in overall response or deeper responses to proteasome inhibitor (PI)-, immunomodulatory drug (iMiD)-, or PI plus IMiD-based induction. Time to next treatment was shorter in patients with +1q compared with those without +1q (19.9 vs 27.7 months; P < .001). On univariate analysis, +1q was associated with increased risk of death (risk ratio [RR], 1.9; P < .001), and decreased OS was seen in all treatment groups. +1q was independently associated with decreased OS on multivariate analysis when other HR cytogenetic abnormalities, ISS stage 3, and age ≥70 years were included (RR, 1.5; P < .001). Gain of >1 copy of 1q was not associated with worse OS compared with gain of 1 copy (4.9 vs 4.3 years; P = .21). +1q was associated with high tumor burden, advanced disease stage, and HR translocations. It is independently associated with decreased OS, even in the setting of novel therapy and transplant.

Indexed as

Multiple MyelomaAgedChromosome AberrationsChromosomesHumansIn Situ Hybridization, FluorescencePrognosisTreatment Outcome

Identifiers

PMID32750129
PMCPMC7422105
OpenAlexW3046950030

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.