Evidence map›Paper›PMID 33673918›Full record

ArticleMayo Clinic proceedings2021

Clinical Characteristics and Outcomes of Patients With Primary Plasma Cell Leukemia in the Era of Novel Agent Therapy.

Bharat Nandakumar, Shaji K Kumar, Angela Dispenzieri, Francis K Buadi, David Dingli, Martha Q Lacy, Suzanne R Hayman, Prashant Kapoor, Nelson Leung, Amie Fonder and 15 more

Open access · greenAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Chinese expert consensus on the diagnosis and treatment of plasma cell leukemia (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
  5. Article
  6. Review
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  8. Article
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  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. More Than 2% of Circulating Tumor Plasma Cells Defines Plasma Cell Leukemia-Like Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  18. Identification of High-Risk Multiple Myeloma With a Plasma Cell Leukemia-Like Transcriptomic Profile.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  19. Review
  20. Review
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 2 institutions in 1 country.

Bharat NandakumarDivision of Hematology, Mayo Clinic, Rochester, MN.
Shaji K KumarDivision of Hematology, Mayo Clinic, Rochester, MN.
Angela DispenzieriDivision of Hematology, Mayo Clinic, Rochester, MN.
Francis K BuadiDivision of Hematology, Mayo Clinic, Rochester, MN.
David DingliDivision of Hematology, Mayo Clinic, Rochester, MN.
Martha Q LacyDivision of Hematology, Mayo Clinic, Rochester, MN.
Suzanne R HaymanDivision of Hematology, Mayo Clinic, Rochester, MN.
Prashant KapoorDivision of Hematology, Mayo Clinic, Rochester, MN.
Nelson LeungDivision of Hematology, Mayo Clinic, Rochester, MN; Department of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Amie FonderDivision of Hematology, Mayo Clinic, Rochester, MN.
Miriam HobbsDivision of Hematology, Mayo Clinic, Rochester, MN.
Yi Lisa HwaDivision of Hematology, Mayo Clinic, Rochester, MN.
Eli MuchtarDivision of Hematology, Mayo Clinic, Rochester, MN.
Rahma WarsameDivision of Hematology, Mayo Clinic, Rochester, MN.
Taxiarchis V KourelisDivision of Hematology, Mayo Clinic, Rochester, MN.
Stephen RussellDivision of Hematology, Mayo Clinic, Rochester, MN.
John A LustDivision of Hematology, Mayo Clinic, Rochester, MN.
Yi LinDivision of Hematology, Mayo Clinic, Rochester, MN.
Mustaqeem SiddiquiDivision of Hematology, Mayo Clinic, Rochester, MN.
Ronald S GoDivision of Hematology, Mayo Clinic, Rochester, MN.
Dragan JevremovicDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Robert A KyleDivision of Hematology, Mayo Clinic, Rochester, MN.
Morie A GertzDivision of Hematology, Mayo Clinic, Rochester, MN.
S Vincent RajkumarDivision of Hematology, Mayo Clinic, Rochester, MN.
Wilson I GonsalvesDivision of Hematology, Mayo Clinic, Rochester, MN. Electronic address: gonsalves.wilson@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic · 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
Assessment of Metabolites Among Asymptomatic Precursor and Malignant Monoclonal GammopathiesR01CA254961 · NCI · MAYO CLINIC ROCHESTER · PI GONSALVES, WILSON · 2021 to 2024
$1.5M
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 CA254961
6 · The paper itself

Abstract

objectiveTo evaluate the clinical outcomes of patients with primary plasma cell leukemia (pPCL) defined by 5% or greater clonal circulating plasma cells on peripheral blood smear and treated with novel agent induction therapies. PATIENTS AND

methodsA cohort of 68 patients with pPCL diagnosed at the Mayo Clinic in Rochester, Minnesota, from January 1, 2000, to December 31, 2019, and treated with novel agent induction therapies was evaluated.

resultsThe median follow-up was 46 (95% CI, 41 to 90) months. The median bone marrow plasma cell content was 85% (range, 10% to 100%) and median clonal circulaitng plasma cell percentage on the peripheral blood smear was 26% (range, 5% to 93%). There was a preponderance of t(11;14) primary cytogenetic abnormality in this cohort. The median time to next therapy (TTNT) and overall survival (OS) for all patients with pPCL patients in this cohort was 13 (95% CI, 9 to 17) and 23 (95% CI, 19 to 38) months, respectively. However, when stratified by cytogenetic risk, the median TTNT and OS were 16 and 51 months for standard risk vs 9 and 19 months for high risk (P=.01 for OS).

conclusionPrimary plasma cell leukemia remains an aggressive disease with poor prognosis despite novel agent-based therapies. Some patients have better than expected survival and this phenomenon may be influenced by the absence of high-risk cytogenetics. Newer treatment regimens are needed to improve the prognosis of this devastating disease.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Plasma CellMaleMiddle AgedMinnesotaPrognosisSurvival AnalysisTransplantation, AutologousTreatment Outcome

Identifiers

PMID33673918
PMCPMC7939118
OpenAlexW3135770628

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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.