Evidence map›Paper›PMID 34168119›Full record

ArticleBlood cancer journal2021

Serum BCMA levels predict outcomes in MGUS and smoldering myeloma patients.

A Visram, C Soof, S V Rajkumar, S K Kumar, S Bujarski, T M Spektor, R A Kyle, J R Berenson, A Dispenzieri

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Trial
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  7. Review
  8. Why are long-lived plasma cells long-lived?Frontiers in immunology · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. T-Cell Engagers In Multiple Myeloma: A Clinical Review.Blood and lymphatic cancer : targets and therapy · 2025
    Review
  16. Article
  17. [Progress in risk stratification and treatment of high-risk smoldering multiple myeloma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024
    Review
  18. Article
  19. Article
  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

9 authors at 3 institutions in 2 countries.

A VisramDepartment of Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0002-7201-4642
C SoofInstitute for Myeloma & Bone Cancer Research, West Hollywood, CA, California, USA.
S V RajkumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-5862-1833
S K KumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5392-9284
S BujarskiInstitute for Myeloma & Bone Cancer Research, West Hollywood, CA, California, USA.
T M SpektorOncoTracker, West Hollywood, CA, California, USA.
R A KyleDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
J R BerensonInstitute for Myeloma & Bone Cancer Research, West Hollywood, CA, California, USA.
A DispenzieriDivision of Hematology, Mayo Clinic, Rochester, MN, USA. dispenzieri.angela@mayo.edu.ORCID 0000-0001-8780-9512
Mayo Clinic · USInstitute for Myeloma & Bone Cancer Research · USOncotherapeutics (United States) · 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
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
NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA107476NCI NIH HHS R01 CA168762
6 · The paper itself

Abstract

Soluble BCMA (sBCMA) levels are elevated in monoclonal gammopathy of undetermined significance (MGUS) and smoldering multiple myeloma (SMM). However, the association between sBCMA levels and prognosis in MGUS and SMM has not been studied. We retrospectively analyzed sBCMA levels in stored samples from 99 MGUS and 184 SMM patients. Baseline sBCMA levels were significantly higher in MGUS and SMM patients progressing to MM during clinical follow up. When stratified according to the median baseline sBCMA level for each cohort, higher levels were associated with a shorter PFS for MGUS (HR 3.44 comparing sBCMA ≥77 vs <77 ng/mL [95% CI 2.07-5.73, p < 0.001] and SMM (HR 2.0 comparing sBCMA ≥128 vs <128 ng/mL, 95% 1.45-2.76, p < 0.001) patients. The effect of sBCMA on PFS was similar even after adjusting for the baseline MGUS or SMM risk stratification. We evaluated paired serum samples and found that sBCMA increased significantly in MGUS and SMM patients who eventually progressed to MM, whereas among MGUS non-progressors the sBCMA level remained stable. While our results require independent validation, they suggest that sBCMA may be a useful biomarker to identify MGUS and SMM patients at increased risk of progression to MM independent of the established risk models.

Indexed as

Monoclonal Gammopathy of Undetermined SignificanceSmoldering Multiple MyelomaAgedB-Cell Maturation AntigenDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm ProteinsPredictive Value of TestsSurvival RateB-Cell Maturation AntigenNeoplasm ProteinsTNFRSF17 protein, human

Identifiers

PMID34168119
PMCPMC8225625
OpenAlexW3175478791

What OpenQuestion holds

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LicenceCC BY
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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.