Evidence map›Paper›PMID 37019896›Full record

ArticleBlood cancer journal2023

Prognostic value of early bone marrow MRD status in CAR-T therapy for myeloma.

Radhika Bansal, Mizba Baksh, Jeremy T Larsen, Matthew A Hathcock, David Dingli, A Keith Stewart, Prashant Kapoor, Taxiarchis Kourelis, Suzanne R Hayman, Rahma M Warsame and 5 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.5field-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

19 citing papers in PubMed, 24 citations in OpenAlex.

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  11. Observational
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  15. Article
  16. Current use of CAR T cells to treat multiple myeloma.Hematology. American Society of Hematology. Education Program · 2023
    Review
  17. Article
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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

15 authors at 5 institutions in 2 countries.

Radhika Bansal *Division of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-0964-098X
Mizba Baksh *Division of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.
Jeremy T Larsen *Division of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.
Matthew A HathcockDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
David DingliDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-7477-3004
A Keith StewartPrincess Margaret Cancer Center, Toronto, ON, Canada.
Prashant KapoorDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4342-364X
Taxiarchis KourelisDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-8573-9434
Suzanne R HaymanDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Rahma M WarsameDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Rafael FonsecaDivision of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-5938-3769
P Leif BergsagelDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.ORCID 0000-0003-1523-7388
Sikander AilawadhiDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-8377-8111
Shaji K Kumar *Division of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5392-9284
Yi Lin *Division of Hematology, Mayo Clinic, Rochester, MN, USA. lin.yi@mayo.edu.ORCID 0000-0002-1556-6416
Mayo Clinic in Arizona · USMayo Clinic in Florida · USWinnMed · USMayo Clinic · USPrincess Margaret Cancer Centre · CA

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
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

Bone marrow (BM) assessment of minimal residual disease (MRD) is prognostic for survival in multiple myeloma (MM). BM is still hypocellular at month 1 post CAR-T, thus the value of MRD negative (MRDneg) status at this timepoint is unclear. We examined the impact of month 1 BM MRD status in MM patients who received CART at Mayo Clinic between 8/2016 and 6/2021. Among 60 patients, 78% were BM-MRDneg at month 1; and 85% (40/47) of these patients also had decreased to less than normal level of both involved and uninvolved free light chain (FLC < NL). Patients who achieved CR/sCR had higher rates of month 1 BM-MRDneg and FLC < NL. The rate of sustained BM-MRDneg was 40% (19/47). Rate of conversion from MRDpos to MRDneg was 5%(1/20). At month 1, 38%(18/47) of the BM-MRDneg were hypocellular. Recovery to normal cellularity was observed in 50%(7/14) with a median time to normalization at 12 months (range: 3-Not reached). Compared to Month 1 BM-MRDpos patients, patients who were BM-MRDneg had longer PFS irrespective of BM cellularity [PFS: 2.9 months (95% CI, 1.2-NR) vs. 17.5 months (95% CI, 10.4-NR), p < 0.0001]. Month 1 BM-MRDneg and FLC below normal were associated with prolonged survival. Our data support the continued evaluation of BM early post-CART infusion as a prognostic tool.

Indexed as

Multiple MyelomaReceptors, Chimeric AntigenBone MarrowHumansNeoplasm, ResidualPrognosisReceptors, Chimeric Antigen

Identifiers

PMID37019896
PMCPMC10076306
OpenAlexW4362614405

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.