Evidence map›Paper›PMID 38194610›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Genomic Classification and Individualized Prognosis in Multiple Myeloma.

Francesco Maura, Arjun Raj Rajanna, Bachisio Ziccheddu, Alexandra M Poos, Andriy Derkach, Kylee Maclachlan, Michael Durante, Benjamin Diamond, Marios Papadimitriou, Faith Davies and 27 more

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 2 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

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

  1. Co-Occurrence of Cytogenetic Abnormalities and High-Risk Disease in Newly Diagnosed and Relapsed/Refractory Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Pooled it
  2. International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Guideline
  3. Article
  4. Psychometric evaluation of the PROMISJournal of patient-reported outcomes · 2026
    Observational
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34 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

37 authors.

Francesco MauraMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0002-5017-1620
Arjun Raj RajannaMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0009-0002-5701-6962
Bachisio ZicchedduMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Alexandra M PoosHeidelberg Myeloma Center, Department of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Andriy DerkachDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2178-8493
Kylee MaclachlanMyeloma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-7873-4854
Michael DuranteMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0003-3137-6847
Benjamin DiamondMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0002-8638-9365
Marios PapadimitriouMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Faith DaviesMyeloma Research Program, New York University Langone, Perlmutter Cancer Center, New York, NY.ORCID 0000-0002-3971-2393
Eileen M BoyleMyeloma Research Program, New York University Langone, Perlmutter Cancer Center, New York, NY.ORCID 0000-0001-8791-1744
Brian WalkerDivision of Hematology Oncology, Melvin and Bren Simon Comprehensive Cancer Center, Indiana University, Indianapolis, IN.ORCID 0000-0002-8615-6254
Malin HultcrantzMyeloma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9045-6495
Ariosto SilvaDepartment of Malignant Hematology, Moffitt Cancer Center, Tampa, FL.
Oliver HamptonAster Insights, Tampa, FL.
Jamie K TeerDepartment of Biostatistics & Bioinformatics, Moffitt Cancer Center & Research Institute, Tampa, FL.ORCID 0000-0003-4513-0282
Erin M SiegelDepartment of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.ORCID 0000-0003-1779-2510
Niccolò BolliHematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Graham H JacksonFreeman Hospital, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom.ORCID 0000-0003-0756-969X
Martin KaiserThe Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-3677-4804
Charlotte PawlynLeeds Cancer Research UK Clinical Trials Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom.ORCID 0000-0002-7190-0028
Gordon CookDivision of Hematology/Oncology, Mayo Clinic Arizona, Scottsdale, AZ, USA.ORCID 0000-0003-1717-0412
Dickran KazandjianMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0002-6593-0917
Caleb SteinDivision of Hematology/Oncology, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Marta ChesiDivision of Hematology/Oncology, Mayo Clinic Arizona, Scottsdale, AZ, USA.ORCID 0000-0002-4024-8225
Leif BergsagelDivision of Hematology/Oncology, Mayo Clinic Arizona, Scottsdale, AZ, USA.ORCID 0000-0003-1523-7388
Elias K MaiHeidelberg Myeloma Center, Department of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-6226-1252
Hartmut GoldschmidtHeidelberg Myeloma Center, Department of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-0961-0035
Katja C WeiselDepartment of Oncology, Hematology and Blood and Marrow Transplant, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-9422-6614
Roland FenkDepartment of Hematology, Oncology and Clinical Immunology, University-Hospital Duesseldorf, Duesseldorf, Germany.ORCID 0000-0001-7594-6288
Marc S RaabHeidelberg Myeloma Center, Department of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-4181-6922
Fritz Van RheeMyeloma Institute for Research & Therapy, University of Arkansas for Medical Sciences, Little Rock, AR.ORCID 0000-0001-9959-1282
Saad UsmaniMyeloma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5484-8731
Kenneth H ShainDepartment of Malignant Hematology, Moffitt Cancer Center, Tampa, FL.ORCID 0000-0003-4178-8888
Niels WeinholdHeidelberg Myeloma Center, Department of Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-5464-3234
Gareth MorganMyeloma Research Program, New York University Langone, Perlmutter Cancer Center, New York, NY.
Ola LandgrenMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0001-6485-4839

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ANIRBAN MAITRA · 1985 to 2026
$83.1M
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
Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI George S. Grills · 2019 to 2026
$24.1M
UM Calabresi Clinical Oncology Research Career Development AwardK12CA226330 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Alan Pollack · 2018 to 2026
$5.1M
NCI NIH HHS K12 CA226330NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016087NCI NIH HHS P30 CA076292NCI NIH HHS P30 CA240139NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

purposeOutcomes for patients with newly diagnosed multiple myeloma (NDMM) are heterogenous, with overall survival (OS) ranging from months to over 10 years.

methodsTo decipher and predict the molecular and clinical heterogeneity of NDMM, we assembled a series of 1,933 patients with available clinical, genomic, and therapeutic data.

resultsLeveraging a comprehensive catalog of genomic drivers, we identified 12 groups, expanding on previous gene expression-based molecular classifications. To build a model predicting individualized risk in NDMM (IRMMa), we integrated clinical, genomic, and treatment variables. To correct for time-dependent variables, including high-dose melphalan followed by autologous stem-cell transplantation (HDM-ASCT), and maintenance therapy, a multi-state model was designed. The IRMMa model accuracy was significantly higher than all comparator prognostic models, with a c-index for OS of 0.726, compared with International Staging System (ISS; 0.61), revised-ISS (0.572), and R2-ISS (0.625). Integral to model accuracy was 20 genomic features, including 1q21 gain/amp, del 1p,

conclusionIntegrating clinical, demographic, genomic, and therapeutic data, to our knowledge, we have developed the first individualized risk-prediction model enabling personally tailored therapeutic decisions for patients with NDMM.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaGenomicsHumansMelphalanPrognosisRetrospective StudiesTransplantation, AutologousMelphalan

Identifiers

PMID38194610
PMCPMC11095887

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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.