Evidence map›Paper›PMID 39478188›Full record

ArticleBone marrow transplantation2025

Characteristics and outcomes of therapy-related acute leukemia following autologous transplant (Auto-HCT) for multiple myeloma.

Omar Elghawy, Saarang Deshpande, Jonathan Sussman, Alfred Garfall, Adam Cohen, Shivani Kapur, Sandra Susanibar-Adaniya, Dan Vogl, Adam Waxman, Edward Stadtmauer

Abstract read
In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Turkish journal of haematology : official journal of Turkish Society of Haematology · 2026
    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

10 authors.

Omar ElghawyDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-0786-8035
Saarang DeshpandeDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-9824-9052
Jonathan SussmanDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3057-3550
Alfred GarfallDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Adam CohenDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-0939-3843
Shivani KapurDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sandra Susanibar-AdaniyaDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Dan VoglDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-2935-2566
Adam WaxmanDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Edward StadtmauerDivision of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Edward.stadtmauer@pennmedicine.upenn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With a prolonging duration of survivorship, patients with multiple myeloma (MM) who receive high-dose chemotherapy and autologous hematopoietic stem cell transplantation (auto-HCT) have an increased risk of secondary malignancy, most concerning acute leukemia. We retrospectively reviewed the records of all patients with MM who underwent auto-HCT between January 1, 2010, and January 1, 2023, who later developed therapy-related acute leukemia (t-AL). Of 1770 patients with MM who underwent auto-HCT, 18 (1.01%) developed t-AL at a mean interval of 60.0 ± 41.3 months after auto-HCT. The patients with t-AL consisted of 9 (50%) with B-cell acute lymphoblastic leukemia (B-ALL), 8 (44.4%) with acute myeloid leukemia (AML), and 1 (5.6%) with acute promyelocytic leukemia (APML). All patients had received an alkylating agent as part of induction, and the majority received lenalidomide as maintenance therapy. Genetic abnormalities of t-AL were consistent with prior reports. Median overall survival from diagnosis of t-AL was 19.5 months. In patients with t-AL who entered CR, long term survival was common. Further research on predisposing conditions to developing t-AL in patients with MM undergoing auto-HCT is warranted.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMultiple MyelomaNeoplasms, Second PrimaryTransplantation, AutologousAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID39478188
PMCPMC11726449

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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.