Evidence map›Paper›PMID 40195455›Full record

ReviewNature reviews. Clinical oncology2025

Opportunities and challenges for MRD assessment in the clinical management of multiple myeloma.

Bruno Paiva, Qian Shi, Noemi Puig, Maria-Teresa Cedena, Alberto Orfao, Brian G M Durie, Nikhil C Munshi, Jesús San-Miguel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Imaging B cell maturation antigen in multiple myeloma.The Journal of clinical investigation · 2026
    Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Review
  13. Observational
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. [Chinese expert consensus on the diagnosis and treatment of plasma cell leukemia (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
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

8 authors.

Bruno PaivaCima Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra (IDISNA), CIBER-ONC number CB16/12/00369, Cancer Center Clínica Universidad de Navarra, Pamplona, Spain. bpaiva@unav.es.ORCID http://orcid.org/0000-0003-1977-3815
Qian ShiDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Noemi PuigInstituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación del Cancer (IBMCC, USAL-CSIC), CIBER-ONC number CB16/12/00233, Hospital Universitario de Salamanca, Salamanca, Spain.
Maria-Teresa CedenaInstituto de Investigación imas12, CIBER-ONC number CB16/12/00369, Hospital Universitario 12 de Octubre, Madrid, Spain.
Alberto OrfaoDepartment of Medicine and Cytometry Service, Centro de Investigación del Cancer (IBMCC, USAL-CSIC), CIBER-ONC number CB16/12/00400, University of Salamanca, Salamanca, Spain.
Brian G M DurieDivision of Hematology/Oncology, Cedars-Sinai Outpatient Cancer Center, Los Angeles, CA, USA.
Nikhil C MunshiBasic and Correlative Science, Jerome Lipper Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, VA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7344-9795
Jesús San-MiguelCima Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra (IDISNA), CIBER-ONC number CB16/12/00369, Cancer Center Clínica Universidad de Navarra, Pamplona, Spain.ORCID http://orcid.org/0000-0002-9183-4857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurable residual disease (MRD) assessment is, from the methodological point of view, ready for prime time in multiple myeloma (MM). Abundant evidence underscores the value of MRD status determined using highly sensitive next-generation flow cytometry and next-generation sequencing tests in evaluating response to treatment and, therefore, prognosis in patients with this disease. MRD response assessment and monitoring might present a range of opportunities for individualized patient management. Moreover, the considerable amounts of high-quality and standardized MRD data generated in clinical trials have led to the acceptance of MRD negativity as an early end point for accelerated regulatory approval of treatments for MM. The data leave no doubt that the efficacy of new regimens in inducing deeper and durable MRD-negative responses is connected with prolonged survival. Yet, several evidential, technical and practical challenges continue to limit the implementation of MRD-guided treatment strategies in routine practice, and the use of MRD as a surrogate end point remains controversial to some. In this Review, we draw on past and present research to propose opportunities for overcoming some of these challenges, and to accelerate the use of MRD assessment for improved clinical management of patients with MM.

Indexed as

Multiple MyelomaNeoplasm, ResidualDisease ManagementFlow CytometryHigh-Throughput Nucleotide SequencingHumansPrognosis

Identifiers

What OpenQuestion holds

Textmetadata
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.