Evidence map›Paper›PMID 40489728›Full record

GuidelineJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

International Myeloma Society/International Myeloma Working Group Consensus Recommendations on the Definition of High-Risk Multiple Myeloma.

Hervé Avet-Loiseau, Faith E Davies, Mehmet K Samur, Jill Corre, Mattia D'Agostino, Martin F Kaiser, Marc S Raab, Niels Weinhold, Norma C Gutierrez, Bruno Paiva and 36 more

Erratum issued 3 registry-linked trialsAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 129 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 4 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.

NCT07601100 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 1b/2 Study of the Combination Isatuximab, Iberdomide, Bortezomib, and Dexamethasone in Newly Diagnosed Multiple Myeloma Who Are Transplant Ineligible or Not Intended for Upfront Transplant

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2026 to 2034Enrolled88ConditionsNewly Diagnosed Multiple MyelomaArmsIsatuximab, Iberdomide, Bortezomib, Dexamethesone
NCT07624513 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Determination 2 - Isatuximab, Iberdomide, Bortezomib and Dexamethasone Induction, Followed by Risk- and Response-Adapted Consolidation and Maintenance Therapy, in Transplant-Eligible Patients With Newly Diagnosed Multiple Myeloma

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2026 to 2038Enrolled720ConditionsMultiple MyelomaArmsIsatuximab, Iberdomide, Bortezomib (B), Dexamethasone, Melphalan
NCT07671287 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Accelerate Improvement in Multiple Myeloma for Newly Diagnosed Transplant-Eligible Patients

TypeinterventionalSponsorUniversity of Heidelberg Medical CenterRan2026 to 2033Enrolled399ConditionsMultiple MyelomaArmsTeclistamab, Daratumumab, Lenalidomide, Bortezomib (B), dexamethsone
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors.

Hervé Avet-LoiseauUnité de Genomique du Myélome, Institut National de la Santé et de la Recherche Médicale, University Cancer Center of Toulouse, Toulouse, France.ORCID 0000-0002-3050-0140
Faith E DaviesPerlmutter Cancer Center, NYU Langone Health, New York, NY.ORCID 0000-0002-3971-2393
Mehmet K SamurDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.ORCID 0000-0002-9978-5682
Jill CorreUnité de Genomique du Myélome, Institut National de la Santé et de la Recherche Médicale, University Cancer Center of Toulouse, Toulouse, France.ORCID 0000-0003-1580-6106
Mattia D'AgostinoDivision of Hematology, AOU Città della Salute e della Scienza di Torino, Torino, Italy.ORCID 0000-0002-1711-6996
Martin F KaiserDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-3677-4804
Marc S RaabDepartment of Medicine V, Heidelberg Myeloma Center, University Hospital and Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany.ORCID 0000-0003-4181-6922
Niels WeinholdDepartment of Medicine V, Heidelberg Myeloma Center, University Hospital and Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany.ORCID 0000-0002-5464-3234
Norma C GutierrezDepartamento de Hematología, Hospital Universitario de Salamanca, (HUSA/IBSAL), Centro de Investigación del Cáncer-IBMCC (CSIC/USAL), CIBERONC, Salamanca, Spain.ORCID 0000-0001-5834-9510
Bruno PaivaCancer Center Clínica Universidad de Navarra (CCUN), Centro de Investigación Médica Aplicada (CIMA LAB Diagnostics), IDISNA, CIBERONC, Pamplona, Spain.ORCID 0000-0003-1977-3815
Paola NeriArnie Charbonneau Cancer Institute, University of Calgary, Calgary, Canada.
Katja WeiselDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section of Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-9422-6614
Francesco MauraDivision of Myeloma, University of Miami, Sylvester Comprehensive Cancer Center, Miami, FL.ORCID 0000-0002-5017-1620
Brian A WalkerDivision of Hematology and Oncology, School of Medicine, Melvin and Bren Simon Comprehensive Cancer Center, Indiana University, Indianapolis, IN.ORCID 0000-0002-8615-6254
Mark BustorosDivision of Hematology and Medical Oncology, Joan and Sanford I. Weill Department of Medicine, Sandra & Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-4652-5449
A Keith StewartDivision of Hematology-Oncology, Princess Margaret Cancer Centre, Toronto, ON, Canada.ORCID 0000-0001-8638-6933
Saad Z UsmaniMyeloma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5484-8731
Jens HillengassDepartment of Medicine-Myeloma, Roswell Park Comprehensive Cancer Center, Buffalo, NY.ORCID 0000-0002-1778-0010
Wee Joo ChngDepartment of Medical Oncology, National University Cancer Institute, and Cancer Science Institute of Singapore, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-2578-8335
Jonathan J KeatsIntegrated Cancer Genomics Division, Translational Genomics Research Institute, Phoenix, AZ.ORCID 0000-0003-4375-7399
Joaquin Martinez-LopezHospital 12 de Octubre, i+12, School of Medicine Universidad Complutense, CNIO, Madrid, Spain.ORCID 0000-0001-7908-0063
Adam S SperlingDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-9369-4413
Cyrille TouzeauHematology Department, University Hospital Hôtel-Dieu, Nantes, France.ORCID 0000-0003-0275-2575
Fenghuang ZhanDepartment of Internal Medicine, Myeloma Center, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR.ORCID 0000-0001-6208-1676
Noopur S RajeDepartment of Hematology/Oncology, Center for Multiple Myeloma, Harvard Medical School, Massachusetts General Hospital, Boston, MA.ORCID 0000-0003-3066-1275
Michele CavoDipartimento di Scienze Mediche e Chirurgiche, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Università di Bologna, Bologna, Italy.
Niccolò BolliDepartment of Oncology and Onco-Hematology, University of Milan and Hematology Section Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-1018-5139
Irene M GhobrialDepartment of Medical Oncology, Center for Early Detection and Interception of Blood Cancers, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0001-7361-3092
Madhav V DhodapkarEmory University School of Medicine, Atlanta, GA.ORCID 0000-0002-8249-5988
Sundar JagannathIcahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0003-2934-6518
Andrew SpencerDepartment of Haematology, The Alfred Hospital and Monash University, Melbourne, Australia.ORCID 0000-0002-0531-7424
Samir ParekhDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0001-9694-8469
Nizar J BahlisArnie Charbonneau Cancer Institute, University of Calgary, Calgary, Canada.ORCID 0000-0001-7353-7034
Sagar LonialWinship Cancer Institute, Emory University, Atlanta, GA.
Pieter SonneveldDepartment of Hematology, EMN/Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-0808-2237
Leif BergsagelDivision of Hematology, Mayo Clinic, Phoenix, AZ.ORCID 0000-0003-1523-7388
Robert Z OrlowskiDepartments of Lymphoma/Myeloma and Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-5723-4129
Gareth MorganPerlmutter Cancer Center, NYU Langone Health, New York, NY.
María Victoria MateosDepartamento de Hematología, Hospital Universitario de Salamanca, (HUSA/IBSAL), Centro de Investigación del Cáncer-IBMCC (CSIC/USAL), CIBERONC, Salamanca, Spain.ORCID 0000-0003-2390-1218
S Vincent RajkumarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Jesus F San MiguelCancer Center Clínica Universidad de Navarra (CCUN), CIMA, CIBERONC, IDISNA, Pamplona, Spain.ORCID 0000-0002-9183-4857
Kenneth C AndersonDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0002-6418-0886
Philippe MoreauHematology Department, University Hospital Hôtel-Dieu, Nantes, France.ORCID 0000-0003-1780-8746
Shaji KumarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-5392-9284
Felipe PrósperHematology and Cell Therapy and Program of Hematology-Oncology CIMA, Clinica Universidad de Navarra, IdISNA, CIBERONC, Pamplona, Spain.
Nikhil C MunshiDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0002-7344-9795

Funding

Targeting Genomic Instability and Evolution in MyelomaP01CA155258 · NCI · DANA-FARBER CANCER INST · PI Nikhil C. Munshi · 2011 to 2026
$32.5M
NCI NIH HHS P01 CA155258
6 · The paper itself

Abstract

Despite significant improvements in survival of patients with multiple myeloma (MM), outcomes remain heterogeneous, and a significant proportion of patients experience suboptimal outcomes. Importantly, traditional prognostic factors based on data from patients treated with older therapies no longer capture prognosis accurately in the contemporary era of novel triplet or quadruplet therapies. Therefore, risk stratification requires refinement in the context of available and investigational treatment options in routine practice and clinical trials, respectively. The current identification of high-risk MM (HRMM) in routine practice is based on the Revised International Staging System, which stratifies patients using a combination of widely available serum biomarkers and chromosomal abnormalities assessed via fluorescence in situ hybridization. In recent years, a substantial body of evidence concerning additional clinical, biological, and molecular/genomic prognostic factors has accumulated, along with new MM risk stratification tools and consensus reports. The International Myeloma Society, along with the International Myeloma Working Group, convened an Expert Panel with the primary aim of revisiting the definition of HRMM and formulating a practical and data-driven consensus definition, based on new evidence from molecular/genomic assays, updated clinical data, and contemporary risk stratification concepts. The Panel proposes the following Consensus Genomic Staging (CGS) of HRMM which relies upon the presence of at least one of these abnormalities: (1) del(17p), with a cutoff of >20% clonal fraction, and/or

Indexed as

Multiple MyelomaBiomarkers, TumorChromosome AberrationsHumansNeoplasm StagingPrognosisRisk AssessmentBiomarkers, Tumor

Identifiers

PMID40489728
PMCPMC13445576

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Registered trials

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.