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December 8, 2025BloodOpen Access

Distinct trajectory and prognosis of measurable residual disease (MRD) in t(11;14) multiple myeloma (MM) treated with upfront quadruplet (QUAD) therapy and autologous stem cell transplantation (ASCT)

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Authors

LCLuciano da Fontoura CostaFHForest HulsEMEva Medvedova

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Overview

Analysis reveals that t(11;14) positive patients exhibit slower MRD negativity, but better progression-free survival, suggesting implications for treatment approaches.

Key Points

  • Median age of patients was 62 years, with 16% exhibiting t(11;14) positive multiple myeloma.
  • At the 10-5 threshold, MRD negativity rates significantly differed, 9% for t(11;14) positive versus 31% for t(11;14) negative patients post-induction.
  • A multivariate analysis indicated that both sustained MRD negativity and t(11;14) positive status correlate with a lower risk of disease progression or death.
  • Progression-free survival at four years was 93% for t(11;14) positive patients, demonstrating their outstanding prognosis post-QUAD therapy.

Cite This Study

Costa et al. (2025) studied this question.

synapsesocial.com/papers/69362f6e4fa91c937236e0eahttps://doi.org/10.1182/blood-2025-363
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