The aim of this study was to observe the rate of MRD conversion and the impact on survival in newly diagnosed multiple myeloma (NDMM) patients with persistent MRD positivity after induction and consolidation therapy (autologous hematopoietic stem cell transplantation or consolidation of the original regimen) who were switched to high-intensity therapy, and to compare the rate of persistent MRD-negativity, progression-free survival (PFS), and overall survival (OS) between the two groups in comparison with NDMM patients who achieved MRD-negativity after the same induction and consolidation therapy.
There is still an unmet clinical need as to whether NDMM patients with persistent MRD positive would benefit from switching to high-intensity therapy. The induction regimen (Dara+/- (Vd, Rd, Pd, VRd, VPd)) was selected based on the frail or high-risk status of NDMM patients. Transplantation or consolidation and maintenance regimens were adjusted by MRD status detected by NGF.
Study Type
OBSERVATIONAL
Enrollment
80
The First Hospital of Jilin University
Changchun, Jilin, China
RECRUITINGAdjusted treatment-adjusted MRD-negative rates
To explore the rate of conversion to MRD-negative after adjusting treatment in NDMM patients with persistent MRD-positive status.
Time frame: through study completion, up to 2 years
Progression-Free Survival (PFS)
PFS were calculated from the enrollment to the first instance of disease progression, relapse, or death
Time frame: through study completion, up to 2 years
Overall Survival (OS)
OS were calculated from the time of enrollment to death or the last follow-up
Time frame: through study completion, up to 2 years
Persistent MRD-negative rates and survival
Persistent MRD-negative rates and survival (including PFS and OS) in both groups compared to NDMM patients who achieved MRD-negativity after the same induction and consolidation therapy
Time frame: through study completion, up to 2 years
Treatment related adverse event(TRAE)
Toxicity and safety will be reported based on the adverse events, as graded by CTCAE V5 and determined by routine clinical assessments.
Time frame: through study completion, up to 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.