To conduct a multicenter, prospective observational cohort study to investigate first-line immunotherapy patterns and clinical outcomes in NDMM patients in China. Leveraging the extensive patient resources of China's large center for blood disorders, the investigator will recruit approximately 500 NDMM patients to establish an NDMM patient cohort. The investigator will collect data on disease characteristics, treatment patterns, and clinical outcomes through one year of clinical follow-up. Further long-term follow-up is needed to obtain survival status and causes of death, so as to provide essential evidence for optimizing and improving patients' prognosis in clinical individualized treatment.
Study Type
OBSERVATIONAL
Enrollment
500
Peking University People's Hospital
Beijing, Beijing Municipality, China
RECRUITINGtreatment patterns
To describe the treatment patterns of Chinese NDMM patients receiving first-line immunotherapy in real-world settings.
Time frame: From July 2025 to July 2026
real-world overall response rate (rwORR)
To determine the clinical outcomes of Chinese NDMM patients receiving first-line immunotherapy in real-world settings.The real-world overall response rate (rwORR) of the entire population, as well as the rwORR of each treatment regimen.
Time frame: From July 2025 to July 2026
MRD
To assess the depth of response in Chinese patients with NDMM receiving first-line immunotherapy in real-world settings, with the corresponding endpoint being minimal residual disease.
Time frame: July 2025-July 2027
Revised International Staging System (R-ISS) Stage
Disease stage classified according to the Revised International Staging System (R-ISS I, II, or III) at baseline.
Time frame: July 2025-July 2026
Serum Lactate Dehydrogenase Level
Serum LDH concentration measured at baseline, reported in units per liter (U/L).
Time frame: July 2025-July 2026
Age at Baseline
Patient age in years at the time of enrollment (baseline)
Time frame: July 2025-July 2026
Sex
Biological sex recorded at baseline (male or female)
Time frame: July 2025-July 2026
M-Protein Isotype
Type of monoclonal immunoglobulin (e.g., IgG, IgA, IgD, IgM, light chain only) determined at diagnosis.
Time frame: July 2025-July 2026
Gain of Chromosome 1q21 by FISH
Presence of gain or amplification of chromosome region 1q21 detected by FISH at baseline
Time frame: July 2025-July 2026
Ultra-High-Risk Cytogenetic Abnormalities (UHRCA)
Presence of ultra-high-risk genetic features defined as: TP53 biallelic inactivation, ≥2 high-risk cytogenetic lesions (e.g., del(17p), t(4;14), amp(1q)), circulating plasma cells ≥2%, or primary refractory disease
Time frame: July 2025-July 2026
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