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Genetic risk identifies multiple myeloma patients who do not benefit from autologous stem cell transplantation

Summary:

Genetic aberrations have emerged as major prognostic factors for patients with multiple myeloma (MM). We evaluated 126 MM patients for t(4;14) or t(11;14), 13q or p53 deletions and correlated the number of genetic aberrations with patient's clinical outcome following undergoing autologous stem cell transplantation. We demonstrate the significance of genetic-based risk classification that clearly segregate patients into low (no genetic abnormalities or only t(11;14)), intermediate (any one of the genetic abnormalities other than t(11;14)) and high-risk groups (any two or more of the genetic abnormalities other than t(11;14)). High-risk patients do not benefit from stem cell transplant and should be offered alternative therapies.

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Acknowledgements

This study was supported in part by a grant from the Leukemia Research Fund of Canada, Canadian Institute for Health Research and National Cancer Institute of Canada.

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Correspondence to H Chang.

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Chang, H., Qi, X., Samiee, S. et al. Genetic risk identifies multiple myeloma patients who do not benefit from autologous stem cell transplantation. Bone Marrow Transplant 36, 793–796 (2005). https://doi.org/10.1038/sj.bmt.1705131

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