Molecular predictors of minimal residual disease in newly diagnosed multiple myeloma treated with quadruplet therapy - Takeaways - MDSpire
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Molecular Factors Associated With Minimal Residual Disease in Newly Diagnosed Multiple Myeloma After Quadruplet Therapy

  • By

  • Florence Magrangeas

  • Mia Cherkaoui

  • Victor Bessonneau-Gaborit

  • Jennifer Derrien

  • Céline Chevalier

  • Catherine Guérin-Charbonnel

  • Benjamin Diamond

  • Mehmet Kemal Samur

  • Cyrille Hulin

  • Denis Caillot

  • Lionel Karlin

  • Bertrand Arnulf

  • Ola Landgren

  • Nikhil C. Munshi

  • Hervé Avet-Loiseau

  • Ludovic Martinet

  • Jill Corre

  • Aurore Perrot

  • Philippe Moreau

  • Cyrille Touzeau

  • Stéphane Minvielle

  • Eric Letouzé

  • October 19, 2026

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  • 1

    The MIDAS ancillary study profiled 423 newly diagnosed multiple myeloma cases using whole-genome sequencing, RNA sequencing, and DNA methylation sequencing.

  • 2

    The cohort received standardized induction with isatuximab, carfilzomib, lenalidomide, and dexamethasone; MRD predictor analyses were restricted to enrolled patients.

  • 3

    Gene expression analysis identified eight molecular groups associated with genomic alterations, including three distinct hyperdiploid subgroups.

  • 4

    Among 368 enrolled patients with postinduction MRD data, 44.8% were MRD negative at 10−6 and 59.8% at 10−5.

  • 5

    MRD-negativity rates differed significantly by expression group, with the lowest rates in CD2 and MF and the highest in HP1, HP3, and MS.

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