Unveiling the Prognostic Power of Circulating Tumor DNA in Multiple Myeloma: A Systematic Review and Updated Meta-Analysis.
Wanting Ying, Lei Fan, Ran Li et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the prognostic significance of circulating tumor DNA (ctDNA) in 948 patients with multiple myeloma (MM). The study found that detectable ctDNA is associated with a significantly increased risk of aggressive disease progression (HR, 3.21) and reduced overall survival (OS) (HR, 3.97).
Key findings
- Patients with detectable ctDNA had a 3.21 times higher risk of aggressive disease progression.
- Detectable ctDNA was associated with a 3.97 times increased risk of reduced overall survival.
- Subgroup analyses showed ctDNA positivity correlated with poorer OS in relapsed or refractory MM patients.
- Associations were not significant in newly diagnosed MM or among Asian patients.
Why it matters
The findings highlight the potential of ctDNA as a non-invasive biomarker for assessing prognosis in multiple myeloma, which could aid in risk stratification and treatment planning.