Implications of detecting serum monoclonal protein by MASS-fix following stem cell transplantation in multiple myeloma
Jithma P. Abeykoon
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDavid L. Murray
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorIsaiah Murray
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDragan Jevremovic
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorGregory E. Otteson
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorAngela Dispenzieri
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorBonnie K. Arendt
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorSurendra Dasari
Department of Health Science and Research, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorMorie Gertz
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorWilson I. Gonsalves
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorTaxiarchis V. Kourelis
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorEli Muchtar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDavid Dingli
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRahma Warsame
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRonald S. Go
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorMartha Q. Lacy
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorNelson Leung
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorFrancis Buadi
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorYi Lin
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRobert A. Kyle
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorVincent Rajkumar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorShaji Kumar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorCorresponding Author
Prashant Kapoor
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Correspondence: Prashant Kapoor, Assistant Professor of Medicine and Oncology, Mayo Clinic, Division of Hematology, 200 First Street SW, Rochester, MN 55905, USA.
E-mail: [email protected]
Search for more papers by this authorJithma P. Abeykoon
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDavid L. Murray
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorIsaiah Murray
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDragan Jevremovic
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorGregory E. Otteson
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorAngela Dispenzieri
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorBonnie K. Arendt
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorSurendra Dasari
Department of Health Science and Research, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorMorie Gertz
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorWilson I. Gonsalves
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorTaxiarchis V. Kourelis
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorEli Muchtar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorDavid Dingli
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRahma Warsame
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRonald S. Go
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorMartha Q. Lacy
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorNelson Leung
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorFrancis Buadi
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorYi Lin
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorRobert A. Kyle
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorVincent Rajkumar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorShaji Kumar
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Search for more papers by this authorCorresponding Author
Prashant Kapoor
Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA
Correspondence: Prashant Kapoor, Assistant Professor of Medicine and Oncology, Mayo Clinic, Division of Hematology, 200 First Street SW, Rochester, MN 55905, USA.
E-mail: [email protected]
Search for more papers by this authorSummary
Measurable residual disease (MRD) assessment by marrow-based next-generation flow cytometry (NGF) following autologous stem cell transplantation (ASCT) may lead to false-negative results due to patchy marrow involvement and extramedullary disease in patients with multiple myeloma. We assessed the value of simultaneous MRD evaluation with NGF and serum matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MASS-FIX). Of all 61 complete responders who were NGF-negative for MRD, around day-100 post ASCT, 59% were MASS-FIX-positive. At median follow-up of 26 months, 69% of MASS-FIX(+)/NGF(−) patients were alive and progression-free versus 96% of MASS-FIX(-)/NGF(−) patients, P = 0·02. MASS-FIX, a simple peripheral blood-based assay complements marrow-based NGF to accurately prognosticate patients with myeloma.
Conflicts of interest
David L. Murray and Surendra Dasari have intellectual property rights encompassing the MASS-FIX process which have been licensed to The Binding Site. Prashant Kapoor is a PI for research studies for which Mayo Clinic has received funding from AbbVie, Takeda, Sanofi, Janssen and Amgen. Advisory Board: Sanofi, Pharmacyclics, Cellectar and Karyopharm.
Supporting Information
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