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Measurable Residual Disease Assessment in Multiple Myeloma

dc.contributor.authorCaetano, Joana
dc.contributor.authorBarahona, Filipa
dc.contributor.authorLúcio, Paulo
dc.contributor.authorJoão, Cristina
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2024-02-16T01:10:53Z
dc.date.available2024-02-16T01:10:53Z
dc.date.issued2022-09
dc.descriptionPublisher Copyright: © 2022 by the authors.
dc.description.abstractThe introduction of new and more effective therapeutic options for Multiple Myeloma (MM) has significantly deepened and prolonged patients’ remission. As currently used treatment protocols induce high rates of complete responses, Measurable Residual Disease (MRD) assessment has become essential to enhance the evaluation of treatment efficacy. Detection of MRD has improved with the development of highly sensitive and standardized techniques such as Next Generation Flow or Next Generation Sequencing, complemented by functional imaging techniques. These advances offer a valuable opportunity to further optimize criteria of response to treatment. Currently, extensive data demonstrate that MRD status is a valuable prognostic factor of survival. Since MRD represents a real measurement of disease burden, its incorporation in clinical trials to guide treatment decisions will certainly translate into clinical benefits. Sustained MRD negativity can be used to consider optimal candidates for treatment discontinuation, whereas MRD positive high-risk patients may have access to novel immunotherapeutic strategies such as bispecific drugs or CAR T cell therapy. In this review, we describe the available techniques to detect MRD, address the current data regarding MRD as a surrogate endpoint within clinical trials, examine how MRD can be introduced into the clinical management of MM patients, and discuss the future of MRD monitoring.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent29
dc.format.extent459195
dc.identifier.doi10.3390/hemato3030027
dc.identifier.otherPURE: 82960938
dc.identifier.otherPURE UUID: 406239da-82da-4f53-a672-a5515baa146c
dc.identifier.otherScopus: 85159899196
dc.identifier.urihttp://hdl.handle.net/10362/163608
dc.identifier.urlhttps://www.scopus.com/pages/publications/85159899196
dc.language.isoeng
dc.peerreviewedyes
dc.subjectmeasurable residual disease
dc.subjectmultiple myeloma
dc.subjectprognostic factor
dc.subjectsurrogate endpoint
dc.subjectHematology
dc.titleMeasurable Residual Disease Assessment in Multiple Myelomaen
dc.title.subtitleHow Deep Is Enough?en
dc.typereview
degois.publication.firstPage385
degois.publication.issue3
degois.publication.lastPage413
degois.publication.titleHemato
degois.publication.volume3
dspace.entity.typePublication
rcaap.rightsopenAccess

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