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July 16, 2025Current Opinion in Oncology

High-risk smoldering myeloma – a case for early intervention?

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Authors

AKA. KrishnamoorthiOxford University Hospitals NHS TrustRVRohit VijjhalwarUniversity Hospital Southampton NHS Foundation TrustAKArun KannanNational University of Singapore

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Implication

This review discusses the evolving risk stratification and treatment strategies for smoldering myeloma, highlighting early intervention's potential benefits.

Key Points

  • Early intervention could potentially improve outcomes for patients with high-risk smoldering myeloma, targeting disease eradication and sustained MRD negativity.
  • Risk stratification methodologies for smoldering myeloma have advanced, shifting diagnostics and treatment approaches for patient populations.
  • Ongoing trials are emphasizing intensive treatments and immunotherapies, aiming to refine strategies for managing smoldering myeloma effectively.
  • Further high-quality evidence is necessary to improve treatment protocols and patient outcomes in smoldering myeloma, especially in post-SLiM-CRAB classifications.

Cite This Study

Krishnamoorthi et al. (2025) studied this question.

synapsesocial.com/papers/68af6203ad7bf08b1eae2c4ahttps://doi.org/10.1097/cco.0000000000001182
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Immunoglobulin free light chain ratio is an independent risk factor for progression of smoldering (asymptomatic) multiple myeloma2007 · 437 citations
  2. 2Assessment of Discordance Among Smoldering Multiple Myeloma Risk Models2020 · 42 citations
  3. 3Randomized Trial of Lenalidomide Versus Observation in Smoldering Multiple Myeloma2019 · 908 citations
  4. 4Personalised progression prediction in patients with monoclonal gammopathy of undetermined significance or smouldering multiple myeloma (PANGEA): a retrospective, multicohort study2023 · 87 citations