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Genetic abnormalities and survival in multiple myeloma: the experience of the Intergroupe Francophone du Myélome

Open access
Avet-Loiseau, Hervé, Attal, Michel, Moreau, Philippe, Charbonnel, Catherine, Garban, Frédéric, Hulin, Cyrille, Leyvraz, Serge, Michallet, Mauricette, Yakoub-Agha, Ibrahim, Garderet, Laurent, Marit, Gérald, Michaux, Lucienne, Voillat, Laurent, Renaud, Marc, Grosbois, Bernard, Guillerm, Gaelle, Benboubker, Lotfi, Monconduit, Mathieu, Thieblemont, Catherine, Casassus, Philippe, Caillot, Denis, Stoppa, Anne-Marie, Sotto, Jean-Jacques, Wetterwald, Marc, Dumontet, Charles, Fuzibet, Jean-Gabriel, Azais, Isabelle, Dorvaux, Véronique, Zandecki, Marc, Bataille, Régis, Minvielle, Stéphane, Harousseau, Jean-Luc, Facon, Thierry, Mathiot, Claire·2007·Blood

Abstract

Acquired genomic aberrations have been shown to significantly impact survival in several hematologic malignancies. We analyzed the prognostic value of the most frequent chromosomal changes in a large series of patients with newly diagnosed symptomatic myeloma prospectively enrolled in homogeneous therapeutic trials. All the 1064 patients enrolled in the IFM99 trials conducted by the Intergroupe Francophone du Myélome benefited from an interphase fluorescence in situ hybridization analysis performed on purified bone marrow plasma cells. They were systematically screened for the following genomic aberrations: del(13), t(11;14), t(4;14), hyperdiploidy, MYC translocations, and del(17p). Chromosomal changes were observed in 90% of the patients. The del(13), t(11;14), t(4;14), hyperdiploidy, MYC translocations, and del(17p) were present in 48%, 21%, 14%, 39%, 13%, and 11% of the patients, respectively. After a median follow-up of 41 months, univariate statistical analyses revealed that del(13), t(4;14), nonhyperdiploidy, and del(17p) negatively impacted both the event-free survival and the overall survival, whereas t(11;14) and MYC translocations did not influence the prognosis. Multivariate analyses on 513 patients annotated for all the parameters showed that only t(4;14) and del(17p) retained prognostic value for both the event-free and overall survivals. When compared with the currently used International Staging System, this prognostic model compares favorably. In myeloma, the genomic aberrations t(4;14) and del(17p), together with β2-microglobulin level, are important independent predictors of survival. These findings have implications for the design of risk-adapted treatment strategies.

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Metadata

Authors
Avet-Loiseau, H., Attal, M., Moreau, P., Charbonnel, C., Garban, F., Hulin, C., Leyvraz, S., Michallet, M., Yakoub-Agha, I., Garderet, L., Marit, G., Michaux, L., Voillat, L., Renaud, M., Grosbois, B., Guillerm, G., Benboubker, L., Monconduit, M., Thieblemont, C., Casassus, P., Caillot, D., Stoppa, A.-M., Sotto, J.-J., Wetterwald, M., Dumontet, C., Fuzibet, J.-G., Azais, I., Dorvaux, V., Zandecki, M., Bataille, R., Minvielle, S., Harousseau, J.-L., Facon, T., & Mathiot, C.
Venue
Blood
Published
2007-01-05
Volume
109
Issue
8
Pages
3489-3495
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2087843841
Cited by
911
References
36
FWCI
36.13
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Genetic abnormalities and survival in multiple myeloma: the experience of the Intergroupe Francophone du Myélome. https://app.cochat.ai/papers/10.1182/blood-2006-08-040410
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Avet-Loiseau, H., Attal, M., Moreau, P., Charbonnel, C., Garban, F., Hulin, C., Leyvraz, S., Michallet, M., Yakoub-Agha, I., Garderet, L., Marit, G., Michaux, L., Voillat, L., Renaud, M., Grosbois, B., Guillerm, G., Benboubker, L., Monconduit, M., Thieblemont, C., . . . Mathiot, C. (2007). Genetic abnormalities and survival in multiple myeloma: the experience of the Intergroupe Francophone du Myélome. Blood. https://doi.org/10.1182/blood-2006-08-040410

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