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  1. No Access

    Article

    Clinical presentation and outcomes in light chain amyloidosis patients with non-evaluable serum free light chains

    Hematologic response criteria in light chain (AL) amyloidosis require the difference in involved and uninvolved free light chains (dFLC) to be at least 5 mg/dl. We describe the clinical presentation and outcom...

    S Sidana, N Tandon, A Dispenzieri, M A Gertz, F K Buadi, M Q Lacy, D Dingli in Leukemia (2018)

  2. No Access

    Article

    Pomalidomide–dexamethasone in refractory multiple myeloma: long-term follow-up of a multi-cohort phase II clinical trial

    Despite therapeutic advances, multiple myeloma remains incurable, with limited options for patients with refractory disease. We conducted a large, multi-cohort clinical trial testing various doses and treatmen...

    S Ailawadhi, J R Mikhael, B R LaPlant, K M Laumann, S Kumar, V Roy, D Dingli in Leukemia (2018)

  3. No Access

    Article

    Natural history of t(11;14) multiple myeloma

    Translocation (11;14) on interphase fluorescent in situ hybridization in plasma cells is regarded as a standard risk prognostic marker in multiple myeloma based on studies conducted before introduction of current...

    A Lakshman, M Alhaj Moustafa, S V Rajkumar, A Dispenzieri, M A Gertz, F K Buadi in Leukemia (2018)

  4. Article

    Open Access

    Prognostic implications of abnormalities of chromosome 13 and the presence of multiple cytogenetic high-risk abnormalities in newly diagnosed multiple myeloma

    Fluorescence in situ hybridization evaluation is essential for initial risk stratification in multiple myeloma. While the presence of specific cytogenetic high-risk abnormalities (HRA) is known to confer a poor p...

    M Binder, S V Rajkumar, R P Ketterling, P T Greipp, A Dispenzieri in Blood Cancer Journal (2017)

  5. No Access

    Article

    Interphase fluorescence in situ hybridization in untreated AL amyloidosis has an independent prognostic impact by abnormality type and treatment category

    The significance of interphase fluorescence in situ hybridization (iFISH) by regimen type was assessed in 692 immunoglobulin light-chain (AL) amyloidosis patients with iFISH at diagnosis. First-line treatment was...

    E Muchtar, A Dispenzieri, S K Kumar, R P Ketterling, D Dingli, M Q Lacy in Leukemia (2017)

  6. Article

    Open Access

    Changes in uninvolved immunoglobulins during induction therapy for newly diagnosed multiple myeloma

    Little is known about the impact of multiple myeloma (MM) treatment on uninvolved immunoglobulins (Ig). We identified 448 patients who received high-dose dexamethasone (HD-DEX), lenalidomide and dexamethasone ...

    P Ravi, S Kumar, W Gonsalves, F Buadi, M Q Lacy, R S Go in Blood Cancer Journal (2017)

  7. Article

    Open Access

    Clinical utility of the Revised International Staging System in unselected patients with newly diagnosed and relapsed multiple myeloma

    We analyzed the utility of Revised International staging system (RISS) in an unselected cohort of newly diagnosed multiple myeloma (NDMM; cohort 1), and relapsed/refractory multiple myeloma (RRMM; cohort 2) pa...

    N Tandon, S V Rajkumar, B LaPlant, A Pettinger, M Q Lacy in Blood Cancer Journal (2017)

  8. No Access

    Article

    Quantification of circulating clonal plasma cells via multiparametric flow cytometry identifies patients with smoldering multiple myeloma at high risk of progression

    The presence of high numbers of circulating clonal plasma cells (cPCs) in patients with smoldering multiple myeloma (SMM), detected by a slide-based immunofluorescence assay, has been associated with a shorter...

    W I Gonsalves, S V Rajkumar, A Dispenzieri, D Dingli, M M Timm, W G Morice in Leukemia (2017)

  9. No Access

    Article

    Immunoparesis in newly diagnosed AL amyloidosis is a marker for response and survival

    Immunoparesis is an adverse prognostic marker in plasma cell proliferative disorders. Its impact in AL amyloidosis has not been explored in depth. Newly diagnosed AL amyloidosis patients (n=998) were evaluated fo...

    E Muchtar, A Dispenzieri, S K Kumar, F K Buadi, M Q Lacy, S Zeldenrust in Leukemia (2017)

  10. No Access

    Article

    Early relapse following initial therapy for multiple myeloma predicts poor outcomes in the era of novel agents

    Outcomes for patients with multiple myeloma (MM) have improved in recent years owing to use of novel agents and high-dose therapy followed by autologous stem cell transplant (ASCT). We analyzed the outcomes of...

    N Majithia, S V Rajkumar, M Q Lacy, F K Buadi, A Dispenzieri, M A Gertz in Leukemia (2016)

  11. No Access

    Article

    Clinical course and outcomes of patients with multiple myeloma who relapse after autologous stem cell therapy

    W I Gonsalves, S V Rajkumar, M A Gertz, A Dispenzieri in Bone Marrow Transplantation (2016)

  12. Article

    Open Access

    Evolving changes in disease biomarkers and risk of early progression in smoldering multiple myeloma

    We studied 190 patients with smoldering multiple myeloma (SMM) at our institution between 1973 and 2014. Evolving change in monoclonal protein level (eMP) was defined as ⩾10% increase in serum monoclonal prote...

    P Ravi, S Kumar, J T Larsen, W Gonsalves, F Buadi, M Q Lacy, R Go in Blood Cancer Journal (2016)

  13. No Access

    Article

    Risk factors for and outcomes of patients with POEMS syndrome who experience progression after first-line treatment

    Although clinical improvement is almost universal with therapy in patients with POEMS (an acronym for polyneuropathy, organomegaly, endocrinopathies, monoclonal protein and a variety of skin changes) syndrome,...

    T V Kourelis, F K Buadi, M A Gertz, M Q Lacy, S K Kumar, P Kapoor, R S Go in Leukemia (2016)

  14. Article

    Open Access

    Occurrence and prognostic significance of cytogenetic evolution in patients with multiple myeloma

    Cytogenetic evaluation at the time of diagnosis is essential for risk stratification in multiple myeloma, however little is known about the occurrence and prognostic significance of cytogenetic evolution durin...

    M Binder, S V Rajkumar, R P Ketterling, A Dispenzieri, M Q Lacy in Blood Cancer Journal (2016)

  15. No Access

    Article

    Impact of cytogenetic classification on outcomes following early high-dose therapy in multiple myeloma

    Early high-dose therapy (HDT), consisting of high-dose melphalan and autologous stem cell transplantation following doublet or triplet novel agent induction, is a preferred management strategy for transplant-e...

    G P Kaufman, M A Gertz, A Dispenzieri, M Q Lacy, F K Buadi, D Dingli in Leukemia (2016)

  16. No Access

    Article

    Utility of serum free light chain measurements in multiple myeloma patients not achieving complete response to therapy

    Normalization of the serum-free light-chain ratio (FLCr) with the absence of bone marrow monoclonal plasma cells following achievement of a complete response (CR) to therapy denotes a stringent CR in multiple ...

    M Alhaj Moustafa, S V Rajkumar, A Dispenzieri, M A Gertz, M Q Lacy, F K Buadi in Leukemia (2015)

  17. Article

    Open Access

    Abnormal FISH in patients with immunoglobulin light chain amyloidosis is a risk factor for cardiac involvement and for death

    Importance of interphase fluorescent in situ hybridization (FISH) with cytoplasmic staining of immunoglobulin FISH (cIg-FISH) on bone marrow is not well understood in light chain amyloidosis (AL). This is in cont...

    R Warsame, S K Kumar, M A Gertz, M Q Lacy, F K Buadi, S R Hayman in Blood Cancer Journal (2015)

  18. Article

    Open Access

    Improvement in renal function and its impact on survival in patients with newly diagnosed multiple myeloma

    Renal impairment (RI) is seen in over a quarter of patients with newly diagnosed multiple myeloma (NDMM). It is not clear if reversal of RI improves the outcome to that expected for NDMM patients without RI. W...

    W I Gonsalves, N Leung, S V Rajkumar, A Dispenzieri, M Q Lacy in Blood Cancer Journal (2015)

  19. No Access

    Article

    Impact of primary molecular cytogenetic abnormalities and risk of progression in smoldering multiple myeloma

    We studied 351 patients with smoldering multiple myeloma (SMM) in whom the underlying primary molecular cytogenetic subtype could be determined based on cytoplasmic immunoglobulin fluorescent in situ hybridizatio...

    S V Rajkumar, V Gupta, R Fonseca, A Dispenzieri, W I Gonsalves, D Larson in Leukemia (2013)

  20. No Access

    Article

    A phase III randomized trial of thalidomide plus zoledronic acid versus zoledronic acid alone in patients with asymptomatic multiple myeloma

    Patients with asymptomatic (smoldering) multiple myeloma (AMM) have a high risk of transformation to active multiple myeloma (MM). Bisphosphonates such as zoledronic acid (ZLD) reduce skeletal events in MM and...

    T E Witzig, K M Laumann, M Q Lacy, S R Hayman, A Dispenzieri, S Kumar in Leukemia (2013)

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