Evidence map›Paper›PMID 41481388›Full record

ArticleBlood2026

Genomic mechanisms of resistance to venetoclax in multiple myeloma with t(11;14)(CCND1;IGH).

Marcella Kaddoura, J Erin Wiedmeier-Nutor, Vikas A Gupta, Tomas Jelinek, Bachisio Ziccheddu, Suganti Shivaram, Hongwei Tang, Rebecca W Owens, Tereza Sevcikova, Rodrigo Fonseca and 18 more

Abstract read
In one paragraph

Article in Blood, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Marcella KaddouraMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL.
J Erin Wiedmeier-NutorDepartment of Medicine, Mayo Clinic, Phoenix, AZ.
Vikas A GuptaDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Tomas JelinekDepartment of Hematooncology, University Hospital Ostrava, Ostrava, Czech Republic.
Bachisio ZicchedduMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL.
Suganti ShivaramDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Hongwei TangDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Rebecca W OwensDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Tereza SevcikovaDepartment of Hematooncology, University Hospital Ostrava, Ostrava, Czech Republic.
Rodrigo FonsecaDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0001-7130-0340
Michael DuranteMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL.ORCID 0000-0003-3137-6847
Benjamin DiamondMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL.ORCID 0000-0002-8638-9365
Logan ZhaoDepartment of Medicine, Mayo Clinic, Phoenix, AZ.
Yuan X ZhuDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0003-0779-7756
Chang-Xin ShiDepartment of Medicine, Mayo Clinic, Phoenix, AZ.
Shannon M MatulisDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Constantine S MitsiadesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Ola LandgrenMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL.ORCID 0000-0001-6485-4839
Saad UsmaniDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Roman HajekDepartment of Hematooncology, University Hospital Ostrava, Ostrava, Czech Republic.
Marta ChesiDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0002-4024-8225
P Leif BergsagelDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0003-1523-7388
Esteban BraggioDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0003-3860-4830
Lawrence H BoiseDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.ORCID 0000-0001-9436-8815
Rafael FonsecaDepartment of Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0002-5938-3769
Shaji KumarDepartment of Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-5392-9284
Francesco MauraDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5017-1620
Linda B BaughnDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

abstractMultiple myeloma (MM) with t(11;14)(CCND1;IGH) remains the only subset sensitive to the BCL2 inhibitor venetoclax. However, not all patients with t(11;14)(CCND1;IGH) respond to treatment, and some progress early after initial response. To investigate this, we examined 44 whole-genome and whole-exome sequencing data samples from 34 patients with t(11;14) MM treated with venetoclax. The presence of mutations in the RAS pathway was strongly associated with shortened progression-free survival (PFS) and was validated in an independent cohort of 21 patients with MM. The presence of 1q gain was also associated with shorter PFS in patients without RAS mutations. In 10 patients with paired prevenetoclax and postvenetoclax treatment samples, postvenetoclax progression was recurrently driven by the selection of genomic events in the BCL2/MCL1 and RAS pathways and of high-risk features (eg, loss of TP53 and CDKN2C). Overall, our study shows that comprehensive genomic profiling can identify most mechanisms underlying resistance to BCL2 inhibition in t(11;14)(CCND1;IGH) MM.

Indexed as

Antineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicChromosomes, Human, Pair 11Chromosomes, Human, Pair 14Cyclin D1Drug Resistance, NeoplasmMultiple MyelomaSulfonamidesTranslocation, GeneticAgedAged, 80 and overFemaleHumansMaleMiddle AgedMutationAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCCND1 protein, humanCyclin D1Sulfonamidesvenetoclax

Identifiers

PMID41481388
PMCPMC13077482

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.