PMID- 37994080 OWN - NLM STAT- Publisher LR - 20231123 IS - 1592-8721 (Electronic) IS - 0390-6078 (Linking) DP - 2023 Nov 23 TI - t(11;14) status is stable between diagnosis and relapse, and concordant between detection methodologies based on fluorescence in situ hybridization and next-generation sequencing in patients with multiple myeloma. LID - 10.3324/haematol.2023.284072 [doi] AB - Multiple myeloma (MM) is associated with a wide variety of recurrent genomic alterations. The most common translocation in MM is t(11;14). In this retrospective, single-center, non-interventional study, patient bone marrow samples were examined at diagnosis and at relapse(s) following treatment with anti-myeloma regimens to determine whether t(11;14) status was stable over time. This Stability Cohort consisted of 272 patients, of whom 118 were t(11;14)-positive at diagnosis and 154 were negative. All patients in the Stability Cohort retained the same t(11;14) status at relapse that they had at diagnosis of MM. Sixteen patients who had t(11;14)-positive MM at diagnosis had multiple longitudinal FISH assessments at relapse events, which remained t(11;14)-positive across all time points. Patients who had t(11;14)-positive disease at diagnosis of monoclonal gammopathy of unknown significance (MGUS) or smoldering multiple myeloma (SMM) also retained t(11;14) positivity through MM diagnosis and relapse. The t(11;14) fusion patterns also remained constant for 90% of patients. For detection of t(11;14), results from fluorescence in situ hybridization (FISH) and next generation sequencing (NGS) were compared to determine the rate of concordance between these 2 methods. This Concordance Cohort contained 130 patients, of whom 66 had t(11;14)-positive disease and 64 were t(11;14)-negative. In this sample set, the concordance between FISH and NGS-based detection of t(11;14) was 100%. These results strongly suggest that the t(11;14) rearrangement remains stable during the full disease course in patients with multiple myeloma and can be detected by FISH- and NGS-based methodologies. FAU - Avet-Loiseau, Herve AU - Avet-Loiseau H AD - Unite de Genomique du Myelome, Institut Universitaire du Cancer Toulouse-Oncopole, Toulouse. FAU - Thiebaut-Millot, Raphaele AU - Thiebaut-Millot R AD - AbbVie, Inc., North Chicago, IL. FAU - Li, Xiaotong AU - Li X AD - AbbVie, Inc., North Chicago, IL. FAU - Ross, Jeremy A AU - Ross JA AD - AbbVie, Inc., North Chicago, IL. FAU - Hader, Carlos AU - Hader C AD - AbbVie, Inc., North Chicago, IL. carlos.hader@abbvie.com. LA - eng PT - Journal Article DEP - 20231123 PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 SB - IM EDAT- 2023/11/23 06:42 MHDA- 2023/11/23 06:42 CRDT- 2023/11/23 03:46 PHST- 2023/08/14 00:00 [received] PHST- 2023/11/23 06:42 [medline] PHST- 2023/11/23 06:42 [pubmed] PHST- 2023/11/23 03:46 [entrez] AID - 10.3324/haematol.2023.284072 [doi] PST - aheadofprint SO - Haematologica. 2023 Nov 23. doi: 10.3324/haematol.2023.284072.