Luciano Costa, MD, PhD, UAB School of Medicine, Birmingham, AL, discusses an investigation into t(11;14) multiple myeloma using real-world data. Patient and disease characteristics were compared between t(11;14) positive and t(11;14) negative patients, as well as other genetic subgroups. The study found that t(11;14) positive patients had worse progression-free survival (PFS) and overall survival (OS) compared to t(11;14) negative patients despite novel targeted therapeutics. Additionally, t(11;14) worsened prognosis in myeloma with del(17p), acting as a high-risk translocation. This interview took place during the 62nd American Society of Hematology (ASH) Annual Meeting and Exposition, 2020.