Well, I think that there was never so much momentum as we have currently regarding the use of CTCs in myeloma circulating tumor cells. The prognostic value has been there for quite some time, but more recently we had some very, very important studies using standardized methods, such as next-generation flow cytometry, large cohorts, some of which treated with a new standard of care, that unequivocally show that CTCs are prognostic...
Well, I think that there was never so much momentum as we have currently regarding the use of CTCs in myeloma circulating tumor cells. The prognostic value has been there for quite some time, but more recently we had some very, very important studies using standardized methods, such as next-generation flow cytometry, large cohorts, some of which treated with a new standard of care, that unequivocally show that CTCs are prognostic. They are independent prognostic factors in multivariate analysis using other risk models. They actually improve the accuracy of all risk models, including the newest IMS-IMWG consensus genomic score. And based on the accumulation of large, large data sets and the development of some important consortia around Europe and even around the world, we now have defined the cut-offs that are ready for clinical implementation. And I’m glad to say that, let’s say, an easy cut-off such as 0.02% CTCs is applicable for the staging not only of smoldering myeloma but also newly diagnosed active myeloma as well as relapsed refractory disease.
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