Integrating Recent Evidence and Expert Perspectives Into the Management of Multiple Myeloma: Consensus Recommendations From the 2025 Bridging the Gaps Conference
The rapid expansion of therapeutic options for multiple myeloma (MM) has created uncertainty regarding optimal sequencing and clinical application. To address gaps in evidence, the 2025 Bridging the Gaps Consensus Conference convened 16 US MM experts who reviewed data, debated controversies, and voted on 51 questions that were developed using a modified Delphi approach. Eleven consensus recommendations were developed spanning smoldering MM, frontline therapy, transplant, maintenance, and relapsed/refractory disease. Key themes included integration of quadruplet induction, individualized maintenance, and early referral for CAR-T therapy. These expert-derived recommendations provide practical guidance while highlighting areas requiring further investigation.
Authors
- Amrita Krishnan
- Ajay K. Nooka (ORCID: https://orcid.org/0000-0003-4165-6869)
- Darren Pan (ORCID: https://orcid.org/0000-0003-1668-9829)
- Natalie S. Callander (ORCID: https://orcid.org/0000-0002-6975-1086)
- Shambavi Richard (ORCID: https://orcid.org/0000-0003-0274-4292)
- Doris K. Hansen (ORCID: https://orcid.org/0000-0002-9813-3578)
- Jesús G. Berdeja (ORCID: https://orcid.org/0000-0003-4362-0376)
- Noa Biran (ORCID: https://orcid.org/0000-0003-0693-4202)
- Cristina Gasparetto
- Binod Dhakal (ORCID: https://orcid.org/0000-0002-4377-9742)
- Ajai Chari
- Rahul Banerjee
- Krina Patel
- Anupama Kumar
- Luciano J. Costa
- Caitlin Costello
Institutions
- Hackensack University Medical Center (US)
- The University of Texas MD Anderson Cancer Center (US)
- Emory University (US)
- Duke University (US)
- University of California, San Francisco (US)
- Medical College of Wisconsin (US)
- Moffitt Cancer Center (US)
- University of Alabama at Birmingham (US)
- University of California San Diego (US)
- Fred Hutch Cancer Center (US)
- Piedmont Cancer Institute (US)
- University of Wisconsin Carbone Cancer Center (US)
- City of Hope (US)
- Tennessee Oncology (US)
- Icahn School of Medicine at Mount Sinai (US)
Publication Details
- Journal
- American Journal of Hematology
- Published
- 2026-04-21
- DOI
- https://doi.org/10.1002/ajh.70339
- Primary Topic
- Multiple Myeloma Research and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00