Frailty score, sarcopenia, and myosteatosis: Stratifying risk and outcomes in non-transplant eligible patients with multiple myeloma treated with daratumumab-based dose-adjusted combination therapies

Multiple myeloma (MM) predominantly affects older patients, and the management of this population remains particularly challenging. Older patients with newly diagnosed multiple myeloma (NDMM) represent a clinically heterogeneous population in whom chronological age alone inadequately reflects treatment tolerance and prognosis. Frailty and body composition abnormalities are increasingly recognized as relevant determinants of outcomes in non–transplant-eligible patients [1,2]. While sarcopenia has been associated with poor survival across several solid malignancies, its prognostic role inMM remains controversial [3].

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Publication Details

Journal
Journal of Geriatric Oncology
Published
2026-10-15
DOI
https://doi.org/10.1016/j.jgo.2026.104640
Primary Topic
Multiple Myeloma Research and Treatments
Type
article
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article

Frailty score, sarcopenia, and myosteatosis: Stratifying risk and outcomes in non-transplant eligible patients with multiple myeloma treated with daratumumab-based dose-adjusted combination therapies

Marco Ravanelli, Rossella Ribolla, Nicola Bianchetti, Chiara Bottelli et al.
Journal of Geriatric Oncology
Multiple Myeloma Research and Treatments
article

Frailty score, sarcopenia, and myosteatosis: Stratifying risk and outcomes in non-transplant eligible patients with multiple myeloma treated with daratumumab-based dose-adjusted combination therapies

Marco Ravanelli, Rossella Ribolla, Nicola Bianchetti, Chiara Bottelli, Angelo Belotti, Daniele Avenoso, Luigi Grazioli, Claudia Crippa, Alessandra Tucci, Barbara Frittoli, Teresa Falcone, Samantha Ferrari, Sofia Terlizzi, Eleonora Vietti
article en

Abstract

Multiple myeloma (MM) predominantly affects older patients, and the management of this population remains particularly challenging. Older patients with newly diagnosed multiple myeloma (NDMM) represent a clinically heterogeneous population in whom chronological age alone inadequately reflects treatment tolerance and prognosis. Frailty and body composition abnormalities are increasingly recognized as relevant determinants of outcomes in non–transplant-eligible patients [1,2]. While sarcopenia has been associated with poor survival across several solid malignancies, its prognostic role inMM remains controversial [3].

Journal of Geriatric OncologyVol. 18(1)
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), University of Brescia (IT)
Good health and well-being
Openalex Percentile: Top 13%
Multiple Myeloma Research and Treatments
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