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clinical / clinicaldaratumumab ALCYONE, MRD in myeloma, CD38 targeting

Jesús F. San Miguel

赫苏斯·圣米格尔

MD, PhD

🏢Clínica Universidad de Navarra / CIMA(纳瓦拉大学诊所 / 应用医学研究中心(CIMA))🌐Spain

Director, Department of Hematology and Cell Therapy; Professor of Medicine and Hematology, Universidad de Navarra血液学与细胞治疗科主任;纳瓦拉大学医学与血液学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Jesús F. San Miguel, MD, PhD is Director of the Department of Hematology and Cell Therapy at the Clínica Universidad de Navarra and a professor at CIMA (Center for Applied Medical Research). He is one of Europe's leading authorities on multiple myeloma, internationally recognized for his contributions to establishing MRD (minimal residual disease) assessment as a key endpoint in myeloma clinical trials and for his pivotal role in daratumumab's frontline development. Dr. San Miguel co-led the ALCYONE trial (NEJM 2018), a phase III study demonstrating that adding daratumumab to bortezomib, melphalan, and prednisone (VMP) significantly improved overall survival, progression-free survival, and MRD negativity rates in transplant-ineligible newly diagnosed myeloma patients — establishing daratumumab-VMP as a new standard of care in this population. He has championed the standardization of MRD monitoring in myeloma through ultra-sensitive flow cytometry (next-generation flow, NGF) and next-generation sequencing (NGS) techniques, and has co-authored the EuroFlow and IMWG consensus criteria for MRD assessment. Earlier in his career, Dr. San Miguel contributed to defining the diagnostic criteria for smoldering myeloma and risk stratification models that guide treatment decisions for early intervention. He has published more than 800 peer-reviewed articles, serves on the editorial boards of Blood and JCO, and leads Spain's GEM (Grupo Español de Mieloma) cooperative group.

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🧪Research Fields 研究领域

ALCYONE Trial — Daratumumab Plus VMP in Transplant-Ineligible Newly Diagnosed MyelomaALCYONE试验——达雷妥尤单抗联合VMP治疗移植不适合新诊断骨髓瘤
Minimal Residual Disease (MRD) Assessment as a Surrogate Endpoint in Myeloma微小残留病(MRD)评估作为骨髓瘤替代终点
CD38-Targeting Monoclonal Antibodies — Daratumumab Mechanism and Clinical StrategyCD38靶向单克隆抗体——达雷妥尤单抗机制与临床策略
Frontline Treatment Optimization for Newly Diagnosed Multiple Myeloma新诊断多发性骨髓瘤一线治疗优化
Flow Cytometry and Next-Generation Sequencing for MRD Detection流式细胞术与下一代测序用于MRD检测

🎓Key Contributions 主要贡献

ALCYONE Trial — Daratumumab Frontline in Transplant-Ineligible NDMM

Co-led the phase III ALCYONE trial (NEJM 2018; n=706) demonstrating that daratumumab added to VMP (bortezomib, melphalan, prednisone) significantly improved overall survival (HR 0.60), PFS (median 36.4 vs. 19.3 months), and MRD negativity rates compared with VMP alone in transplant-ineligible newly diagnosed myeloma — resulting in FDA approval of daratumumab-VMP and establishing CD38 antibody-based quadruplet therapy as a new frontline standard.

MRD Assessment Standardization and Clinical Validation

Pioneered the development and clinical validation of next-generation flow (NGF) cytometry for ultra-sensitive MRD detection (10⁻⁵ to 10⁻⁶ sensitivity) in myeloma, and co-led IMWG consensus initiatives standardizing MRD criteria. Multiple analyses from GEM trials and international datasets have established MRD negativity as a strong independent predictor of PFS and OS, now formally incorporated into IMWG response criteria.

Smoldering Myeloma Risk Stratification and Early Intervention

Developed and validated prognostic models for smoldering multiple myeloma identifying ultra-high-risk patients with ≥80% 2-year progression probability, and conducted the phase III QUIREDEX trial demonstrating that early treatment with lenalidomide plus dexamethasone significantly delays progression to symptomatic myeloma — redefining the management paradigm for high-risk smoldering disease.

GEM Group Cooperative Trials Leadership

Led the Spanish GEM cooperative group in conducting multiple pivotal randomized trials evaluating induction, consolidation, maintenance, and novel agent combinations, including key VMP optimization studies and GEM2012MENOS65 / GEM2014MAIN trials that informed European treatment guidelines.

Representative Works 代表性著作

[1]

Daratumumab plus Bortezomib, Melphalan, and Prednisone for Untreated Myeloma (ALCYONE)

New England Journal of Medicine (2018)

Phase III ALCYONE trial establishing daratumumab-VMP as a new standard of care for transplant-ineligible newly diagnosed myeloma with significant OS benefit.

[2]

Lenalidomide plus dexamethasone for high-risk smoldering multiple myeloma (QUIREDEX)

New England Journal of Medicine (2013)

Phase III trial demonstrating early treatment with Rd delays progression from high-risk smoldering to active myeloma and improves overall survival, supporting early intervention strategies.

[3]

Minimal residual disease testing in myeloma: IMWG consensus guidelines

Blood (2021)

IMWG consensus paper standardizing MRD assessment methods and clinical utility in myeloma, establishing MRD negativity as a valid treatment endpoint.

[4]

Bortezomib plus melphalan and prednisone for initial treatment of multiple myeloma

New England Journal of Medicine (2008)

VISTA trial establishing VMP as the standard of care for transplant-ineligible newly diagnosed myeloma — the foundation upon which the ALCYONE daratumumab addition was subsequently built.

🏆Awards & Recognition 奖项与荣誉

🏆European Hematology Association (EHA) Lifetime Achievement Award
🏆IMWG Brian G.M. Durie Distinguished Service Award
🏆ASH Henry M. Stratton Medal for Clinical Research
🏆Spanish Society of Hematology (SEHH) Distinguished Investigator
🏆Princess of Asturias Award in Scientific and Technical Research (collective, Spanish oncology)

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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