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clinical / clinicalMAIA trial, daratumumab frontline, lenalidomide maintenance

María-Victoria Mateos

玛丽亚-维多利亚·马特奥斯

MD, PhD

🏢Hospital Universitario de Salamanca / IBSAL(萨拉曼卡大学医院 / 萨拉曼卡生物医学研究所(IBSAL))🌐Spain

Head, Hematology Department; Principal Investigator, Myeloma Program; Professor of Hematology, University of Salamanca血液学系主任;骨髓瘤项目首席研究员;萨拉曼卡大学血液学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

María-Victoria Mateos, MD, PhD is Head of the Hematology Department and Principal Investigator of the Myeloma Program at Hospital Universitario de Salamanca and a professor of hematology at the University of Salamanca. She is one of Europe's most prominent myeloma clinical investigators, best known for her leadership of the MAIA trial — one of the most impactful myeloma studies of the last decade. The MAIA trial (NEJM 2019) demonstrated that daratumumab plus lenalidomide/dexamethasone (D-Rd) significantly improved PFS and overall survival compared with lenalidomide/dexamethasone (Rd) alone in transplant-ineligible patients with newly diagnosed multiple myeloma — establishing D-Rd as a global standard of care for this population and leading to FDA approval. Dr. Mateos has been a longstanding collaborator of Jesús San Miguel and a key member of the Spanish GEM (Grupo Español de Mieloma) cooperative group, contributing to landmark trials of VMP, VTd, and novel combinations in both transplant-eligible and transplant-ineligible patients. She has taken particular interest in frailty-adapted therapy for elderly myeloma patients and led GEM studies defining attenuated regimens appropriate for unfit patients. Dr. Mateos has authored over 350 peer-reviewed publications and is a frequent invited speaker at ASH, EHA, and IMWG congresses.

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🧪Research Fields 研究领域

MAIA Trial — Daratumumab Plus Rd Versus Rd in Transplant-Ineligible Newly Diagnosed MyelomaMAIA试验——达雷妥尤单抗联合Rd vs Rd治疗移植不适合新诊断骨髓瘤
Daratumumab Frontline Therapy for Elderly and Transplant-Ineligible Patients老年及移植不适合患者的达雷妥尤单抗一线治疗
Maintenance Therapy Optimization After Autologous and Non-Transplant Induction自体移植后及非移植诱导后维持治疗优化
VMP Regimen and Spanish GEM Group Cooperative TrialsVMP方案与西班牙GEM合作组试验
Frailty Assessment and Geriatric Considerations in Myeloma Therapy骨髓瘤治疗中的虚弱评估与老年学考量

🎓Key Contributions 主要贡献

MAIA Trial — D-Rd Establishes New Standard for Transplant-Ineligible NDMM

Co-led the phase III MAIA trial (NEJM 2019; n=737) demonstrating that daratumumab plus Rd (D-Rd) significantly improved PFS (median not reached vs. 34.4 months; HR 0.56) and significantly improved overall survival (5-year OS 66.3% vs. 53.1%) compared with Rd alone in transplant-ineligible NDMM — resulting in FDA approval and ESMO guideline adoption of D-Rd as a preferred frontline standard for this population.

VMP Optimization and VISTA-Era Contributions

Contributed significantly to the VISTA trial (NEJM 2008, with San Miguel) establishing VMP as the landmark transplant-ineligible NDMM standard, and subsequently to subcohort analyses and Spanish GEM follow-up studies refining patient selection, dose optimization, and the transition from melphalan-based to lenalidomide-based continuous therapy in non-transplant patients.

Frailty-Adapted Therapy and Geriatric Myeloma Management

Conducted and participated in GEM group trials specifically addressing the management of frail and elderly myeloma patients using attenuated regimens (VMP at reduced doses, Rd at attenuated doses), contributing evidence for frailty-adapted treatment algorithms and quality-of-life assessments that inform clinical practice for the large proportion of myeloma patients aged >70 years.

Maintenance Therapy After Transplant and Non-Transplant Induction

Contributed to Spanish GEM trials evaluating lenalidomide, thalidomide, and bortezomib maintenance strategies, as well as post-transplant consolidation with VTd, providing key evidence base for ESMO and GEM guidelines on maintenance therapy duration and choice across myeloma disease settings.

Representative Works 代表性著作

[1]

Daratumumab plus Lenalidomide and Dexamethasone for Untreated Myeloma (MAIA)

New England Journal of Medicine (2019)

Phase III MAIA trial establishing D-Rd as a superior standard of care for transplant-ineligible newly diagnosed myeloma with PFS and OS benefit, leading to FDA approval.

[2]

Bortezomib plus melphalan and prednisone for initial treatment of multiple myeloma (VISTA)

New England Journal of Medicine (2008)

VISTA trial (co-authorship) establishing VMP as the transplant-ineligible NDMM standard — the historical comparator that daratumumab-based regimens subsequently surpassed.

[3]

Overall survival with daratumumab, lenalidomide, and dexamethasone in previously untreated multiple myeloma (MAIA OS update)

Journal of Clinical Oncology (2023)

Updated MAIA OS analysis confirming statistically significant overall survival benefit for D-Rd, establishing survival as a validated endpoint for this doublet vs. triplet comparison.

[4]

GEM2012MENOS65: a randomized trial exploring the impact of lenalidomide maintenance versus observation after autologous transplant

Blood (2021)

GEM cooperative group randomized trial establishing the benefit of post-ASCT lenalidomide maintenance in the Spanish transplant-eligible population.

🏆Awards & Recognition 奖项与荣誉

🏆EHA Scientific Award — Clinical Research Category
🏆Spanish Society of Hematology (SEHH) Award for Excellence in Myeloma Research
🏆IMWG Scientific Committee Member
🏆ASH International Invited Speaker Recognition
🏆European Myeloma Network (EMN) Steering Committee Member

📄Data Sources 数据来源

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

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