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Opinion|Videos|January 12, 2026

Evaluating Early Survival Signals and Treatment Timing in High-Risk Smoldering Multiple Myeloma

Experts discuss the impact of daratumumab on smoldering myeloma, exploring survival rates, treatment options, and the importance of clinical trials.

This segment explores the emerging overall survival signal observed in the AQUILA trial and its potential implications for treatment timing in high-risk smoldering multiple myeloma. Faculty discuss the early separation of overall survival curves, emphasizing that these findings are still maturing and require cautious interpretation.

Panelists consider how the observed delay in progression to symptomatic disease and prolongation of time to first-line therapy may influence long-term disease management strategies. The conversation centers on how clinicians balance emerging survival data with the asymptomatic nature of the population, weighing the potential benefits of early intervention against the risks and burdens of initiating therapy.

The segment also addresses clinical decision-making in scenarios where patients progress despite early treatment, providing insight into how AQUILA data may inform subsequent management while reinforcing the importance of individualized care and ongoing assessment.

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