Akhmadaliev won the bout via knockout in the opening round after his opponent was unable to recover from a body shot.

[4] On 14 July 2018, Akhmadaliev defeated the durable Luis Fernando Molina on route to a unanimous points decision win.

The bout was initially due to take place on 13 September 2019 in New York City, however the fight was postponed after Roman suffered a shoulder injury during training camp.

[11] It was revealed on 11 January 2021, by various Uzbek media outlets that Akhmadaliev was looking to defend his unified crown against the interim IBF champion Ryosuke Iwasa.

[19] It was announced on 4 October 2021, that Akhmadaliev would make his third WBA and IBF title defense against the WBC-NABF super bantamweight titlist Ronny Rios.

The bout was scheduled for the undercard of the Demetrius Andrade and Jason Quigley middleweight title fight, which will be held on 19 November 2021 at the SNHU Arena in Manchester, New Hampshire.

[24] Although the two camps were given until 2 February to iron out the terms of the bout, Tapales' representatives instead opted to forego the assigned negotiation period and head straight to a purse bid, which was scheduled by the IBF for 18 January.

[28] The title defense against Rios was officially announced for 11 June, as the main event of a DAZN broadcast card taking place in San Antonio, Texas.

[30] On 18 September 2022, the IBF ordered Akhmadaliev to face their mandatory super bantamweight title challenger Marlon Tapales.

[34] The championship bout was booked to take place on 8 April 2023, at the Tech Port Arena in San Antonio, Texas.

[38] Kameda formally declined the fight on 28 June, informing the sanctioning body of his intentions to campaign at featherweight in the future.

[42] Akhmadaliev is scheduled to face Ricardo Espinoza Franco for interim WBA super bantamweight title in Monte Carlo, Monaco on 14 December 2024.