Evidence map›Paper›PMID 20651074›Full record

Trial reportBlood2010

Lenalidomide and prednisone for myelofibrosis: Eastern Cooperative Oncology Group (ECOG) phase 2 trial E4903.

Ruben A Mesa, Xiaopan Yao, Larry D Cripe, Chin Yang Li, Mark Litzow, Elisabeth Paietta, Jacob M Rowe, Ayalew Tefferi, Martin S Tallman

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00227591 (A Phase II Study of Lenalidomide), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00227591 phase2completednot on this map

A Phase II Study of Lenalidomide (CC-5013) in Combination With Prednisone for the Treatment of Myelofibrosis With Myeloid Metaplasia

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2005 to 2010Enrolled48ConditionsEssential Thrombocythemia, Polycythemia Vera, Primary MyelofibrosisArmslenalidomide, prednisone, laboratory biomarker analysis
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Myeloproliferative Neoplasms, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2016
    Guideline
  2. Janus kinase-1 and Janus kinase-2 inhibitors for treating myelofibrosis.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
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  9. Review
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  12. Article
  13. Novel Therapies in Myelofibrosis: Beyond JAK Inhibitors.Current hematologic malignancy reports · 2022
    Review
  14. Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Ruben A MesaMayo Clinic, Scottsdale, AZ, USA. mesa.ruben@mayo.edu
Xiaopan Yao
Larry D Cripe
Chin Yang Li
Mark Litzow
Elisabeth Paietta
Jacob M Rowe
Ayalew Tefferi
Martin S Tallman
Mayo Clinic in Arizona · USDana-Farber Cancer Institute · USIndiana University – Purdue University Indianapolis · USMemorial Sloan Kettering Cancer Center · USMontefiore Medical Center · US

Funding

ECOG Specimen BankingU24CA114737 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI COMIS, ROBERT L · 2005 to 2014
$9.3M
NCI NIH HHS U24 CA114737
6 · The paper itself

Abstract

A multicenter Eastern Cooperative Group (ECOG) phase 2 trial assessed whether adding prednisone to lenalidomide would improve previously reported responses in persons with myelofibrosis (MF). Forty-eight subjects with anemia (42 evaluable) received lenalidomide, 10 mg/d, with a 3-month low-dose prednisone taper. Ten subjects received 3 months, and 25 received 6 months of therapy. Myelosuppression was the main toxicity with 88% with ≥ grade 3 hematologic toxicity and 45% ≥ grade 3 nonhematologic toxicity. There were responses in 10 subjects (23%) using the International Working Group for Myelofibrosis Research and Treatment (IWG-MRT)-defined clinical improvement of anemia in 8 (19%) and/or decreased spleen size in 4 (10%). Serial bone marrow analysis showed no resolution of disease-related fibrosis or angiogenesis. With a median follow-up of 2.3 years, 23 subjects are alive. Lenali-domide and prednisone for myelofibro-sis evaluated through a multicentered-cooperative group mechanism is only modestly active and myelosuppre-sive. This study was registered at http://clinicaltrials.gov as NCT00227591.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsFollow-Up StudiesHumansLenalidomidePrednisonePrimary MyelofibrosisThalidomideAntineoplastic AgentsLenalidomidePrednisoneThalidomide

Identifiers

PMID20651074
PMCPMC2996111
OpenAlexW2025109100

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.