Evidence map›Paper›PMID 20872958›Full record

ArticleAmerican journal of hematology2010

Discordance between serum cardiac biomarker and immunoglobulin-free light-chain response in patients with immunoglobulin light-chain amyloidosis treated with immune modulatory drugs.

Angela Dispenzieri, David Dingli, Shaji K Kumar, S Vincent Rajkumar, Martha Q Lacy, Suzanne Hayman, Frances Buadi, Stephen Zeldenrust, Nelson Leung, Kristen Detweiler-Short and 4 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of hematology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  8. Article
  9. Article
  10. Review
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  12. Review
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  14. Article
  15. Review
  16. Cardiac Amyloidosis Treatment.Methodist DeBakey cardiovascular journal · 2022
    Review
  17. Biomarkers in AL Amyloidosis.International journal of molecular sciences · 2021
    Review
  18. Article
  19. Review
  20. Review
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

14 authors at 2 institutions in 1 country.

Angela DispenzieriDepartment of Medicine, Division of Hematology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. dispenzieri.angela@mayo.edu
David Dingli
Shaji K Kumar
S Vincent Rajkumar
Martha Q Lacy
Suzanne Hayman
Frances Buadi
Stephen Zeldenrust
Nelson Leung
Kristen Detweiler-Short
John A Lust
Stephen J Russell
Robert A Kyle
Morie A Gertz
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C., MUNSHI, NIKHIL C. · 2003 to 2023
$45.0M
TISSUE BANK AND CLINICAL/LABORATORY DATABASEP01CA062242 · NCI · MAYO CLINIC ROCHESTER · PI THERNEAU, TERRY M · 1994 to 2009
$12.9M
Prevalence and Progression of Monoclonal GammopathiesR01CA107476 · NCI · MAYO CLINIC ROCHESTER · PI KUMAR, SHAJI KUNNATHU, RAJKUMAR, S VINCENT · 2004 to 2018
$4.6M
CHROMOSOMAL ABNORMALITIES IN MYELOMA AS DETECTED BY FISHR01CA083724 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI FONSECA, RAFAEL · 2000 to 2013
$4.0M
Phase 3 stem cell transplant for light chain amyloidosisR01CA111345 · NCI · MAYO CLINIC ROCHESTER · PI GERTZ, MORIE ABRAHAM · 2005 to 2011
$1.4M
Virotherapy for Relapsed Refractory Multiple MyelomaR01CA125614 · NCI · MAYO CLINIC ROCHESTER · PI DISPENZIERI, ANGELA · 2006 to 2011
$1.2M
Treatment of Early Stage Multiple MyelomaR01CA100080 · NCI · MAYO CLINIC ROCHESTER · PI RAJKUMAR, S VINCENT · 2003 to 2006
$1.1M
Angiogenesis and thalidomide therapy in multiple myelomaR01CA093842 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI RAJKUMAR, S VINCENT · 2002 to 2004
$846k
Phase II Trial of Thalidomide in Primary AmyloidosisR21CA091561 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI DISPENZIERI, ANGELA · 2001 to 2002
$462k
NCI NIH HHS CA062242NCI NIH HHS CA100080NCI NIH HHS CA100707NCI NIH HHS CA107476NCI NIH HHS CA111345NCI NIH HHS CA 125614NCI NIH HHS CA150831NCI NIH HHS CA83724NCI NIH HHS CA93842NCI NIH HHS N01 CA015083NCI NIH HHS P01 CA062242NCI NIH HHS P50 CA100707NCI NIH HHS R01 CA083724NCI NIH HHS R01 CA093842NCI NIH HHS R01 CA100080NCI NIH HHS R01 CA107476NCI NIH HHS R01 CA111345NCI NIH HHS R01 CA125614NCI NIH HHS R21 CA091561
6 · The paper itself

Abstract

We evaluated the capability of soluble cardiac biomarkers to predict tolerability and outcomes of IMiD-containing treatments among 106 patients treated on clinical trials. Baseline elevations in troponin T (TnT) and N-terminal brain naturietic protein (NT-proBNP) predicted for an inability to tolerate IMiD-based regimens. The best predictors for early attrition during cycle 1 were TnT ≥ 0.07 μg/L and NT-proBNP ≥ 11,939 ng/L. NT-proBNP-response underperformed TnT-response as a predictor for overall survival (OS), but both predicted for early protocol attrition. Despite hematologic response, IMiD-treated patients were at higher risk for NT-proBNP rises and early drug discontinuation than a control population but not for early death. These observations prompt two questions: (1) does IMiD-based therapy lead to increased fluid retention and/or cardiac toxicity and (2) is an NT-proBNP-driven cardiac response system valid in IMiD-treated amyloidosis patients? Recognition of potential drug-induced cardiac toxicity is important so that increased cardiac surveillance and drug dose-adjustment or discontinuation may be implemented.

Indexed as

AmyloidAmyloidosisBiomarkersClinical Trials as TopicCombined Modality TherapyCyclophosphamideDexamethasoneDrug Therapy, CombinationHeart FailureHumansImmunoglobulin Light ChainsImmunologic FactorsLenalidomideMelphalanNatriuretic Peptide, BrainPatient DropoutsAmyloidBiomarkersCyclophosphamideDexamethasoneImmunoglobulin Light ChainsImmunologic FactorsLenalidomideMelphalanNatriuretic Peptide, BrainPeptide Fragmentspomalidomidepro-brain natriuretic peptide (1-76)ThalidomideTroponin T

Identifiers

PMID20872958
PMCPMC3691013
OpenAlexW2037490796

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.