Evidence map›Paper›PMID 21483018›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2011

Amyloidosis: pathogenesis and new therapeutic options.

Giampaolo Merlini, David C Seldin, Morie A Gertz

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01510613 (An Open-label, Phase II Study of Pomalidomide and Dexamethasone), which is not on this map. Cited by 195 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
195citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT01510613 phase2completednot on this mapstarted 2012, after this paper: background citation

An Open-label, Phase II Study of Pomalidomide and Dexamethasone (PDex) for Previously Treated Patients With AL Amyloidosis.

TypeinterventionalSponsorFondazione IRCCS Policlinico San Matteo di PaviaRan2012 to 2016Enrolled28ConditionsPrimary Amyloidosis of Light Chain TypeArmsPomalidomide and Dexamethasone
3 · Its place in the literature

Who cites it

195 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  10. First-in-Human Phase I/II Study of NEOD001 in Patients With Light Chain Amyloidosis and Persistent Organ Dysfunction.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. A molecular perspective of gelsolin amyloidosis: An old foe with new faces.Cellular and molecular life sciences : CMLS · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

135 more citing papers are in PubMed but not listed here.

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

3 authors.

Giampaolo MerliniAmyloidosis Research and Treatment Center, Foundation IRCCS Policlinico San Matteo, University of Pavia, P. le Golgi, 19, 27100 Pavia, Italy. gmerlini@smatteo.pv.it
David C Seldin
Morie A Gertz

Funding

Phase 3 stem cell transplant for light chain amyloidosisR01CA111345 · NCI · MAYO CLINIC ROCHESTER · PI GERTZ, MORIE ABRAHAM · 2005 to 2011
$1.4M
NCI NIH HHS CA 111345NCI NIH HHS R01 CA111345NHLBI NIH HHS HL68795
6 · The paper itself

Abstract

The systemic amyloidoses are a group of complex diseases caused by tissue deposition of misfolded proteins that results in progressive organ damage. The most common type, immunoglobulin light chain amyloidosis (AL), is caused by clonal plasma cells that produce misfolded light chains. The purpose of this review is to provide up-to-date information on diagnosis and treatment options for AL amyloidosis. Early, accurate diagnosis is the key to effective therapy, and unequivocal identification of the amyloidogenic protein may require advanced technologies and expertise. Prognosis is dominated by the extent of cardiac involvement, and cardiac staging directs the choice of therapy. Treatment for AL amyloidosis is highly individualized, determined on the basis of age, organ dysfunction, and regimen toxicities, and should be guided by biomarkers of hematologic and cardiac response. Alkylator-based chemotherapy is effective in almost two thirds of patients. Novel agents are also active, and trials are ongoing to establish their optimal use. Treatment algorithms will continue to be refined through controlled trials. Advances in basic research have led to the identification of new drug targets and therapeutic approaches, which will be integrated with chemotherapy in the future.

Indexed as

AmyloidosisDiagnosis, DifferentialHumansImmunoglobulin Light ChainsPrognosisImmunoglobulin Light Chains

Identifiers

PMID21483018
PMCPMC3138545

What OpenQuestion holds

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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.