Evidence map›Paper›PMID 21622644›Full record

Trial reportBlood2011

Comparison of thalidomide and lenalidomide as therapy for myelofibrosis.

Elias Jabbour, Deborah Thomas, Hagop Kantarjian, Lingsha Zhou, Sherry Pierce, Jorge Cortes, Srdan Verstovsek

Open access · greenAbstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 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. Trial
  3. Review
  4. Lenalidomide use in multiple myeloma (Review).Molecular and clinical oncology · 2024
    Review
  5. Article
  6. Article
  7. Nuclear-Cytoplasmic Transport Is a Therapeutic Target in Myelofibrosis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  8. Review
  9. Treatment of Myelofibrosis: Old and New Strategies.Clinical medicine insights. Blood disorders · 2017
    Review
  10. Myelofibrosis: an update on drug therapy in 2016.Expert opinion on pharmacotherapy · 2016
    Review
  11. Review
  12. Novel therapies for myelofibrosis.Leukemia & lymphoma · 2015
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Observational
  20. Ruxolitinib for myelofibrosis.Experimental and therapeutic medicine · 2013
    Article
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

7 authors at 1 institution in 1 country.

Elias JabbourDepartment of Leukemia, University of Texas M. D. Anderson Cancer Center, Houston, TX, USA.
Deborah Thomas
Hagop Kantarjian
Lingsha Zhou
Sherry Pierce
Jorge Cortes
Srdan Verstovsek
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

With the use of the International Working Group for Myelofibrosis Treatment and Research consensus criteria, we re-assessed the efficacy of thalidomide and lenalidomide in 125 patients with myelofibrosis treated in 3 consecutive phase 2 trials: 44 received single-agent thalidomide, 41 single-agent lenalidomide, and 40 a combination of lenalidomide plus prednisone. The thalidomide group included significantly more untreated patients and patients with performance status of 2. The Lenalidomide-based therapy produced higher efficacy (34%-38%) than thalidomide (16%; P = .06). Responses to thalidomide were seen within 3-15 weeks, whereas responses to the lenalidomide-based therapy were also seen after a prolonged course of therapy (range, 2-45 weeks). Lenalidomide plus prednisone therapy resulted in significantly longer response duration (median, 34 months) than single-agent lenalidomide or thalidomide (median, 7 and 13 months, respectively; P = .042). Fewer patients (P = .001) discontinued the lenalidomide plus prednisone therapy (13%) because of side effects then patients on single-agents therapy (32%-39%). In conclusion, the combination of lenalidomide plus prednisone appears to be more effective and safer than single-agent thalidomide or lenalidomide.

Indexed as

AdultAgedAged, 80 and overDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsLenalidomideMaleMiddle AgedPrimary MyelofibrosisThalidomideTreatment OutcomeImmunosuppressive AgentsLenalidomideThalidomide

Identifiers

PMID21622644
PMCPMC4186644
OpenAlexW1966357810

What OpenQuestion holds

Textmetadata
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.