Evidence map›Paper›PMID 21630308›Full record

Trial reportAmerican journal of hematology2011

Lenalidomide, cyclophosphamide and dexamethasone (CRd) for newly diagnosed multiple myeloma: results from a phase 2 trial.

Shaji K Kumar, Martha Q Lacy, Suzanne R Hayman, Keith Stewart, Francis K Buadi, Jacob Allred, Kristina Laumann, Philip R Greipp, John A Lust, Morie A Gertz and 10 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of hematology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00478218 (A Phase II Trial of Revlimid, Cyclophosphamide, and Dexamethasone in Patients With > Newly Diagnosed Active Multiple Myeloma), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.4field-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.

NCT00478218 phase2completednot on this map

A Phase II Trial of Revlimid, Cyclophosphamide, and Dexamethasone in Patients With > Newly Diagnosed Active Multiple Myeloma

TypeinterventionalSponsorMayo ClinicRan2006 to 2011Enrolled53ConditionsMultiple Myeloma and Plasma Cell NeoplasmArmscyclophosphamide, dexamethasone, lenalidomide
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  17. CyBorD induction therapy in clinical practice.Bone marrow transplantation · 2015
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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

20 authors at 2 institutions in 1 country.

Shaji K KumarDivision of Hematology and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. kumar.shaji@mayo.edu
Martha Q Lacy
Suzanne R Hayman
Keith Stewart
Francis K Buadi
Jacob Allred
Kristina Laumann
Philip R Greipp
John A Lust
Morie A Gertz
Steven R Zeldenrust
P Leif Bergsagel
Craig B Reeder
Thomas E Witzig
Rafael Fonseca
Stephen J Russell
Joseph R Mikhael
David Dingli
S Vincent Rajkumar
Angela Dispenzieri
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
Mouse models of age-associated monoclonal gammopathyR01AG020686 · NIA · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI BERGSAGEL, PETER LEIF · 2003 to 2014
$3.3M
Molecular Pathogenesis of Multiple MyelomaR01CA133966 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2009 to 2013
$1.6M
Comparative Pharmaco-oncogenomics of Myeloma Drug ResistanceR01CA136671 · NCI · MAYO CLINIC ARIZONA · PI BERGSAGEL, PETER LEIF · 2009 to 2013
$1.6M
NCI NIH HHS CA90628NCI NIH HHS K12 CA090628NCI NIH HHS R01 CA133966NCI NIH HHS R01 CA136671NIA NIH HHS R01 AG020686
6 · The paper itself

Abstract

The combination of lenalidomide and low-dose dexamethasone is an effective treatment for multiple myeloma (MM). Addition of alkylating agents to lenalidomide or thalidomide results in increased response rates and deeper responses. We designed this trial to study the combination of cyclophosphamide, lenalidomide, and dexamethasone (CRd) as initial therapy for MM. Fifty-three patients with previously untreated symptomatic MM was enrolled. Patients received 4-week treatment cycles consisting of lenalidomide (25 mg daily for 3 weeks), dexamethasone (40 mg weekly), and cyclophosphamide (300 mg/m(2) weekly for 3 weeks). A partial response or better was seen in 85% of patients including 47% with a very good partial response or better. The toxicities were manageable with over 80% of planned doses delivered; six patients went off study for toxicity. The median progression free survival (PFS) for the entire group was 28 months (95% CI: 22.7-32.6) and the overall survival (OS) at 2 years was 87% (95% CI: 78-96). Importantly, 14 patients with high-risk MM had similar PFS and OS as the standard-risk patients (n = 39). CRd is an effective and well-tolerated regimen for upfront therapy of MM with high response rates and excellent 2-year OS, and is suitable for long-term therapy.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Agents, AlkylatingAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDexamethasoneDisease ProgressionFemaleHumansLenalidomideMaleMiddle AgedMultiple MyelomaAntineoplastic AgentsAntineoplastic Agents, AlkylatingAntineoplastic Agents, HormonalCyclophosphamideDexamethasoneLenalidomidemultiple myeloma M-proteinsMyeloma ProteinsThalidomide

Identifiers

PMID21630308
PMCPMC3901994
OpenAlexW2056586434

What OpenQuestion holds

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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.