Evidence map›Paper›PMID 21860025›Full record

Trial reportBlood2011

Impact of gene expression profiling-based risk stratification in patients with myeloma receiving initial therapy with lenalidomide and dexamethasone.

Shaji K Kumar, Hajime Uno, Susanna J Jacobus, Scott A Van Wier, Greg J Ahmann, Kimberly J Henderson, Natalie S Callander, Jessica L Haug, David S Siegel, Philip R Greipp and 2 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase III
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. It is linked to trial NCT00098475 (A Randomized Phase III Study of CC-5013 Plus Dexamethasone Versus CC-5013 Plus Low Dose Dexamethasone in Multiple Myeloma With Thalidomide Plus Dexamethasone Salvage Therapy for Non-Responders), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.3field-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.

NCT00098475 phase3active not recruitingnot on this map

A Randomized Phase III Study of CC-5013 Plus Dexamethasone Versus CC-5013 Plus Low Dose Dexamethasone in Multiple Myeloma With Thalidomide Plus Dexamethasone Salvage Therapy for Non-Responders

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2004 to 2026Enrolled452ConditionsDS Stage I Multiple Myeloma, DS Stage II Multiple Myeloma, DS Stage III Multiple MyelomaArmsDexamethasone, Laboratory Biomarker Analysis, Lenalidomide, Thalidomide
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. MUKBMJ open · 2021
    Article
  6. Article
  7. Current Review on High-Risk Multiple Myeloma.Current hematologic malignancy reports · 2017
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. 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

12 authors at 5 institutions in 1 country.

Shaji K KumarDivision of Hematology, Mayo Clinic Rochester, Rochester, MN 55905, USA. kumar.shaji@mayo.edu
Hajime Uno
Susanna J Jacobus
Scott A Van Wier
Greg J Ahmann
Kimberly J Henderson
Natalie S Callander
Jessica L Haug
David S Siegel
Philip R Greipp
Rafael Fonseca
S Vincent Rajkumar
Mayo Clinic · USMayo Clinic in Arizona · USDana-Farber Cancer Institute · USHackensack University Medical Center · USUniversity of Wisconsin–Madison · US

Funding

ECOG OPERATIONS OFFICE (IBCSG)U10CA021115 · NCI · UNIVERSITY OF WISCONSIN MADISON · PI COMIS, ROBERT L · 1985 to 2013
$132.6M
ECOG Statistical Office Data Management GrantU10CA066636 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI GRAY, ROBERT J · 1994 to 2013
$39.5M
PROVIDE STATISTICAL SERVICESU10CA023318 · NCI · DANA-FARBER CANCER INSTITUTE · PI GRAY, ROBERT J · 1985 to 2013
$33.4M
Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
ECOG Specimen BankingU24CA114737 · NCI · FRONTIER SCI &TECHNOLOGY RSCH FDN, INC · PI COMIS, ROBERT L · 2005 to 2014
$9.3M
CHROMOSOMAL ABNORMALITIES IN MYELOMA AS DETECTED BY FISHR01CA083724 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI FONSECA, RAFAEL · 2000 to 2013
$4.0M
ONCOLOGYU10CA013650 · NCI · MAYO CLINIC ROCHESTER · PI HABERMANN, THOMAS MATTHEW · 1985 to 2013
$3.1M
Angiogenesis and thalidomide therapy in multiple myelomaR01CA093842 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI RAJKUMAR, S VINCENT · 2002 to 2004
$846k
NCI NIH HHS CA13650NCI NIH HHS CA21115NCI NIH HHS CA23318NCI NIH HHS CA66636NCI NIH HHS CA90628NCI NIH HHS CA93842NCI NIH HHS K12 CA090628NCI NIH HHS R01 CA083724NCI NIH HHS R01 CA093842NCI NIH HHS U10 CA013650NCI NIH HHS U10 CA021115NCI NIH HHS U10 CA023318NCI NIH HHS U10 CA066636NCI NIH HHS U24 CA114737
6 · The paper itself

Abstract

Detection of specific chromosomal abnormalities by FISH and metaphase cytogenetics allows risk stratification in multiple myeloma; however, gene expression profiling (GEP) based signatures may enable more specific risk categorization. We examined the utility of 2 GEP-based risk stratification systems among patients undergoing initial therapy with lenalidomide in the context of a phase 3 trial. Among 45 patients studied at baseline, 7 (16%) and 10 (22%), respectively, were high-risk using the GEP70 and GEP15 signatures. The median overall survival for the GEP70 high-risk group was 19 months versus not reached for the rest (hazard ratio = 14.1). Although the medians were not reached, the GEP15 also predicted a poor outcome among the high-risk patients. The C-statistic for the GEP70, GEP15, and FISH based risk stratification systems was 0.74, 0.7, and 0.7, respectively. Here we demonstrate the prognostic value for GEP risk stratification in a group of patients primarily treated with novel agents. This trial was registered at www.clinicaltrials.gov as #NCT00098475.

Indexed as

Gene Expression ProfilingAgedAntineoplastic AgentsChromosome AberrationsDexamethasoneFemaleHumansLenalidomideMaleMiddle AgedMultiple MyelomaSurvival AnalysisThalidomideTreatment OutcomeAntineoplastic AgentsDexamethasoneLenalidomideThalidomide

Identifiers

PMID21860025
PMCPMC3204907
OpenAlexW2027679963

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.