Evidence map›Paper›PMID 22493299›Full record

Trial reportBlood2012

Activity of pomalidomide in patients with immunoglobulin light-chain amyloidosis.

Angela Dispenzieri, Francis Buadi, Kristina Laumann, Betsy LaPlant, Suzanne R Hayman, Shaji K Kumar, David Dingli, Steven R Zeldenrust, Joseph R Mikhael, Robert Hall and 11 more

2 registry-linked trialsAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–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.

NCT00558896 phase2completednot on this map

A Phase II Trial of CC-4047 Plus Dexamethasone in Patients With Relapsed of Refractory Multiple Myeloma or Amyloidosis

TypeinterventionalSponsorMayo ClinicRan2007 to 2017Enrolled378ConditionsMultiple Myeloma and Plasma Cell NeoplasmArmsdexamethasone, pomalidomide
NCT02966522 phase2unknown statusnot on this mapstarted 2016, after this paper: background citation

Frontline Thalidomide for Amyloidosis Involving Myocardium: Investigation of Organ Reversing Capacity of Lenalidomide

TypeinterventionalSponsorSeoul National University HospitalRan2016 to 2019Enrolled30ConditionsCardiac AmyloidosisArmsThalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

  1. Trial
  2. Bendamustine With Dexamethasone in Relapsed/Refractory Systemic Light-Chain Amyloidosis: Results of a Phase II Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Graded Cardiac Response Criteria for Patients With Systemic Light Chain Amyloidosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  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

21 authors.

Angela DispenzieriDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, NY, USA. dispenzieri.angela@mayo.edu
Francis Buadi
Kristina Laumann
Betsy LaPlant
Suzanne R Hayman
Shaji K Kumar
David Dingli
Steven R Zeldenrust
Joseph R Mikhael
Robert Hall
S Vincent Rajkumar
Craig Reeder
Rafael Fonseca
P Lief Bergsagel
A Keith Stewart
Vivek Roy
Thomas E Witzig
John A Lust
Stephen J Russell
Morie A Gertz
Martha Q Lacy

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083NCI NIH HHS P30 CA 15083
6 · The paper itself

Abstract

Immunoglobulin light-chain (AL) amyloidosis is a rare, incurable plasma cell disorder. Its therapy has benefited immensely from the expanding drug armamentarium available for multiple myeloma. Pomalidomide in combination with weekly dexamethasone (Pom/dex) is active among patients with relapsed myeloma. In the present study, we explored the Pom/dex combination in patients with previously treated AL. Patients were eligible for this prospective phase 2 trial if they had had at least one prior regimen and if they had reasonably preserved organ function. Patients were treated with oral Pom/dex. Thirty-three patients were enrolled. The median age was 66 years. Median time from diagnosis to on-study was 37 months. Eighty-two percent had cardiac involvement. The confirmed hematologic response rate was 48%, with a median time to response of 1.9 months. Organ improvement was documented in 5 patients. The median overall and progression-free survival rates were 28 and 14 months, respectively; the 1-year overall and progression-free survival rates were 76% and 59%, respectively. There was a discordance between the hematologic response and the N-terminal pro-brain natriuretic peptide response. The most common grade 3-5 adverse events, regardless of attribution, were neutropenia and fatigue. We conclude that pomalidomide appears to be a valuable drug covering an unmet clinical need in patients with previously treated AL. The trial is registered at www.clinicaltrials.gov as NCT00558896.

Indexed as

AgedAged, 80 and overAmyloidosisAntineoplastic AgentsDexamethasoneDisease-Free SurvivalDrug Therapy, CombinationFemaleHematologic TestsHumansImmunoglobulin Light ChainsMaleMiddle AgedPlasma CellsThalidomideAntineoplastic AgentsDexamethasoneImmunoglobulin Light ChainspomalidomideThalidomide

Identifiers

PMID22493299
PMCPMC3369677

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.