Evidence map›Paper›PMID 23165477›Full record

ArticleBlood2013

Improving overall survival and overcoming adverse prognosis in the treatment of cytogenetically high-risk multiple myeloma.

P Leif Bergsagel, María-Victoria Mateos, Norma C Gutierrez, S Vincent Rajkumar, Jesús F San Miguel

2 registry-linked trialsAbstract read
In one paragraph

Article in Blood, 2013. 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 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing 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.

NCT03683277 phase2terminatednot on this mapstarted 2019, after this paper: background citation

Multicenter Open Label Phase 2 Single Arm Study of Ixazomib, Pomalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma Characterized With Genomic Abnormalities of Adverse Adverse Prognostic

TypeinterventionalSponsorIntergroupe Francophone du MyelomeRan2019 to 2023Enrolled26ConditionsMultiple Myeloma, Relapsed and Refractory Multiple Myeloma, Genetic ConditionArmsIxazomib/Pomalidomide/Dexamethasone
NCT05849610 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

An Open Label, Multicenter, Phase 2, Pilot Study, Evaluating Early Treatment With Bispecific T-cell Redirectors (Teclistamab and Talquetamab) in the Frontline Therapy of Newly Diagnosed High-risk Multiple Myeloma

TypeinterventionalSponsorPETHEMA FoundationRan2023 to 2029Enrolled30ConditionsHigh-Risk de Novo Multiple MyelomaArmsDaratumumab, Bortezomib, Lenalidomide, Teclistamab, Talquetamab
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  16. CDK9 inhibitors in multiple myeloma: a review of progress and perspectives.Medical oncology (Northwood, London, England) · 2022
    Review
  17. Article
  18. Observational
  19. Article
  20. MUKBMJ open · 2021
    Article

19 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

5 authors.

P Leif BergsagelDivision of Hematology-Oncology, Mayo Clinic in Arizona, Scottsdale, AZ 85259, USA. bergsagel.leif@mayo.edu
María-Victoria Mateos
Norma C Gutierrez
S Vincent Rajkumar
Jesús F San Miguel

Funding

Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI MUNSHI, NIKHIL C. · 2003 to 2023
$45.0M
Prevalence and Progression of Monoclonal GammopathiesR01CA107476 · NCI · MAYO CLINIC ROCHESTER · PI KUMAR, SHAJI KUNNATHU, RAJKUMAR, S VINCENT · 2004 to 2018
$4.6M
CHROMOSOMAL ABNORMALITIES IN MYELOMA AS DETECTED BY FISHR01CA083724 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI FONSECA, RAFAEL · 2000 to 2013
$4.0M
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 CA100707NCI NIH HHS CA107476NCI NIH HHS CA133966NCI NIH HHS CA136671NCI NIH HHS CA 83724NCI NIH HHS P50 CA100707NCI NIH HHS R01 CA083724NCI NIH HHS R01 CA107476NCI NIH HHS R01 CA133966NCI NIH HHS R01 CA136671NIA NIH HHS R01 AG020686
6 · The paper itself

Abstract

Multiple myeloma (MM) is a heterogeneous disease with certain genetic features [e.g., t(4;14), del17p] associated with worse outcome. The introduction of thalidomide, lenalidomide, and bortezomib has dramatically improved the outlook for patients with MM, but their relative benefit (or harm) for different genetic patient subgroups remains unclear. Unfortunately, the small number of patients in each subgroup frequently limits the analysis of high-risk patients enrolled in clinical trials. Strategies that result in survival of high-risk genetic subgroups approximating that of patients lacking high-risk features are said to overcome the poor prognostic impact of these high-risk features. This outcome has been difficult to achieve, and studies in this regard have so far been limited by inadequate sample size. In contrast, strategies that compare the survival of high-risk genetic subgroups randomized to different treatment arms can identify approaches that improve survival. This type of analysis is clinically useful, even if the absolute gains do not improve outcomes to levels seen in patients without high-risk cytogenetics. Reviewing available data in high-risk MM from this perspective, it appears that bortezomib has frequently been associated with improved survival, whereas thalidomide maintenance has sometimes been associated with a shorter survival.

Indexed as

Chromosome AberrationsAntineoplastic Combined Chemotherapy ProtocolsBoronic AcidsBortezomibDexamethasoneHumansLenalidomideMultiple MyelomaPrognosisPyrazinesRandomized Controlled Trials as TopicRisk FactorsSurvival AnalysisThalidomideTreatment OutcomeBoronic AcidsBortezomibDexamethasoneLenalidomidePyrazinesThalidomide

Identifiers

PMID23165477
PMCPMC3567336

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.