Evidence map›Paper›PMID 24963043›Full record

Trial reportBlood2014

A phase 2 single-center study of carfilzomib 56 mg/m2 with or without low-dose dexamethasone in relapsed multiple myeloma.

Nikoletta Lendvai, Patrick Hilden, Sean Devlin, Heather Landau, Hani Hassoun, Alexander M Lesokhin, Ioanna Tsakos, Kaitlyn Redling, Guenther Koehne, David J Chung and 2 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01351623 (Phase II Study of Infusional Carfilzomib in Patients With Relapsed or Refractory Multiple Myeloma), which is not on this map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
8.7field-weighted citation impact, top 2% 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.

NCT01351623 phase2completednot on this map

Phase II Study of Infusional Carfilzomib in Patients With Relapsed or Refractory Multiple Myeloma

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2011 to 2016Enrolled44ConditionsMultiple MyelomaArmsCarfilzomib
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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  9. A Phase I/II Trial of Carfilzomib, Pegylated Liposomal Doxorubicin, and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
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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

12 authors at 3 institutions in 1 country.

Nikoletta LendvaiMyeloma Service, Memorial Sloan-Kettering Cancer Center, New York, NY; Department of Medicine, Weill Medical College of Cornell University, New York, NY; and.
Patrick HildenEpidemiology and Biostatistics.
Sean DevlinEpidemiology and Biostatistics.
Heather LandauDepartment of Medicine, Weill Medical College of Cornell University, New York, NY; and Adult Bone Marrow Transplantation Service.
Hani HassounMyeloma Service, Memorial Sloan-Kettering Cancer Center, New York, NY; Department of Medicine, Weill Medical College of Cornell University, New York, NY; and.
Alexander M LesokhinMyeloma Service, Memorial Sloan-Kettering Cancer Center, New York, NY; Department of Medicine, Weill Medical College of Cornell University, New York, NY; and.
Ioanna TsakosDepartment of Medicine, and.
Kaitlyn RedlingDepartment of Medicine, and.
Guenther KoehneDepartment of Medicine, Weill Medical College of Cornell University, New York, NY; and Adult Bone Marrow Transplantation Service.
David J ChungDepartment of Medicine, Weill Medical College of Cornell University, New York, NY; and Adult Bone Marrow Transplantation Service.
Wendy L SchafferDepartment of Medicine, Weill Medical College of Cornell University, New York, NY; and Cardiology Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Sergio A GiraltDepartment of Medicine, Weill Medical College of Cornell University, New York, NY; and Adult Bone Marrow Transplantation Service.
Cornell University · USCancer Research And Biostatistics · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Standard carfilzomib (20 mg/m(2) cycle 1, 27 mg/m(2) thereafter; 2- to 10-minute infusion) is safe and effective in relapsed or refractory multiple myeloma (R/RMM). We report phase 2 results of carfilzomib 20 mg/m(2) on days 1 to 2 of cycle 1, 56 mg/m(2) thereafter (30-minute infusion), in R/RMM with the option of adding dexamethasone (20 mg) for suboptimal response/progression. Forty-four patients enrolled, all having prior bortezomib and immunomodulatory drugs and a median of 5 prior regimens. Of 42 response-evaluable patients, 23 (55%) achieved at least partial response (PR). Median (95% confidence interval) duration of response, progression-free, and overall survival were 11.7 (6.7-14.7), 4.1 (2.5-11.8), and 20.3 months (6.4-not estimable), respectively. High-risk cytogenetics did not impact outcomes. Treatment was active in bortezomib-refractory subgroups, but these patients tended to have poorer outcomes. Four/10 patients with prior allogeneic transplant achieved at least PR. Of 6 patients who responded, progressed and had dexamethasone added, 4 achieved at least stable disease. The most frequent grade 3/4 adverse events (AEs) possibly related to carfilzomib included lymphopenia (43%), thrombocytopenia (32%), hypertension (25%), pneumonia (18%), and heart failure (11%). Seven patients (16%) discontinued treatment due to AEs. Carfilzomib 56 mg/m(2) ± dexamethasone was tolerable and provided durable responses. This trial was registered at www.clinicaltrials.gov as #NCT01351623.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAgedAged, 80 and overBoronic AcidsBortezomibDexamethasoneDisease-Free SurvivalDisease ProgressionFemaleHumansKaplan-Meier EstimateLenalidomideMaleMiddle AgedMultiple MyelomaOligopeptidesBoronic AcidsBortezomibcarfilzomibDexamethasoneLenalidomideOligopeptidesPyrazinesThalidomide

Identifiers

PMID24963043
PMCPMC4624439
OpenAlexW2050465851

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.