Evidence map›Paper›PMID 25867654›Full record

Trial reportBone marrow transplantation2015

Autologous stem cell transplantation versus novel drugs or conventional chemotherapy for patients with relapsed multiple myeloma after previous ASCT.

M Grövdal, H Nahi, G Gahrton, J Liwing, A Waage, N Abildgaard, P T Pedersen, J Hammerstrøm, A Laaksonen, P Bazia and 7 more

Abstract readClinical TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Mobilization Strategies in Myeloma Patients Intended for Autologous Hematopoietic Cell Transplantation.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
    Review
  11. The first relapse in multiple myeloma: how to pick the next best thing.Hematology. American Society of Hematology. Education Program · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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

17 authors at 10 institutions in 4 countries.

M GrövdalDepartment of Medicine, Karolinska Institutet, Center for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
H NahiDepartment of Medicine, Karolinska Institutet, Center for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
G GahrtonDepartment of Medicine, Karolinska Institutet, Center for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
J LiwingDepartment of Medicine, Karolinska Institutet, Center for Hematology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
A Waage1] Saint Olavs Hospital, Norwegian University of Science and Technology, Trondheim, Norway [2] KG Jebsen Center for Myeloma Research, IKM, Norwegian University of Science and Technology, Trondheim, Norway.
N AbildgaardDepartment of Hematology, Odense University Hospital, Odense, Denmark.
P T PedersenDepartment of Hematology, Esbjerg Hospital, Esbjerg, Denmark.
J Hammerstrøm1] Saint Olavs Hospital, Norwegian University of Science and Technology, Trondheim, Norway [2] KG Jebsen Center for Myeloma Research, IKM, Norwegian University of Science and Technology, Trondheim, Norway.
A LaaksonenDepartment of Hematology, Turku University Hospital, Turku University, Turku, Finland.
P BaziaDepartment of Hematology, Kainuu Central Hospital, Kajaani, Finland.
V TeravaDepartment of Hematology, Tampere University Hospital, Tampere, Finland.
H OllikainenDepartment of Hematology, Satakunta Central Hospital, Pori, Finland.
R SilvennoinenDepartment of Hematology, Kuopio University Hospital, Kuopio, Finland.
M PutkonenDepartment of Hematology, Turku University Hospital, Turku University, Turku, Finland.
P AnttilaDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
K PorkkaDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
K RemesDepartment of Hematology, Turku University Hospital, Turku University, Turku, Finland.
Turku University Hospital · FIHelsinki University Hospital · FIKarolinska Institutet · SEKarolinska University Hospital · SENorwegian University of Science and Technology · NOKajaani University of Applied Sciences · FIKuopio University Hospital · FIOdense University Hospital · DKSatakunta Central Hospital · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-dose therapy (HDT) followed by autologous stem cell transplantation (ASCT) is the most common first-line treatment for patients with multiple myeloma (MM) under 65 years of age. A second ASCT at first relapse is frequently used but is challenged by the use of novel drugs. We retrospectively studied the outcome of second-line treatment in MM patients from the Nordic countries with relapse after first-line HDT and ASCT. Patients that underwent a second ASCT (n=111) were compared with patients re-treated with conventional cytotoxic drugs only (n=91) or with regimens including novel drugs (proteasome inhibitors and/or immunomodulatory drugs) (n=362) without a second ASCT. For patients receiving a second ASCT median overall survival was 4.0 years compared with 3.3 years (P<0.001) for the group treated with novel drugs and 2.5 years (P<0.001) for those receiving conventional cytotoxic drugs only. A second ASCT also resulted in a significantly longer second time to progression and a significantly longer time to next treatment. We conclude that, irrespective of the addition of novel drugs, MM patients in first relapse after ASCT still appear to benefit from a second ASCT. A second ASCT should be considered for all physically fit patients.

Indexed as

Stem Cell TransplantationAdultAgedAntineoplastic Combined Chemotherapy ProtocolsAutograftsFemaleHumansMaleMiddle AgedMultiple Myeloma

Identifiers

PMID25867654
OpenAlexW2005208534

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.