Evidence map›Paper›PMID 26275080›Full record

Trial reportBlood cancer journal2015

Phase 2 trial of ixazomib in patients with relapsed multiple myeloma not refractory to bortezomib.

S K Kumar, B LaPlant, V Roy, C B Reeder, M Q Lacy, M A Gertz, K Laumann, M A Thompson, T E Witzig, F K Buadi and 10 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood cancer journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
10.7field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. NCCN Guidelines Insights: Multiple Myeloma, Version 3.2016.Journal of the National Comprehensive Cancer Network : JNCCN · 2016
    Guideline
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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

20 authors at 4 institutions in 1 country.

S K KumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
B LaPlantDepartment of Biostatistics, Mayo Clinic, Rochester, MN, USA.
V RoyDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.
C B ReederDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.
M Q LacyDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
M A GertzDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
K LaumannDepartment of Biostatistics, Mayo Clinic, Rochester, MN, USA.
M A ThompsonDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
T E WitzigDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
F K BuadiDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
C E RiveraDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.
J R MikhaelDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.
P L BergsagelDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.
P KapoorDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
L HwaDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
R FonsecaDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.
A K StewartDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, AZ, USA.
A Chanan-KhanDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.
S V RajkumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
A DispenzieriDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMayo Clinic · USWinnMed · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
NCI NIH HHS K12 CA090628NCI NIH HHS K12 CA90628NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

This phase 2 trial was designed to evaluate ixazomib, an orally bioavailable proteasome inhibitor, in patients with myeloma who have limited prior exposure to bortezomib. Thirty-three patients with relapsed multiple myeloma were enrolled. Ixazomib was given at 5.5 mg weekly for 3 of 4 weeks. Dexamethasone was added for lack of a minor response (MR) by end of cycle 2 or lack of a partial response (PR) by end of cycle 4 or for disease progression at any time. Median age was 69 years; patients had a median of two prior therapies (range 1-7). A grade 3 or 4 adverse event considered at least possibly related to drug was seen in 19 (59%) and 6 (19%) patients, respectively. The most common adverse events were thrombocytopenia, fatigue, nausea and diarrhea. Dexamethasone was initiated in 22 (67%) patients, 17 for not reaching the desired response and 5 for progression. Response (⩾PR) to single agent was seen in five patients within four cycles of therapy including three patients with PR, one patient with complete response (CR) and one patient with stringent CR. Six additional patients with either an MR (2) or SD (4) achieved a PR after addition of dexamethasone, translating to an overall response rate of 34%.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsBoron CompoundsDexamethasoneDisease-Free SurvivalFemaleGlycineHumansMaleMiddle AgedMultiple MyelomaRecurrenceTreatment OutcomeAntineoplastic AgentsBoron CompoundsDexamethasoneGlycineixazomib

Identifiers

PMID26275080
PMCPMC4558585
OpenAlexW1801735820

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.