Evidence map›Paper›PMID 26376955›Full record

ArticleCancer medicine2015

Early lenalidomide treatment for low and intermediate-1 International Prognostic Scoring System risk myelodysplastic syndromes with del(5q) before transfusion dependence.

Esther N Oliva, Michael Lauseker, Maria Antonietta Aloe Spiriti, Antonella Poloni, Agostino Cortelezzi, Giuseppe A Palumbo, Enrico Balleari, Grazia Sanpaolo, Antonio Volpe, Alessandra Ricco and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Improving Treatment for Myelodysplastic Syndromes Patients.Current treatment options in oncology · 2018
    Review
  8. Treatment of low-risk myelodysplastic syndromes.Hematology. American Society of Hematology. Education Program · 2016
    Review
  9. 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 11 institutions in 2 countries.

Esther N OlivaHematology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Michael LausekerInstitute for Medical Information Science, Biometry and Epidemiology, Ludwig-Maximilians-University, Munich, Germany.
Maria Antonietta Aloe SpiritiDepartment of Clinical and Molecular Medicine, La Sapienza University, Rome, Italy.
Antonella PoloniMarche Polytechnic, Ancona, Italy.
Agostino CortelezziIRCCS Ca' Granda Foundation, Maggiore General Hospital, University of Milan, Milan, Italy.
Giuseppe A PalumboVittorio Emanuele General Hospital, University of Catania, Catania, Italy.
Enrico BalleariHematology Unit, San Martino Hospital, Genoa, Italy.
Grazia SanpaoloHematology Division, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy.
Antonio VolpeSan G Moscati Hospital, Avellino, Italy.
Alessandra RiccoUniversity of Bari, Bari, Italy.
Francesca RoncoHematology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Caterina AlatiHematology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Maria Grazia D'ErrigoMedical Genetic Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Irene SantacaterinaHematology Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Andrea KündgenDepartment of Hematology, Oncology and Clinical Immunology, Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany.
Ulrich GermingDepartment of Hematology, Oncology and Clinical Immunology, Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany.
Roberto LatagliataDepartment of Cellular Biotechnology and Hematology, La Sapienza University, Rome, Italy.
Azienda ospedaliera "Bianchi-Melacrino-Morelli" · ITHeinrich Heine University Düsseldorf · DESapienza University of Rome · ITAzienda Ospedaliera S.Giuseppe Moscati · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITCasa Sollievo della Sofferenza · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMarche Polytechnic University · ITOspedale Policlinico San Martino · ITUniversity of Bari Aldo Moro · ITZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lenalidomide is approved for the treatment of transfusion-dependent (TD) del(5q) myelodysplastic syndromes (MDS). However, few data are available in patients with transfusion-independent (TI) del(5q) MDS. In the first, observational, part of this 2-part study, we assessed the impact of transfusion dependence on overall survival (OS) and non-leukemic death in untreated del(5q) MDS patients who were TD (n = 136), TI with hemoglobin (Hb) ≥10 mg/dL (n = 88), or TI with Hb <10 mg/dL (n = 96). In the second, interventional, part we assessed the quality-of-life (QoL) benefits and clinical efficacy of lenalidomide (10 mg/day) in 12 patients with TI del(5q) MDS and Hb <10 mg/dL. In the untreated population, OS was significantly longer in TI than in TD patients (TI [Hb ≥10 g/dL], 108 months; TI [Hb <10 g/dL], 77 months; TD, 44 months). Transfusion dependence also negatively impacted non-leukemic death rates. In the interventional part of the study, baseline Hb levels were found to correlate significantly with physical (R = 0.666, P = 0.035) and fatigue (R = 0.604, P = 0.049) QoL scores. Median physical QoL scores improved significantly after 12 weeks' treatment with lenalidomide (+12.5; P = 0.020). Evaluable TI patients experienced early increases in Hb levels, and all attained an erythroid response. Our findings suggest that TI patients with moderate anemia may benefit from early treatment with lenalidomide.

Indexed as

Chromosome DeletionChromosomes, Human, Pair 5AdultAgedAged, 80 and overBiomarkersFemaleFollow-Up StudiesHumansImmunologic FactorsLenalidomideMaleMiddle AgedMyelodysplastic SyndromesPrognosisQuality of LifeBiomarkersImmunologic FactorsLenalidomideThalidomide5q deletion syndromeanemialenalidomidemyelodysplastic syndromesquality of life

Identifiers

PMID26376955
PMCPMC5123712
OpenAlexW1959361668

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Registered trials

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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.