Evidence map›Paper›PMID 26437056›Full record

Trial reportBone marrow transplantation2016

A randomized phase II study of stem cell mobilization with cyclophosphamide+G-CSF or G-CSF alone after lenalidomide-based induction in multiple myeloma.

R Silvennoinen, P Anttila, M Säily, T Lundan, J Heiskanen, T M Siitonen, S Kakko, M Putkonen, H Ollikainen, V Terävä and 11 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 1 country.

R SilvennoinenDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
P AnttilaCancer Center, Helsinki University Central Hospital, Helsinki, Finland.
M SäilyHematology-Oncology Unit, Oulu University Hospital, Oulu, Finland.
T LundanDepartment of Clinical Chemistry and TYKSLAB, University of Turku and Turku University Central Hospital, Turku, Finland.
J HeiskanenCancer Center, Helsinki University Central Hospital, Helsinki, Finland.
T M SiitonenHematology-Oncology Unit, Oulu University Hospital, Oulu, Finland.
S KakkoHematology-Oncology Unit, Oulu University Hospital, Oulu, Finland.
M PutkonenHematology Unit, Turku University Central Hospital, Turku, Finland.
H OllikainenDepartment of Medicine, Satakunta Central Hospital, Pori, Finland.
V TeräväHematology Unit, Tampere University Hospital, Tampere, Finland.
A KutilaDepartment of Medicine, Mikkeli Central Hospital, Mikkeli, Finland.
K LaunonenDepartment of Medicine, Länsi-Pohja Central Hospital, Kemi, Finland.
A RäsänenDepartment of Medicine, Kymenlaakso Central Hospital, Kotka, Finland.
A SikiöDepartment of Medicine, Central Finland Central Hospital, Jyväskylä, Finland.
M SuominenDepartment of Medicine, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
P BaziaDepartment of Medicine, Kainuu Central Hospital, Kajaani, Finland.
K KananenDepartment of Medicine, Kainuu Central Hospital, Kajaani, Finland.
T SelanderScience Services Center, Kuopio University Hospital, Kuopio, Finland.
T KuittinenDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
K RemesHematology Unit, Turku University Central Hospital, Turku, Finland.
E JantunenDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Kuopio University Hospital · FIOulu University Hospital · FIHelsinki University Hospital · FIKajaani University of Applied Sciences · FIUniversity of Turku · FICentral Finland Health Care District · FIKanta-Hämeen Keskussairaala · FIKymenlaakson keskussairaala · FILänsi-Pohjan Sairaanhoitopiirin Kuntayhtymä · FIMoisio Hospital · FISatakunta Central Hospital · FITampere University Hospital · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most common means of mobilizing autologous stem cells is G-CSF alone or combined with cyclophosphamide (CY) to obtain sufficient CD34+ cells for one to two transplants. There are few prospective, randomized studies investigating mobilization regimens in multiple myeloma (MM), especially after lenalidomide-based induction. We designed this prospective, randomized study to compare low-dose CY 2 g/m2 +G-CSF (arm A) and G-CSF alone (arm B) after lenalidomide-based up-front induction in MM. Of the 80 initially randomized patients, 69 patients were evaluable, 34 and 35 patients in arms A and B, respectively. The primary end point was the proportion of patients achieving a yield of ⩾3 × 10(6)/kg CD34+ cells with 1-2 aphereses, which was achieved in 94% and 77% in arms A and B, respectively (P=0.084). The median number of aphereses needed to reach the yield of ⩾3 × 10(6)/kg was lower in arm A than in arm B (1 vs. 2, P=0.035). Two patients needed plerixafor in arm A and five patients in arm B (P=0.428). Although CY-based mobilization was more effective, G-CSF alone was successful in a great majority of patients to reach the defined collection target after three cycles of lenalidomide-based induction.

Indexed as

Hematopoietic Stem Cell MobilizationHematopoietic Stem Cell TransplantationAdultAgedAutograftsCyclophosphamideGranulocyte Colony-Stimulating FactorHumansInduction ChemotherapyLenalidomideMiddle AgedMultiple MyelomaThalidomideCyclophosphamideGranulocyte Colony-Stimulating FactorLenalidomideThalidomide

Identifiers

PMID26437056
PMCPMC4777887
OpenAlexW2315341136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.