Evidence map›Paper›PMID 26588925›Full record

ArticleInternational journal of hematology2016

Phase 1 study of bortezomib in combination with melphalan and dexamethasone in Japanese patients with relapsed AL amyloidosis.

Chihiro Shimazaki, Shin-Ichi Fuchida, Kenshi Suzuki, Tadao Ishida, Hirokazu Imai, Morio Sawamura, Hiroyuki Takamatsu, Masahiro Abe, Toshihiro Miyamoto, Hiroyuki Hata and 2 more

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. 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

12 authors at 9 institutions in 1 country.

Chihiro ShimazakiDepartment of Hematology, Japan Community Healthcare Organization, Kyoto Kuramaguchi Medical Center, Kyoto, Japan. shimazaki-chihiro@kyoto.jcho.go.jp.
Shin-Ichi FuchidaDepartment of Hematology, Japan Community Healthcare Organization, Kyoto Kuramaguchi Medical Center, Kyoto, Japan.
Kenshi SuzukiDepartment of Hematology, Japanese Red Cross Medical Center, Tokyo, Japan.
Tadao IshidaDepartment of Gastroenterology, Rheumatology and Clinical Immunology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Hirokazu ImaiDepartment of Nephrology and Rheumatology, Aichi Medical University School of Medicine, Nagakute, Japan.
Morio SawamuraDepartment of Hematology, National Hospital Organization Nishigunma National Hospital, Shibukawa, Japan.
Hiroyuki TakamatsuDepartment of Hematology, Kanazawa University School of Medicine, Kanazawa, Japan.
Masahiro AbeDepartment of Hematology, Endocrinology and Metabolism, Tokushima University Graduate School, Tokushima, Japan.
Toshihiro MiyamotoMedicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hiroyuki HataDepartment of Hematology, Kumamoto University School of Medicine, Kumamoto, Japan.
Masahito YamadaDepartment of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
Yukio AndoDepartment of Neurology, Kumamoto University School of Medicine, Kumamoto, Japan.
Japan Community Healthcare Organization · JPKanazawa University · JPKumamoto University · JPAichi Medical University · JPJapanese Red Cross Medical Center · JPKyushu University · JPNational Hospital Organization · JPSapporo Medical University · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledWe performed a phase 1 study to evaluate the safety and feasibility of bortezomib (BOR) with melphalan and dexamethasone (BMD) in patients with light chain amyloidosis (AL) without severe cardiac failure. Patients received BOR on a twice-weekly schedule (days 1, 4, 8, and 11 of 28-day treatment cycles) at planned doses of 1.0 (dose level 1) and 1.3 (dose level 2) mg/m(2) in combination with melphalan 8 mg/m(2) on days 1-4 and dexamethasone 20 mg on days 1, 2, 4, 5, 8, 9, 11, and 12. Dose-limiting toxicity (DLT) was evaluated at the end of cycle one, and treatment was continued for four cycles. Six patients were enrolled at dose level 1, and one showed DLT (grade 3: herpes zoster). Further 3 patients were enrolled at dose level 2, and none experienced DLT. Thus, the maximum tolerated dose was defined as BOR doses of 1.3 mg/m(2) for the twice-weekly schedule. A total of 32 cycles of BMD therapy were given, and the most common hematologic toxicity was thrombocytopenia (47%). Peripheral neuropathy was the most common non-hematologic toxicity (16%). We demonstrated that BMD is safe and tolerable for Japanese AL patients without severe cardiac damage. CLINICAL

trial registrationUMIN000006604.

Indexed as

AdultAgedAmyloidosisBortezomibDexamethasoneDrug Administration ScheduleDrug Therapy, CombinationFeasibility StudiesFemaleHumansInfusions, IntravenousMaleMaximum Tolerated DoseMelphalanMiddle AgedRecurrenceBortezomibDexamethasoneMelphalanAL amyloidosisBortezomibDexamethasoneMelpahaln

Identifiers

PMID26588925
OpenAlexW2177896597

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.