Evidence map›Paper›PMID 26821931›Full record

Trial reportBMC cancer2016

Long-term use of lenalidomide and low-dose dexamethasone in Chinese patients with relapsed/refractory multiple myeloma: MM-024 Extended Access Program.

Xin Du, Jie Jin, Zhen Cai, Fangping Chen, Dao-bin Zhou, Li Yu, Xiaoyan Ke, Xiao Li, Depei Wu, Fanyi Meng and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02348528 (A Multi-center, Open-label Extended Access Program of Lenalidomide Plus Low-dose Dexamethasone in Chinese Subjects With Relapsed/Refactory Multiple Myeloma Who Participated in Study CC-5013-MM-021 for at Least One Year.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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.

NCT02348528 phase2completednot on this map

A Multi-center, Open-label Extended Access Program of Lenalidomide Plus Low-dose Dexamethasone in Chinese Subjects With Relapsed/Refactory Multiple Myeloma Who Participated in Study CC-5013-MM-021 for at Least One Year.

TypeinterventionalSponsorCelgeneRan2012 to 2016Enrolled65ConditionsMultiple MyelomaArmsLenalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

14 authors at 9 institutions in 1 country.

Xin DuGuangdong General Hospital, Guangzhou, China. miyadu@hotmail.com.
Jie JinThe 1st Affiliated Hospital, Zhejiang University, Hangzhou, China. jiej0503@163.com.
Zhen CaiThe 1st Affiliated Hospital, Zhejiang University, Hangzhou, China. caizhen1@sina.com.
Fangping ChenXiangya Hospital of Central South University, Changsha, China. cnchenfp@hotmail.com.
Dao-bin ZhouPeking Union Medical College Hospital, Beijing, China. zhoudb@pumch.cn.
Li YuThe 301 Hospital-Chinese PLA General Hospital, Beijing, China. liyu301@vip.163.com.
Xiaoyan KePeking University Third Hospital, Beijing, China. xykbysy@163.com.
Xiao LiShanghai 6th Hospital, Shanghai, China. lixiao3326@yahoo.com.cn.
Depei WuThe 1st Affiliated Hospital of Soochow University, Suzhou, China. wudepei@medmail.com.cn.
Fanyi MengNanfang Hospital of Southern Medicine University in Guangzhou, Guangzhou, China. mengfu@medmail.com.cn.
Dena DeMarcoCelgene Corporation, Summit, NJ, USA. ddemarco@celgene.com.
Jingshan ZhangCelgene Corporation, Summit, NJ, USA. jizhang@celgene.com.
Jay MeiCelgene Corporation, Summit, NJ, USA. jmei@celgene.com.
Jian HouDepartment of Hematology, Shanghai Changzheng Hospital, Shanghai, China. houjian@medmail.com.cn.
Second Affiliated Hospital of Zhejiang University · CNChinese PLA General Hospital · CNGuangdong General Hospital · CNNanfang Hospital · CNPeking Union Medical College Hospital · CNPeking University Third Hospital · CNShanghai Changzheng Hospital · CNSoochow University · CNXiangya Hospital Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy and safety of lenalidomide plus low-dose dexamethasone (Rd) in Chinese patients with relapsed/refractory multiple myeloma (RRMM) was demonstrated in a phase 2, multicenter trial (MM-021). MM-024 was an Extended Access Program (EAP) that allowed responding patients in the MM-021 trial to continue to receive Rd, and to provide additional safety and efficacy data with longer follow-up.

methodsChinese patients with RRMM who completed ≥ 1 year of Rd therapy in MM-021 and who remained progression-free under Rd entered the Treatment Phase of the MM-024 EAP, continuing Rd at the same dose and schedule. Patients in MM-021 who discontinued Rd treatment or progressed were allowed to enroll in the Safety Follow-Up Phase of the MM-024 EAP. Safety data, including the incidence of second primary malignancies (SPMs), were collected for ≥ 5 years from the time the last on-study patient enrolled in the MM-021 trial (primary end point). Efficacy outcomes (time to progression [TTP], progression-free survival [PFS], and overall survival [OS]) were secondary end points.

resultsMedian follow-up was 38.4 months for the safety population (n = 80) and 43.3 months for the treatment cohort (n = 41). In the safety population, Grade 3-4 adverse events (AEs) occurred in 60.0 % of patients; the most common grade 3-4 AEs were neutropenia (20.0%), decreased neutrophil count (13.8%), and anemia (11.3%). There was no evidence of cumulative toxicity, and no patients discontinued Rd due to AEs; 2 patients had SPMs. In the treatment cohort, median duration of response was 35.1 months, median TTP was 36.9 months, and median PFS was 36.0 months; median OS was not reached due to the low number of deaths (n = 5).

conclusionLong-term treatment with Rd has a predictable and manageable safety profile and provides sustained efficacy in Chinese patients with RRMM.

trial registrationChina State Food and Drug Administration (SFDA) registration (CTA reference numbers: 209L10808; 209L10809; 209L10810; and 209L10811) and ClinicalTrials.gov Identifier: NCT02348528. First received January 23, 2015; last updated November 12, 2015; last verified November 2015; study start date September 2012.

Indexed as

DexamethasoneDrug-Related Side Effects and Adverse ReactionsMultiple MyelomaNeoplasm Recurrence, LocalThalidomideAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsChinaDisease-Free SurvivalDose-Response Relationship, DrugDrug Resistance, NeoplasmFemaleHumansLenalidomideDexamethasoneLenalidomideThalidomide

Identifiers

PMID26821931
PMCPMC4730718
OpenAlexW2253975803

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.