Evidence map›Paper›PMID 27216216›Full record

Trial reportBlood2016

Clinical efficacy of daratumumab monotherapy in patients with heavily pretreated relapsed or refractory multiple myeloma.

Saad Z Usmani, Brendan M Weiss, Torben Plesner, Nizar J Bahlis, Andrew Belch, Sagar Lonial, Henk M Lokhorst, Peter M Voorhees, Paul G Richardson, Ajai Chari and 8 more

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

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07021677 (Daratumumab for Minimal Residual Disease Eradication in T-Acute Lymphoblastic Leukemia - A Phase 2 Study), which is not on this map. Cited by 197 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
197citing papers in PubMed, 3 pooled it
36.9field-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.

NCT07021677 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Daratumumab for Minimal Residual Disease Eradication in T-Acute Lymphoblastic Leukemia - A Phase 2 Study

TypeinterventionalSponsorTata Memorial CentreRan2023 to 2026Enrolled18ConditionsT Acute Lymphoblastic LeukemiaArmsDaratumumab Injection
3 · Its place in the literature

Who cites it

197 citing papers in PubMed, 3 syntheses or guidelines pooled it, 403 citations in OpenAlex.

  1. Pooled it
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  9. Melflufen and Dexamethasone in Heavily Pretreated Relapsed and Refractory Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
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  19. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
    Review
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137 more citing papers are in PubMed but not listed here.

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

18 authors at 11 institutions in 5 countries.

Saad Z UsmaniLevine Cancer Institute/Carolinas HealthCare System, Charlotte, NC;
Brendan M WeissDivision of Hematology-Oncology, Department of Medicine, Abramson Cancer Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Torben PlesnerVejle Hospital and University of Southern Denmark, Vejle, Denmark;
Nizar J BahlisTom Baker Cancer Center-University of Calgary, Calgary, AB, Canada;
Andrew BelchCross Cancer Institute, Edmonton, AB, Canada;
Sagar LonialDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA;
Henk M LokhorstDepartment of Hematology, VU Medical Center, Amsterdam, The Netherlands;
Peter M VoorheesDivision of Hematology/Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC;
Paul G RichardsonDana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Ajai ChariTisch Cancer Institute, Mount Sinai School of Medicine, New York, NY;
A Kate SasserJanssen Research & Development, LLC, Spring House, PA;
Amy AxelJanssen Research & Development, LLC, Spring House, PA;
Huaibao FengJanssen Research & Development, LLC, Raritan, NJ; and.
Clarissa M UhlarJanssen Research & Development, LLC, Spring House, PA;
Jianping WangJanssen Research & Development, LLC, Spring House, PA;
Imran KhanJanssen Research & Development, LLC, Raritan, NJ; and.
Tahamtan AhmadiJanssen Research & Development, LLC, Spring House, PA;
Hareth NahiKarolinska Institute, Division of Hematology, Department of Medicine, Karolinska University Hospital at Huddinge, Stockholm, Sweden.
Janssen (United States) · USAmsterdam UMC Location VUmc · NLDana-Farber Cancer Institute · USEmory University · USIcahn School of Medicine at Mount Sinai · USKarolinska Institutet · SELevine Cancer Institute · USUniversity of Calgary · CAUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · USUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy and favorable safety profile of daratumumab monotherapy in multiple myeloma (MM) was previously reported. Here, we present an updated pooled analysis of 148 patients treated with daratumumab 16 mg/kg. Data were combined from part 2 of a first-in-human phase 1/2 study of patients who relapsed after or were refractory to ≥2 prior therapies and a phase 2 study of patients previously treated with ≥3 prior lines of therapy (including a proteasome inhibitor [PI] and an immunomodulatory drug [IMiD]) or were double refractory. Among the pooled population, patients received a median of 5 prior lines of therapy (range, 2 to 14 prior lines of therapy), and 86.5% were double refractory to a PI and an IMiD. Overall response rate was 31.1%, including 13 very good partial responses, 4 complete responses, and 3 stringent complete responses. The median duration of response was 7.6 months (95% confidence interval [CI], 5.6 to not evaluable [NE]). The median progression-free survival (PFS) and overall survival (OS) were 4.0 months (95% CI, 2.8-5.6 months) and 20.1 months (95% CI, 16.6 months to NE), respectively. When stratified by responders vs stable disease/minimal response vs progressive disease/NE, median PFS was 15.0 months (95% CI, 7.4 months to NE) vs 3.0 months (95% CI, 2.8-3.7 months) vs 0.9 months (95% CI, 0.9-1.0 months), respectively, and median OS was NE (95% CI, NE to NE) vs 18.5 months (95% CI, 15.1-22.4 months) vs 3.7 months (95% CI, 1.7-7.6 months), respectively. No new safety signals were identified. In this pooled data set, daratumumab 16 mg/kg monotherapy demonstrated rapid, deep, and durable responses, with a clinical benefit that extended to patients with stable disease or better.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiple MyelomaRecurrenceRemission InductionSurvival RateAntibodies, Monoclonaldaratumumab

Identifiers

PMID27216216
PMCPMC4937359
OpenAlexW2402003835

What OpenQuestion holds

Textmetadata
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.