Evidence map›Paper›PMID 27548464›Full record

Trial reportBone marrow transplantation2017

The impact of induction regimen on transplant outcome in newly diagnosed multiple myeloma in the era of novel agents.

R Chakraborty, E Muchtar, S Kumar, F K Buadi, D Dingli, A Dispenzieri, S R Hayman, W J Hogan, P Kapoor, M Q Lacy and 2 more

Open access · bronzeAbstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.2field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. A Focus on Special Populations in Relapsed Multiple Myeloma.Journal of the advanced practitioner in oncology · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Case-based roundtable on treatment approach for young, fit, newly diagnosed multiple myeloma patients.Hematology. American Society of Hematology. Education Program · 2018
    Review
  13. Article
  14. The evolution of stem-cell transplantation in multiple myeloma.Therapeutic advances in hematology · 2018
    Review
  15. Article
  16. 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 3 institutions in 1 country.

R ChakrabortyDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
E MuchtarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
S KumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-5392-9284
F K BuadiDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
D DingliDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
A DispenzieriDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
S R HaymanDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
W J HoganDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
P KapoorDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
M Q LacyDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
N LeungDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-5651-1411
M A GertzDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USEssentia Health · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared overall survival (OS) of 1017 patients with newly diagnosed multiple myeloma (MM) who were treated with different novel agent-based induction regimens and who underwent early autologous stem cell transplant (ASCT). Subgroups were defined by type of induction therapy: cyclophosphamide-bortezomib-dexamethasone (CyBorD; n=193), bortezomib-dexamethasone (Vd; n=64), lenalidomide-dexamethasone (Rd; n=251), bortezomib-lenalidomide-dexamethasone (VRd; n=126), thalidomide-dexamethasone (Td; n=155) and vincristine-doxorubicin-dexamethasone or dexamethasone alone (VAD/Dex; n=228). The median follow-up of the surviving patients was 66.7 months. The 5-year OS rates with CyBorD, Vd, Rd, VRd, Td and VAD/Dex were 79.2%, 72.3%, 79.2%, 79.0%, 57.4% and 63.4%, respectively (log-rank, P<0.001). In a multivariate analysis, after controlling for important patient and disease variables, VRd had a superior OS compared with CyBorD (hazard ratio (HR), 0.32; 95% confidence interval (CI), 0.10-0.88; P=0.03) and Vd (HR, 0.16; 95% CI, 0.04-0.52; P=0.002). In conclusion, our study demonstrates that among patients completing induction therapy and continuing to early transplant, VRd induction leads to improved OS compared with CyBorD and Vd regimens.

Indexed as

Stem Cell TransplantationAdultAgedAntineoplastic Combined Chemotherapy ProtocolsAutograftsBortezomibCyclophosphamideDexamethasoneDisease-Free SurvivalFemaleHumansInduction ChemotherapyLenalidomideMaleMiddle AgedMultiple MyelomaBortezomibCyclophosphamideDexamethasoneLenalidomideThalidomideVincristine

Identifiers

PMID27548464
OpenAlexW2511151602

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.