Evidence map›Paper›PMID 28402945›Full record

Observational studyOncotarget2017

A prospective, open-label, multicenter, observational study to evaluate the efficacy and safety of bortezomib-melphalan-prednisone as initial treatment for autologous stem cell transplantation-ineligible patients with multiple myeloma.

Min Kyoung Kim, Kihyun Kim, Chang-Ki Min, Jae-Yong Kwak, Sang-Byung Bae, Sung-Soo Yoon, Je-Jung Lee, Ki Hwan Kim, Seung-Hyun Nam, Yeung-Chul Mun and 34 more

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

44 authors at 20 institutions in 1 country.

Min Kyoung KimDepartment of Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Kihyun KimDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chang-Ki MinDivision of Hematology, Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Jae-Yong KwakDepartment of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Sang-Byung BaeDepartment of Internal Medicine, Soonchunhyang University Hospital, Cheonan, Korea.
Sung-Soo YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Je-Jung LeeDepartment of Hematology/Oncology, Chonnam National University Hwasun Hospital, Hwasun, Korea.
Ki Hwan KimDepartment of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Seung-Hyun NamDepartment of Internal Medicine, VHS Medical Center, Seoul, Korea.
Yeung-Chul MunDepartment of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Hyo Jung KimDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
Sung Hwa BaeDepartment of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
Ho-Jin ShinDepartment of Internal Medicine, Division of Hematology/Oncology, School of Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
Jung-Hee LeeDepartment of Hematology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Joon Seong ParkDepartment of Hematology/Oncology, Ajou University School of Medicine, Suwon, Korea.
Seong Hyun JeongDepartment of Hematology/Oncology, Ajou University School of Medicine, Suwon, Korea.
Mark Hong LeeDepartment of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
Yang-Soo KimDepartment of Hematology/Oncology, Kosin University College of Medicine, Busan, Korea.
Ho Sup LeeDepartment of Hematology/Oncology, Kosin University College of Medicine, Busan, Korea.
Keon Woo ParkDepartment of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Won-Sik LeeDepartment of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Sang Min LeeDepartment of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Jeong-Ok LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea.
Myung Soo HyunDepartment of Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Deog Yeon JoDepartment of Hematology/Oncology, Chungnam National University Hospital, Daejeon, Korea.
Sung-Nam LimDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Jae Hoon LeeDepartment of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Do-Yeun ChoDepartment of Internal Medicine, Konyang University Hospital, Daejeon, Korea.
Young Rok DoDepartment of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Jeong-A KimDepartment of Hematology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Seong Kyu ParkDepartment of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Jin Seok KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Soo-Jeong KimDivision of Hematology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Hawk KimDivision of Hematology and Cellular Therapy, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Hyeon Gyu YiDepartment of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
Joon Ho MoonDepartment of Hematology/Oncology, Kyungpook National University Hospital, Daegu, Korea.
Chul Won ChoiDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Sung-Hyun KimDepartment of Internal Medicine, Dong-A Medical Center, Dong-A University College of Medicine, Busan, Korea.
Young-Don JooDepartment of Hemato-Oncology, Inje University Haeundae Paik Hospital, Busan, Korea.
Hoon-Gu KimDepartment of Internal Medicine, Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Korea.
Byung Soo KimDepartment of Hematology, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea.
Moo-Rim ParkDepartment of Internal Medicine, School of Medicine, Wonkwang University, Iksan, Korea.
Moo-Kon SongDepartment of Hemato-Oncology, Hanyang University Hanmaeum Changwon Hospital, Changwon, Korea.
Su-Youn KimMedical Affairs, Janssen Korea, Seoul, Korea.
Ulsan College · KRYonsei University · KRAjou University · KRInje University Haeundae Paik Hospital · KRKorea University Medical Center · KRKosin University · KRSeoul National University · KRSoonchunhyang University Hospital Seoul · KRYeungnam University CollegeChungnam National University Hospital · KRDankook University · KREwha Womans University · KRHanyang University · KRInha University Hospital · KRInje University Busan Paik Hospital · KRJeonbuk National University · KRKeimyung University · KRKonkuk University Medical Center · KRKonyang University Hospital · KRKyungpook National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bortezomib-melphalan-prednisone (VMP) showed superior efficacy versus MP as first-line treatment for transplantation-ineligible multiple myeloma (MM). This study investigated the efficacy of VMP for Korean patients with MM.Overall, 177 MM patients received 9 cycles of VMP in this prospective, multicenter, observational study. The primary endpoint was 2-year progression-free survival (PFS).Thirty-nine (22%) patients were aged ≥ 75 years and 83 (47.4%) patients had International Staging System stage III. A median of 5 cycles were delivered. Overall response rate (ORR) was 72.9%, and complete response (CR) rate was 20.3%. With a median follow-up of 11.9 months, median PFS was 17 months. The 2-year PFS and overall survival (OS) rates were 29.2% and 80.0%, respectively. Median OS was not reached. PFS was significantly different depending on performance status (Eastern Cooperative Oncology Group < 2 vs. ≥ 2; p = 0.0002), β2-microglobulin level (< 5.5 vs. ≥ 5.5 mg/L; p = 0.0481), and cumulative dose of bortezomib (< 35.1 vs. ≥ 35.1 mg/m2; p < 0001). The common adverse events (AEs) were in line with the well-known toxicity profiles associated with VMP.In conclusion, VMP is a feasible and effective front-line treatment for transplant-ineligible older patients with MM in Korea. Continuing therapy with prompt adjustment of treatment according to AEs may be important to improve outcomes of elderly patients.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAsian PeopleBortezomibDiarrheaDrug Administration ScheduleFemaleHumansKaplan-Meier EstimateMaleMelphalanMiddle AgedMultiple MyelomaNeoplasm StagingNeutropeniaBortezomibMelphalanPrednisoneagedbortezomibcombinationdrug therapymultiple myeloma

Identifiers

PMID28402945
PMCPMC5514934
OpenAlexW2605033429

What OpenQuestion holds

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Registered trials

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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.