Evidence map›Paper›PMID 28827410›Full record

Trial reportBlood2017

Neutral tumor evolution in myeloma is associated with poor prognosis.

David C Johnson, Oleg Lenive, Jonathan Mitchell, Graham Jackson, Roger Owen, Mark Drayson, Gordon Cook, John R Jones, Charlotte Pawlyn, Faith E Davies and 7 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Molecular basis of clonal evolution in multiple myeloma.International journal of hematology · 2020
    Review
  16. Article
  17. Resolving genetic heterogeneity in cancer.Nature reviews. Genetics · 2019
    Review
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

17 authors.

David C JohnsonDivision of Molecular Pathology and.ORCID 0000-0003-0887-3343
Oleg LeniveDivision of Molecular Pathology and.
Jonathan MitchellDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, United Kingdom.
Graham JacksonDepartment of Haematology, Newcastle University, Newcastle, United Kingdom.
Roger OwenSt James's University Hospital, Leeds, United Kingdom.
Mark DraysonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Gordon CookDepartment of Haematology, St James's University Hospital, Leeds, United Kingdom.
John R JonesDivision of Molecular Pathology and.
Charlotte PawlynDivision of Molecular Pathology and.
Faith E DaviesMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Brian A WalkerMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.ORCID 0000-0002-8615-6254
Christopher WardellMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Walter M GregoryClinical Trial Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom.
David CairnsClinical Trial Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, United Kingdom.
Gareth J MorganMyeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR; and.
Richard S HoulstonDivision of Molecular Pathology and.ORCID 000-0002-5268-0242
Martin F KaiserDivision of Molecular Pathology and.ORCID 0000-0002-3677-4804

Funding

Breast Cancer Now C2470/A14261Cancer Research UK C2470/A12136Cancer Research UK C2470/A17761
6 · The paper itself

Abstract

Recent studies suggest that the evolutionary history of a cancer is important in forecasting clinical outlook. To gain insight into the clonal dynamics of multiple myeloma (MM) and its possible influence on patient outcomes, we analyzed whole exome sequencing tumor data for 333 patients from Myeloma XI, a UK phase 3 trial and 434 patients from the CoMMpass study, all of which had received immunomodulatory drug (IMiD) therapy. By analyzing mutant allele frequency distributions in tumors, we found that 17% to 20% of MM is under neutral evolutionary dynamics. These tumors are associated with poorer patient survival in nonintensively treated patients, which is consistent with the reduced therapeutic efficacy of microenvironment-modulating IMiDs. Our findings provide evidence that knowledge of the evolutionary history of MM has relevance for predicting patient outcomes and personalizing therapy.

Indexed as

Gene FrequencyMutationExomeFemaleGenetic DriftHumansImmunologic FactorsImmunosuppressive AgentsKaplan-Meier EstimateLenalidomideMaleMultiple MyelomaPrognosisThalidomideTumor MicroenvironmentImmunologic FactorsImmunosuppressive AgentsLenalidomideThalidomide

Identifiers

PMID28827410
PMCPMC5630010

What OpenQuestion holds

Textmetadata
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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.