Evidence map›Paper›PMID 28860655›Full record

Trial reportLeukemia2018

Pomalidomide-dexamethasone in refractory multiple myeloma: long-term follow-up of a multi-cohort phase II clinical trial.

S Ailawadhi, J R Mikhael, B R LaPlant, K M Laumann, S Kumar, V Roy, D Dingli, P L Bergsagel, F K Buadi, S V Rajkumar and 18 more

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
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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

28 authors at 3 institutions in 1 country.

S AilawadhiDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
J R MikhaelDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
B R LaPlantDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
K M LaumannDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
S KumarDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0001-5392-9284
V RoyDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
D DingliDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
P L BergsagelDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
F K BuadiDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
S V RajkumarDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
R FonsecaDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
M A GertzDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
P KapoorDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
T SherDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
S R HaymanDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
A K StewartDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
A DispenzieriDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
R A KyleDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
W I GonsalvesDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
C B ReederDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Y LinDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
R S GoDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
N LeungDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
T KourelisDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
J A LustDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
S J RussellDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
A A Chanan-KhanDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
M Q LacyDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
Mayo Clinic Hospital · USMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

Despite therapeutic advances, multiple myeloma remains incurable, with limited options for patients with refractory disease. We conducted a large, multi-cohort clinical trial testing various doses and treatment schedules of pomalidomide and dexamethasone (Pom/dex) in patients with refractory multiple myeloma. Overall, 345 patients were enrolled to six cohorts based on number and type of prior lines of therapy, pomalidomide dose and schedule. Median prior lines of therapy were three with near universal prior exposure to proteasome inhibitors and/or immunomodulatory drugs. A confirmed response rate of 35% was noted for all cohorts (range 23-65%) with higher responses in cohorts with fewer prior lines of therapy. Median time to confirmed response was ⩽2 months and the longest progression-free survival and overall survival seen in any cohort were 13.1 and 47.9 months, respectively. Observed adverse reactions were as expected, with myelosuppression and fatigue being the most common hematologic and non-hematologic adverse events (AEs), respectively. Longer durations of treatment and response, higher response rates and fewer AEs were noted with the 2 mg pomalidomide dose. This is the longest follow-up data for Pom/dex in refractory multiple myeloma and will help shape the real-world utilization of this regimen.

Indexed as

Drug Resistance, NeoplasmAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorDexamethasoneFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiple MyelomaRetreatmentSurvival AnalysisThalidomideBiomarkers, TumorDexamethasonepomalidomideThalidomide

Identifiers

PMID28860655
OpenAlexW2750771620

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.