Evidence map›Paper›PMID 29137233›Full record

ArticleOncotarget2017

Outcome of patients treated for myelodysplastic syndromes with 5q deletion after failure of lenalidomide therapy.

Thomas Prebet, Thomas Cluzeau, Sophie Park, Mikkael A Sekeres, Ulrich Germing, Lionel Ades, Uwe Platzbecker, Katharina Gotze, Norbert Vey, Esther Oliva and 7 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00065156 (A Multicenter, Single-arm, Open-label Study of the Efficacy and Safety of Lenalidomide Monotherapy in Red Blood Cell Transfusion-dependent Subjects With Myelodysplastic Syndromes Associated With a Del), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT00065156 phase2completednot on this map

A Multicenter, Single-arm, Open-label Study of the Efficacy and Safety of Lenalidomide Monotherapy in Red Blood Cell Transfusion-dependent Subjects With Myelodysplastic Syndromes Associated With a Del(5q) Cytogenetic Abnormality.

TypeinterventionalSponsorCelgeneRan2003 to 2008Enrolled148ConditionsMyelodysplastic SyndromesArmslenalidomide
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Lower risk but high risk.Hematology. American Society of Hematology. Education Program · 2021
    Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Improving Treatment for Myelodysplastic Syndromes Patients.Current treatment options in oncology · 2018
    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 at 9 institutions in 4 countries.

Thomas PrebetMoffit Cancer Center, Tampa, Florida, USA.
Thomas CluzeauCote d'Azur University, Nice Sophia Antipolis University, Centre Hospitalier Universitaire de Nice, Nice, France.
Sophie ParkU1065, Mediterranean Center of Molecular Medecine, Nice, France.
Mikkael A SekeresLeukemia Program, Cleveland Clinic, Cleveland, OH, USA.
Ulrich GermingDepartment Hematology, Oncology and Clinical Immunology, Heinrich Heine University, Dusseldorf, Germany.
Lionel AdesGroupe Francophone des Myelodysplasies, Hopital Saint Louis, Paris, France.
Uwe PlatzbeckerUniversitäts Klinikum Carl Gustav Carus, Dresden, Germany.
Katharina GotzeKlinikum Rechts der Isar, Technische Universität München, München, Germany.
Norbert VeyGroupe Francophone des Myelodysplasies, Hopital Saint Louis, Paris, France.
Esther OlivaHematology Unit, Azienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Mary M SugrueCelgene Corporation, Summit, NJ, USA.
Cecile BallyGroupe Francophone des Myelodysplasies, Hopital Saint Louis, Paris, France.
Charikleia KelaidiGroupe Francophone des Myelodysplasies, Hopital Saint Louis, Paris, France.
Najla Al AliCote d'Azur University, Nice Sophia Antipolis University, Centre Hospitalier Universitaire de Nice, Nice, France.
Pierre FenauxGroupe Francophone des Myelodysplasies, Hopital Saint Louis, Paris, France.
Steven D GoreMoffit Cancer Center, Tampa, Florida, USA.
Rami KomrokjiCote d'Azur University, Nice Sophia Antipolis University, Centre Hospitalier Universitaire de Nice, Nice, France.
Groupe Francophone des Myélodysplasies · FRCentre Hospitalier Universitaire de Nice · FRMoffitt Cancer Center · USAzienda ospedaliera "Bianchi-Melacrino-Morelli" · ITCleveland Clinic · USHeinrich Heine University Düsseldorf · DEHôpital Saint-Louis · FRKlinikum rechts der Isar · DEUniversity Hospital Carl Gustav Carus · DE

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

While lenalidomide (LEN) is the standard of care for the lower-risk myelodysplastic syndromes (MDS) patients with deletion 5q, 35% will not respond to or do not tolerate the drug. Moreover, most of the patients will lose their response after a few years. Defining the outcome of patients with LEN failure and determining the impact of subsequent therapies is therefore important to develop alternative strategies. Based on an international collaboration, we were able to compile a total of 392 patient cases of lower-risk MDS patients with 5q deletion and to analyze their outcome after failure of lenalidomide. The median survival following LEN failure was 23 months. We observed a negative impact on survival of advanced age, higher bone marrow blast count at LEN initiation, progression after LEN failure, and unfavorable cytogenetics. Among the treatment strategies, we observed a relatively prolonged survival of patients treated subsequently with hypomethylating agents and only a limited impact on survival of allogeneic transplantation. In conclusion, our work stresses the relatively short survival of this group of patient and defines the expected baseline for the needed future investigations in this group of patients.

Indexed as

lenalidomidemyelodysplasiaoutcome

Identifiers

PMID29137233
PMCPMC5669859
OpenAlexW2586520142

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.