Evidence map›Paper›PMID 29703965›Full record

ArticleBone marrow transplantation2018

Lenalidomide vs bortezomib maintenance choice post-autologous hematopoietic cell transplantation for multiple myeloma.

Jennifer Huang, Sharon Phillips, Michael Byrne, Wichai Chinratanalab, Brian G Engelhardt, Stacey A Goodman, Shelton L Harrell, Madan Jagasia, Adetola Kassim, Kyle T Rawling and 3 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 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
2.8field-weighted citation impact, top 9% 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, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Second malignancies in multiple myeloma; emerging patterns and future directions.Best practice & research. Clinical haematology · 2020
    Review
  10. 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

13 authors at 1 institution in 1 country.

Jennifer HuangDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sharon PhillipsDivision of Biostatistics and Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Michael ByrneDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Wichai ChinratanalabDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Brian G EngelhardtDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Stacey A GoodmanDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Shelton L HarrellDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Madan JagasiaDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Adetola KassimDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Kyle T RawlingDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Bipin N SavaniDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Salyka SengsayadethDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
R Frank CornellDivision of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA. robert.f.cornell@vanderbilt.edu.
Vanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maintenance therapy post-autologous hematopoietic cell transplantation (AHCT) with either lenalidomide or bortezomib for multiple myeloma (MM) have separately been shown to improve progression-free survival (PFS), but have never been directly compared. We performed a retrospective study to investigate progression-free and overall survival outcomes and toxicities of lenalidomide maintenance therapy compared with bortezomib maintenance in MM patients post-AHCT. This study included 156 patients who received post-AHCT lenalidomide or bortezomib maintenance therapy for MM. The primary outcome was PFS. Ninety-two patients received lenalidomide maintenance and 64 received bortezomib maintenance post-AHCT. By multivariable analysis, maintenance therapy choice and cytogenetics risk did not impact PFS or OS. Staging by International Staging System and pre-maintenance disease response were the greatest predictors for PFS. Treatment-related toxicities were as anticipated with 5.4% of patients receiving maintenance lenalidomide experiencing secondary primary malignancies (SPMs) compared with 3% for bortezomib. These findings suggest there were no differences in PFS or OS between lenalidomide and bortezomib maintenance therapy options for post-transplantation MM patients. These data should be validated in a larger, prospective cohort to determine if maintenance choice should be guided by side effect profile and patient anticipated tolerance rather than by disease biology alone.

Indexed as

AgedAntineoplastic AgentsBortezomibFemaleHematopoietic Stem Cell TransplantationHumansLenalidomideMaleMiddle AgedMultiple MyelomaTransplantation, AutologousTransplantation ConditioningAntineoplastic AgentsBortezomibLenalidomide

Identifiers

PMID29703965
OpenAlexW2801448674

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.