Evidence map›Paper›PMID 29784907›Full record

ArticleLeukemia2018

A predictive model for risk of early grade ≥ 3 infection in patients with multiple myeloma not eligible for transplant: analysis of the FIRST trial.

Charles Dumontet, Cyrille Hulin, Meletios A Dimopoulos, Andrew Belch, Angela Dispenzieri, Heinz Ludwig, Philippe Rodon, Jan Van Droogenbroeck, Lugui Qiu, Michele Cavo and 17 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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.

NCT00689936 phase3completednot on this map

A Phase III, Randomized, Open-label, 3-arm Study to Determine the Efficacy and Safety of Lenalidomide(REVLIMID) Plus Low-dose Dexamethasone When Given Until Progressive Disease or for 18 Four-week Cycles Versus the Combination of Melphalan, Prednisone, and Thalidomide Given for 12 Six-week Cycles in Patients With Previously Untreated Multiple Myeloma Who Are Either 65 Years of Age or Older or Not Candidates for Stem Cell Transplantation.

TypeinterventionalSponsorCelgeneRan2008 to 2016Enrolled1,623ConditionsMultiple MyelomaArmsLenalidomide and low-dose dexamethasone, Lenalidomide plus low-dose dexamethasone given for 18 four-week cycles, Melphalan, Prednisone and Thalidomide
NCT02112175 phase3completednot on this map

Phase 3B, Randomized Trail of Revlimid® (Lenalidomide) Versus Placebo Maintenance Therapy Following Melphalan Prednisone Velcade (Bortezomib) Induction Therapy In Newly Diagnosed Multiple Myeloma

TypeinterventionalSponsorCelgeneRan2014 to 2020Enrolled46ConditionsMultiple MyelomaArmsLenalidomide
3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Advanced disease and CD8Frontiers in immunology · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Eastern Cooperative Oncology Group,Frontiers in microbiology · 2023
    Article
  18. Article
  19. Article
  20. 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

27 authors.

Charles DumontetHospices Civils de Lyon, Lyon, France.
Cyrille HulinCHU Bordeaux, Bordeaux, France.
Meletios A DimopoulosNational and Kapodistrian University of Athens, Athens, Greece.
Andrew BelchCross Cancer Institute, Edmonton, AB, Canada.
Angela DispenzieriMayo Clinic Cancer Center, Rochester, MN, USA.
Heinz LudwigWilhelminen Hospital, Wilhelminen Cancer Research Institute, Vienna, Austria.
Philippe RodonCentre Hospitalier, Périgueux, France.
Jan Van DroogenbroeckAZ Sint-Jan AV Brugge, Brugge, Belgium.
Lugui QiuBlood Disease Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Tianjin, China.
Michele CavoSeràgnoli Institute of Hematology, Bologna University School of Medicine, Bologna, Italy.
Ann Van de VeldeUniversitair Ziekenhuis Antwerpen, Edegem, Belgium.
Juan José LahuertaHospital 12 de Octubre, Madrid, Spain.
Olivier AllangbaCentre Hospitalier Yves Le Foll, Saint-Brieuc, France.
Jae Hoon LeeGachon University Gil Hospital, Incheon, Korea.
Eileen BoyleService des Maladies du Sang, Hôpital Claude Huriez, Lille, France.
Aurore PerrotCHU de Nancy, Université de Lorraine, Nancy, France.
Philippe MoreauUniversity of Nantes, Nantes, France.
Salomon ManierService des Maladies du Sang, Hôpital Claude Huriez, Lille, France.
Michel AttalHopitaux de Toulouse, Toulouse, France.
Murielle RousselCHU Purpan/IUCT Oncopole, Toulouse, France.
Mohamad MohtyHôpital Saint-Antoine, Paris, France.
Jean Yves MaryINSERM U1153, University Hospital Saint-Louis, Paris, France.
Alexandre CivetQuinten, Paris, France.
Bruno CostaCelgene International Sàrl, Boudry, Switzerland.
Antoine TinelCelgene International Sàrl, Boudry, Switzerland.
Yann Gaston-MathéYGM Consult, Paris, France.
Thierry FaconService des Maladies du Sang, Hôpital Claude Huriez, Lille, France. thierry.facon@chru-lille.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections are a major cause of death in patients with multiple myeloma. A post hoc analysis of the phase 3 FIRST trial was conducted to characterize treatment-emergent (TE) infections and study risk factors for TE grade ≥ 3 infection. The number of TE infections/month was highest during the first 4 months of treatment (defined as early infection). Of 1613 treated patients, 340 (21.1%) experienced TE grade ≥ 3 infections in the first 18 months and 56.2% of these patients experienced their first grade ≥ 3 infection in the first 4 months. Risk of early infection was similar regardless of treatment. Based on the analyses of data in 1378 patients through multivariate logistic regression, a predictive model of first TE grade ≥ 3 infection in the first 4 months retained Eastern Cooperative Oncology Group performance status and serum β

Indexed as

HumansInfection ControlInfectionsLogistic ModelsMultiple MyelomaRisk Factors

Identifiers

PMID29784907
PMCPMC5990520

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.