Evidence map›Paper›PMID 30054467›Full record

Trial reportNature communications2018

Predicting treatment benefit in multiple myeloma through simulation of alternative treatment effects.

Joske Ubels, Pieter Sonneveld, Erik H van Beers, Annemiek Broijl, Martin H van Vliet, Jeroen de Ridder

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. 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

6 authors.

Joske UbelsDepartment of Genetics, Center for Molecular Medicine, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-1057-5225
Pieter SonneveldDepartment of Hematology, Erasmus MC Cancer Institute, Wytemaweg 80, 3015 CN, Rotterdam, The Netherlands.
Erik H van BeersSkylineDx, Marconistraat 16, 3029 AK, Rotterdam, The Netherlands.
Annemiek BroijlDepartment of Hematology, Erasmus MC Cancer Institute, Wytemaweg 80, 3015 CN, Rotterdam, The Netherlands.
Martin H van VlietSkylineDx, Marconistraat 16, 3029 AK, Rotterdam, The Netherlands. m.vanvliet@skylinedx.com.
Jeroen de RidderDepartment of Genetics, Center for Molecular Medicine, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands. j.deridder-4@umcutrecht.nl.ORCID http://orcid.org/0000-0002-0828-3477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many cancer treatments are associated with serious side effects, while they often only benefit a subset of the patients. Therefore, there is an urgent clinical need for tools that can aid in selecting the right treatment at diagnosis. Here we introduce simulated treatment learning (STL), which enables prediction of a patient's treatment benefit. STL uses the idea that patients who received different treatments, but have similar genetic tumor profiles, can be used to model their response to the alternative treatment. We apply STL to two multiple myeloma gene expression datasets, containing different treatments (bortezomib and lenalidomide). We find that STL can predict treatment benefit for both; a twofold progression free survival (PFS) benefit is observed for bortezomib for 19.8% and a threefold PFS benefit for lenalidomide for 31.1% of the patients. This demonstrates that STL can derive clinically actionable gene expression signatures that enable a more personalized approach to treatment.

Indexed as

AdultAgedAlgorithmsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBortezomibDisease-Free SurvivalDrug-Related Side Effects and Adverse ReactionsDrug Therapy, CombinationFemaleGene Expression Regulation, NeoplasticHumansLenalidomideMaleMiddle AgedMultiple MyelomaAntineoplastic AgentsBortezomibLenalidomideribosomal protein L5, humanRibosomal Proteins

Identifiers

PMID30054467
PMCPMC6063966

What OpenQuestion holds

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LicenceCC BY
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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.