Evidence map›Paper›PMID 30080247›Full record

Observational studyBritish journal of haematology2018

Efficacy of retreatment with immunomodulatory drugs and proteasome inhibitors following daratumumab monotherapy in relapsed and refractory multiple myeloma patients.

Rimke Oostvogels, Margot Jak, Reinier Raymakers, Rogier Mous, Monique C Minnema

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in British journal of haematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
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  12. Review
  13. Real-World Outcome in the pre-CAR-T Era of Myeloma Patients Qualifying for CAR-T Cell Therapy.Mediterranean journal of hematology and infectious diseases · 2021
    Article
  14. Article
  15. Sequencing multiple myeloma therapies with and after antibody therapies.Hematology. American Society of Hematology. Education Program · 2020
    Review
  16. Review
  17. 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

5 authors at 1 institution in 1 country.

Rimke OostvogelsDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.ORCID 0000-0003-3650-4588
Margot JakDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.ORCID 0000-0001-8092-3566
Reinier RaymakersDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.
Rogier MousDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.
Monique C MinnemaDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This single-centre retrospective observational study analysed the efficacy of retreatment with immunomodulatory agents (IMiDs) and proteasome inhibitors (PIs) after treatment with daratumumab monotherapy in patients with relapsed and/or refractory multiple myeloma (RRMM). In total 55 patients were treated with daratumumab monotherapy between 2010 and 2017. From this group 29 (53%) IMiD-refractory patients were retreated with an IMiD after daratumumab and 6 (11%) PI-refractory patients were retreated with a PI-based regimen. For the IMiD-refractory patients the overall response rate (ORR) was 52% (15/29 patients, partial response or better) upon IMiD retreatment, whereas the ORR to PI retreatment was 67% (4/6 patients) in the PI-refractory group. The immunomodulatory effects of daratumumab may play a role in these high response rates in previously refractory patients. Due to the >6 month-long persistence of daratumumab in the plasma the subsequent therapies can effectively be considered as combination therapy. Furthermore, the excellent tolerability of daratumumab treatment may enable patients to recover from prior lines of treatment and receive full dosing of subsequent therapies. In conclusion, a high proportion of RRMM patients benefitted from retreatment with IMiDs and PIs after daratumumab treatment. These retreatment options should therefore be explored in RRMM patients progressing on daratumumab monotherapy.

Indexed as

Antibodies, MonoclonalCohort StudiesFemaleHumansImmunologic FactorsMaleMultiple MyelomaProteasome InhibitorsRemission InductionRetreatmentRetrospective StudiesSalvage TherapySurvival AnalysisTreatment OutcomeAntibodies, MonoclonaldaratumumabImmunologic FactorsProteasome Inhibitorsantibody therapyclinical haematologyimmunomodulatory agentsimmunotherapymultiple myeloma

Identifiers

PMID30080247
PMCPMC6220946
OpenAlexW2887544073

What OpenQuestion holds

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LicenceCC BY-NC
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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.