Evidence map›Paper›PMID 30284685›Full record

Trial reportInternational journal of hematology2019

A phase II study of lenalidomide consolidation and maintenance therapy after autologous PBSCT in patients with multiple myeloma.

Shin-Ichi Fuchida, Kazutaka Sunami, Morio Matsumoto, Hirokazu Okumura, Tohru Murayama, Toshihiro Miyamoto, Eichi Otsuka, Naohito Fujishima, Tohru Izumi, Shigehisa Tamaki and 6 more

Erratum issuedAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Molecular basis of clonal evolution in multiple myeloma.International journal of hematology · 2020
    Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 1 country.

Shin-Ichi FuchidaDepartment of Hematology, Japan Community Health care Organization Kyoto Kuramaguchi Medical Center, 27 Shimofusa-cho, Kita-ku, Kyoto, Kyoto, 603-8151, Japan. sfuch0614@gaia.eonet.ne.jp.
Kazutaka SunamiNational Hospital Organization Okayama Medical Center, Okayama, Japan.
Morio MatsumotoNational Hospital Organization Nishigunma National Hospital, Shibukawa, Japan.
Hirokazu OkumuraToyama Prefectural Central Hospital, Toyama, Japan.
Tohru MurayamaHyogo Cancer Center, Akashi, Japan.
Toshihiro MiyamotoKyushu University Hospital, Fukuoka, Japan.
Eichi OtsukaOita Prefectural Hospital, Oita, Japan.
Naohito FujishimaAkita University Hospital, Akita, Japan.
Tohru IzumiTochigi Cancer Center, Utsunomiya, Japan.
Shigehisa TamakiIse Red Cross Hospital, Ise, Japan.
Yasushi HiramatsuJapanese Red Cross Society Himeji Hospital, Himeji, Japan.
Yoshiaki KurodaHiroshima University Hospital, Hiroshima, Japan.
Chihiro ShimazakiDepartment of Hematology, Japan Community Health care Organization Kyoto Kuramaguchi Medical Center, 27 Shimofusa-cho, Kita-ku, Kyoto, Kyoto, 603-8151, Japan.
Koichi AkashiKyushu University Hospital, Fukuoka, Japan.
Mine HaradaKaratsu Higashimatsuura Medical Association, Karatsu, Japan.
Japan Study Group for Cell Therapy and Transplantation (JSCT)
Kyoto Medical Center · JPKyushu University Hospital · JPTochigi Cancer Center · JPToyama Prefectural Central Hospital · JPHimeji Red Cross Hospital · JPHiroshima University Hospital · JPNational Hospital Organization · JPOita Prefectural Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy and safety of lenalidomide (LEN) consolidation therapy and subsequent LEN maintenance therapy after high-dose therapy with autologous peripheral blood stem cell transplantation (auto-PBSCT) were evaluated in patients with newly diagnosed symptomatic multiple myeloma (MM). Forty-one patients were enrolled and received high-dose dexamethasone (DEX) therapy as an initial induction. The patients who did not respond to the DEX therapy were further treated with four cycles of bortezomib plus DEX (BD) induction therapy. For patients who responded to BD, PBSC harvesting was scheduled following high-dose cyclophosphamide and filgrastim administration. After PBSC harvesting, high-dose chemotherapy of melphalan with auto-PBSCT was performed. One hundred days after auto-PBSCT, patients received consolidation therapy consisting two cycles of LEN plus low-dose DEX (Ld) and LEN maintenance therapy. Only one death occurred during mobilization therapy, but the protocol developed in this study was considered generally safe to provide. Overall response rates after consolidation and maintenance therapies were 73.7% and 81.6%, respectively. Two-year progression-free survival and overall survival were 76.3% and 92.1%, respectively. These observations suggest that LEN consolidation and maintenance therapy are effective and safe, and provide favorable response rates in patients with MM.

Indexed as

LenalidomideMultiple MyelomaPeripheral Blood Stem Cell TransplantationBortezomibConsolidation ChemotherapyDexamethasoneHumansMaintenance ChemotherapyMelphalanSurvival AnalysisTransplantation, AutologousTreatment OutcomeBortezomibDexamethasoneLenalidomideMelphalanAutologous PBSCTConsolidation therapyLenalidomideMaintenance therapyMultiple myeloma

Identifiers

PMID30284685
OpenAlexW2895334629

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.