Evidence map›Paper›PMID 30342750›Full record

ReviewCellular immunology2018

The challenges of checkpoint inhibition in the treatment of multiple myeloma.

Barry Paul, Shuqi Kang, Zhihong Zheng, Yubin Kang

Open access · bronzeAbstract readReview
In one paragraph

Review in Cellular immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Targeted therapy of multiple myeloma.Exploration of targeted anti-tumor therapy · 2021
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Immunogenic Cell Death and Immunotherapy of Multiple Myeloma.Frontiers in cell and developmental biology · 2019
    Review
  19. 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

4 authors at 3 institutions in 2 countries.

Barry PaulDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham, NC 27710, USA.
Shuqi KangUniversity of Illinois College of Medicine at Peoria, Peoria, IL 61605, USA.
Zhihong ZhengDepartment of Hematology, Fujian Provincial Key Laboratory of Hematology, Fujian Medical University Union Hospital, Fuzhou, Fujian 350001, China.
Yubin KangDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham, NC 27710, USA. Electronic address: yubin.kang@duke.edu.
Duke Medical Center · USIllinois College · USUnion Hospital · CN

Funding

TRANSFUSION MEDICINE AND RELATED AREAST32HL007057 · NHLBI · DUKE UNIVERSITY · PI Gowthami M Arepally · 1985 to 2026
$10.6M
Clinical Trial of ABC294640 in Patients with Refractory Multiple MyelomaR44CA199767 · NCI · APOGEE BIOTECHNOLOGY CORPORATION · PI SMITH, CHARLES D · 2015 to 2017
$2.0M
Targeting sphingosine kinase 2 for the treatment of multiple myelomaR01CA197792 · NCI · DUKE UNIVERSITY · PI KANG, YUBIN · 2015 to 2019
$1.8M
Plerixafor for allogeneic hematopoietic stem cell transplantationK08HL103780 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KANG, YUBIN · 2011 to 2015
$649k
NCI NIH HHS R01 CA197792NCI NIH HHS R44 CA199767NHLBI NIH HHS K08 HL103780NHLBI NIH HHS T32 HL007057
6 · The paper itself

Abstract

Despite significant improvements in the overall survival of patients with multiple myeloma (MM) over the past 15 years, the disease remains incurable. Treatment options are limited for patients who have relapsed or are refractory to immunomodulatory drugs (IMiDs), proteasome inhibitors, and monoclonal antibodies. In these patients, immunotherapies such as checkpoint inhibitors, oncolytic vaccines, and chimeric antigen receptor (CAR) T cells provide a potentially effective alternative treatment. While checkpoint inhibitors are effective in prolonging overall survival in some patients with advanced solid cancers and Hodgkin lymphoma, they have not demonstrated significant activity as a single agent in MM. In fact the combination of checkpoint inhibitors with IMiDs was recently found to increase the risk of death in myeloma patients. These challenges highlight the need for a better understanding of immune dysregulation in myeloma patients, and the mechanisms of action of- and resistance to- checkpoint inhibitors. In this review, we summarize immune dysfunction in patients with MM, and review the preclinical and clinical data regarding checkpoint inhibitors in myeloma. We conclude by proposing strategies to improve the efficacy and safety of checkpoint inhibitors in this population.

Indexed as

AnimalsAntibodies, MonoclonalHumansImmunotherapyMultiple MyelomaReceptors, Chimeric AntigenVaccinesAntibodies, MonoclonalReceptors, Chimeric AntigenVaccinesCheckpoint inhibitorsCTLA4ImmunotherapyMultiple myelomaPD-1/PD-L1

Identifiers

PMID30342750
PMCPMC6309858
OpenAlexW2896508736

What OpenQuestion holds

Textmetadata
LicenceTDM
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.