Evidence map›Paper›PMID 30653422›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

Autologous Transplantation, Consolidation, and Maintenance Therapy in Multiple Myeloma: Results of the BMT CTN 0702 Trial.

Edward A Stadtmauer, Marcelo C Pasquini, Beth Blackwell, Parameswaran Hari, Asad Bashey, Steven Devine, Yvonne Efebera, Siddharta Ganguly, Cristina Gasparetto, Nancy Geller and 15 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01109004 (A Trial of Single Autologous Transplant With or Without Consolidation Therapy Versus Tandem Autologous Transplant With Lenalidomide Maintenance for Patients With Multiple Myeloma), which is not on this map. Cited by 119 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 4 pooled it
25.4field-weighted citation impact, top 1% 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.

NCT01109004 phase3completednot on this map

A Trial of Single Autologous Transplant With or Without Consolidation Therapy Versus Tandem Autologous Transplant With Lenalidomide Maintenance for Patients With Multiple Myeloma (BMT CTN 0702)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2010 to 2018Enrolled758ConditionsMultiple MyelomaArmsLenalidomide, lenalidomide, bortezomib and dexamethasone
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 4 syntheses or guidelines pooled it, 258 citations in OpenAlex.

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  16. Long-Term Follow-up of CALGB (Alliance) 100001: Autologous Followed by Nonmyeloablative Allogeneic Transplant for Multiple Myeloma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
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59 more citing papers are in PubMed but not listed here.

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

25 authors at 16 institutions in 1 country.

Edward A Stadtmauer1 University of Pennsylvania, Philadelphia, PA.
Marcelo C Pasquini2 Medical College of Wisconsin, Milwaukee, WI.
Beth Blackwell3 The Emmes Corporation, Rockville, MD.
Parameswaran Hari2 Medical College of Wisconsin, Milwaukee, WI.
Asad Bashey4 BMT Group of Georgia, Atlanta, GA.
Steven Devine5 The Ohio State University, Columbus, OH.
Yvonne Efebera5 The Ohio State University, Columbus, OH.
Siddharta Ganguly6 University of Kansas Hospital, Kansas City, KS.
Cristina Gasparetto7 Duke University, Durham, NC.
Nancy Geller8 National Heart, Lung, and Blood Institute, Rockville, MD.
Mary M Horowitz2 Medical College of Wisconsin, Milwaukee, WI.
John Koreth9 Dana-Farber Cancer Institute, Boston, MA.
Kristin Knust3 The Emmes Corporation, Rockville, MD.
Heather Landau10 Memorial Sloan Kettering Cancer Center, New York, NY.
Claudio Brunstein11 University of Minnesota, Minneapolis, MN.
Philip McCarthy12 Roswell Park Cancer Institute, Buffalo, NY.
Courtney Nelson3 The Emmes Corporation, Rockville, MD.
Muzaffar H Qazilbash13 The University of Texas MD Anderson Cancer Center, Houston, TX.
Nina Shah14 University of California, San Francisco, San Francisco, CA.
David H Vesole15 Hackensack University, Hackensack, NJ.
Ravi Vij16 Washington University, St Louis, MO.
Dan T Vogl1 University of Pennsylvania, Philadelphia, PA.
Sergio Giralt10 Memorial Sloan Kettering Cancer Center, New York, NY.
George Somlo17 City of Hope, Los Angeles, CA.
Amrita Krishnan17 City of Hope, Los Angeles, CA.
Emmes (United States) · USMedical College of Wisconsin · USCity of Hope · USMemorial Sloan Kettering Cancer Center · USThe Ohio State University · USUniversity of Pennsylvania · USDana-Farber Cancer Institute · USDuke University · USHackensack University Medical Center · USNational Heart Lung and Blood Institute · USRoswell Park Comprehensive Cancer Center · USThe University of Kansas Health System · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Francisco · USUniversity of Minnesota · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
BMT CTN Core - Fred Hutchinson Cancer CenterUG1HL069246 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 2017 to 2026
$2.2M
City of Hope Core Clinical Center for the Blood and Marrow Transplant Clinical Trials NetworkUG1HL069278 · NHLBI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI RYOTARO NAKAMURA · 2017 to 2026
$2.2M
MSKCC BMT CTN RenewalUG1HL069315 · NHLBI · SLOAN-KETTERING INST CAN RESEARCH · PI MIGUEL-ANGEL PERALES · 2017 to 2026
$2.2M
BMT CTN Core - Dana-Farber Cancer Institute and MGH ConsortiumUG1HL069249 · NHLBI · DANA-FARBER CANCER INST · PI Mahasweta Gooptu · 2017 to 2026
$2.2M
BMT CTN Core- University of Pennsylvania Abramson Cancer CenterUG1HL069286 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Edward A Stadtmauer · 2017 to 2026
$2.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA077598NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069274NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U24 HL138660NHLBI NIH HHS UG1 HL069246NHLBI NIH HHS UG1 HL069249NHLBI NIH HHS UG1 HL069274NHLBI NIH HHS UG1 HL069278NHLBI NIH HHS UG1 HL069286NHLBI NIH HHS UG1 HL069290NHLBI NIH HHS UG1 HL069315NHLBI NIH HHS UG1 HL109137
6 · The paper itself

Abstract

purposeSingle-cycle melphalan 200 mg/m PATIENTS AND

methodsPatients with symptomatic MM within 12 months from starting therapy and without progression who were age 70 years or younger were randomly assigned to AHCT/AHCT + len (n = 247), AHCT + RVD + len (n = 254), or AHCT + len (n = 257). The primary end point was 38-month PFS.

resultsThe study population had a median age of 56 years (range, 20 to 70 years); 24% of patients had high-risk MM, 73% had a triple-drug regimen as initial therapy, and 18% were in complete response at enrollment. The 38-month PFS rate was 58.5% (95% CI, 51.7% to 64.6%) for AHCT/AHCT + len, 57.8% (95% CI, 51.4% to 63.7%) for AHCT + RVD + len, and 53.9% (95% CI, 47.4% to 60%) for AHCT + len. For AHCT/AHCT + len, AHCT + RVD + len, and AHCT + len, the OS rates were 81.8% (95% CI, 76.2% to 86.2%), 85.4% (95% CI, 80.4% to 89.3%), and 83.7% (95% CI, 78.4% to 87.8%), respectively, and the complete response rates at 1 year were 50.5% (n = 192), 58.4% (n = 209), and 47.1% (n = 208), respectively. Toxicity profiles and development of second primary malignancies were similar across treatment arms.

conclusionSecond AHCT or RVD consolidation as post-AHCT interventions for the up-front treatment of transplantation-eligible patients with MM did not improve PFS or OS. Single AHCT and len should remain as the standard approach for this population.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBortezomibConsolidation ChemotherapyDexamethasoneDisease ProgressionFemaleHumansLenalidomideMaintenance ChemotherapyMaleMelphalanMiddle AgedMultiple MyelomaBortezomibDexamethasoneLenalidomideMelphalanMyeloablative Agonists

Identifiers

PMID30653422
PMCPMC6553842
OpenAlexW2909552152

What OpenQuestion holds

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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.