Evidence map›Paper›PMID 30697597›Full record

ArticleHealth science reports2019

Bortezomib retreatment for relapsed and refractory multiple myeloma in real-world clinical practice.

Cyrille Hulin, Javier de la Rubia, Meletios A Dimopoulos, Evangelos Terpos, Eirini Katodritou, Vania Hungria, Hadewijch De Samblanx, Anne-Marie Stoppa, Jesper Aagesen, Deniz Sargin and 8 more

Abstract read
In one paragraph

Article in Health science reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Boronic Acid-Containing 3Pharmaceuticals (Basel, Switzerland) · 2024
    Article
  6. Review
  7. Comprehensive Single-Cell Immune Profiling Defines the Patient Multiple Myeloma Microenvironment Following Oncolytic Virus Therapy in a Phase Ib Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. 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

18 authors.

Cyrille HulinService d'Hématologie Hôpital Haut-Lévêque CHU Bordeaux France.ORCID https://orcid.org/0000-0002-3749-5161
Javier de la RubiaDepartment of Hematology, Hospital Dr Peset Universidad Católica de Valencia Valencia Spain.
Meletios A DimopoulosDepartment of Clinical Therapeutics National and Kapodistrian University of Athens School of Medicine Athens Greece.
Evangelos TerposDepartment of Clinical Therapeutics National and Kapodistrian University of Athens School of Medicine Athens Greece.ORCID https://orcid.org/0000-0001-5133-1422
Eirini KatodritouDepartment of Hematology, Theagenion Cancer Centre Thessaloniki Greece.
Vania HungriaSanta Casa de São Paulo Medical School São Paulo Brazil.ORCID https://orcid.org/0000-0002-4327-1957
Hadewijch De SamblanxHematology, St Dimpna Hospital Geel Belgium.
Anne-Marie StoppaDépartement D'Onco-Hématologie Institut Paoli-Calmettes Marseilles France.
Jesper AagesenDepartment of Medicine, Ryhov County Hospital Jönköping Sweden.
Deniz SarginDivision of Hematology, Department of Internal Medicine Istanbul University Istanbul Turkey.
Anastasia SioniDepartment of Clinical Therapeutics National and Kapodistrian University of Athens School of Medicine Athens Greece.
Andrew BelchDepartment of Oncology Cross Cancer Institute Edmonton AB Canada.
Joris DielsJanssen Research and Development, Division of Janssen Pharmaceutica NV Beerse Belgium.
Robert A OlieJanssen-Cilag AG Zug Switzerland.
Don RobinsonJanssen Global Services Raritan NJ USA.
Anna PotamianouJanssen-Cilag Pharmaceutical SACI Athens Greece.
Helgi van de VeldeMillennium Pharmaceuticals, Inc., Cambridge, MA, USA a wholly owned subsidiary of Takeda Pharmaceutical Company Limited.
Michel DelforgeDepartment of Hematology University Hospital Leuven Leuven Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsStudies have shown that bortezomib retreatment is effective in relapsed/refractory multiple myeloma (MM). The observational, prospective electronic VELCADE

methodsConsenting adults scheduled to receive bortezomib for MM were enrolled at 162 sites across Europe, Canada, Brazil, Russia, and Turkey between 2006 and 2010. Retrospective data on prior therapies and prospective observational data after bortezomib initiation were captured electronically at baseline, after every bortezomib cycle, and every 12 weeks after discontinuation or progression. Investigator-assessed responses and adverse events (AEs) were evaluated.

resultsNinety-six of 873 patients enrolled to eVOBS received bortezomib as first retreatment for progressive disease during the prospective observation period. Median age was 62 years, 53% were male, and median number of prior therapies at retreatment was 4. Overall, 41% of patients initiated bortezomib retreatment in combination with dexamethasone, 16% in combination with lenalidomide, and 21% received monotherapy. Rate of partial response or better (≥PR) was 75% at initial bortezomib therapy, including 44% complete response (CR)/near CR (nCR); at retreatment, ≥PR rate was 46%, including 15% CR/nCR. Median progression-free survival was 11.4 months (95% confidence interval [CI]: 9.1-12.7) from start of initial bortezomib treatment and 6.4 months (95% CI: 4.4-7.2) from start of retreatment. Median overall survival from start of retreatment was 17.6 months (95% CI: 14.4-23.5). Of the 96 patients retreated with bortezomib, 77% reported an AE. Peripheral neuropathy during bortezomib retreatment occurred in 49% of patients, including 10% grade 3/4.

conclusionThese data suggest that retreatment with bortezomib is a feasible option for patients with relapsed/refractory MM.

Indexed as

multiple myelomareal worldrefractoryrelapsedretreatment

Identifiers

PMID30697597
PMCPMC6346989

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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.