Evidence map›Paper›PMID 30952640›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2019

A Phase I/II Trial of Carfilzomib, Pegylated Liposomal Doxorubicin, and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma.

Mark A Schroeder, Mark A Fiala, Eric Huselton, Michael H Cardone, Savina Jaeger, Sae Rin Jean, Kathryn Shea, Armin Ghobadi, Tanya Wildes, Keith E Stockerl-Goldstein and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01246063 (A Phase I/II Trial of Carfilzomib, Pegylated Liposomal Doxorubicin, and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT01246063 phase1 / phase2completednot on this map

A Phase I/II Trial of Carfilzomib, Pegylated Liposomal Doxorubicin, and Dexamethasone for the Treatment of Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorWashington University School of MedicineRan2012 to 2018Enrolled40ConditionsMultiple MyelomaArmscarfilzomib, pegylated liposomal doxorubicin (PLD), Dexamethasone
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  4. Review
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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

11 authors at 3 institutions in 1 country.

Mark A SchroederBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri. markschroeder@wustl.edu.
Mark A FialaBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri.
Eric HuseltonHematology/Oncology Division, University of Rochester Medical Center, Rochester, New York.
Michael H CardoneEutropics Pharmaceuticals, Cambridge, Massachusetts.
Savina JaegerEutropics Pharmaceuticals, Cambridge, Massachusetts.
Sae Rin JeanEutropics Pharmaceuticals, Cambridge, Massachusetts.
Kathryn SheaEutropics Pharmaceuticals, Cambridge, Massachusetts.
Armin GhobadiBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri.
Tanya WildesBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri.
Keith E Stockerl-GoldsteinBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri.
Ravi VijBMT and Leukemia Program, Washington University School of Medicine, St Louis, Missouri.
Washington University in St. Louis · USEutropics Pharmaceuticals (United States) · USUniversity of Rochester Medical Center · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Commercializing Praedicare Dx TM platform for guiding cancer treatmentsR44CA203610 · NCI · EUTROPICS PHARMACEUTICALS, INC. · PI CARDONE, MICHAEL H · 2017 to 2019
$3.0M
NCI NIH HHS L30 CA153393NCI NIH HHS P30 CA091842NCI NIH HHS R44 CA203610NHLBI NIH HHS L30 HL124526
6 · The paper itself

Abstract

purposePegylated liposomal doxorubicin (PLD) combined with bortezomib is an effective salvage regimen for relapsed refractory multiple myeloma (RRMM). Carfilzomib, a second-generation proteasome inhibitor, has clinical efficacy even among bortezomib-refractory patients. PATIENTS AND

methodsWe performed a phase I/II trial of carfilzomib, PLD, and dexamethasone (KDD) with the primary endpoints being safety and efficacy (NCT01246063). Twenty-three patients were enrolled in the phase I portion and the MTD of carfilzomib was determined to be 56 mg/m

resultsKDD was determined to be well tolerated with the only common grade 3/4 nonhematologic adverse events of infection. Grade 3/4 hematologic toxicity included lymphopenia (63%), thrombocytopenia (40%), anemia (40%), and neutropenia (28%). In the cohort of patients treated at the MTD, where median prior therapies were 2% and 42% were refractory to bortezomib, the overall response rate was 83% (20/24) with 54% (13/24) having a very good partial response or better. The median progression-free survival was 13.7 months (95% CI, 5.0-21.7).

conclusionsThis trial is the first to report outcomes using a triplet regimen of high-dose carfilzomib. KDD was well tolerated and appears efficacious in RRMM. Additional study is needed to more precisely determine patient outcomes with this regimen and its utility compared with other carfilzomib containing salvage regimens.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneDoxorubicinDrug MonitoringDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedMultiple MyelomaNeoplasm StagingOligopeptidesPolyethylene GlycolsPrognosisRecurrencecarfilzomibDexamethasoneDoxorubicinliposomal doxorubicinOligopeptidesPolyethylene Glycols

Identifiers

PMID30952640
PMCPMC6606335
OpenAlexW2929553484

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.