Evidence map›Paper›PMID 30969846›Full record

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

Patient-Reported Outcome Results From the Open-Label, Randomized Phase III Myeloma X Trial Evaluating Salvage Autologous Stem-Cell Transplantation in Relapsed Multiple Myeloma.

Sam H Ahmedzai, John A Snowden, Andrew John Ashcroft, David Allan Cairns, Cathy Williams, Anna Hockaday, Jamie D Cavenagh, Debo Ademokun, Eleni Tholouli, David Allotey and 12 more

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
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. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Assessment tools for patient-reported outcomes in multiple myeloma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  5. Article
  6. Review
  7. Patient-reported cognitive function among hematopoietic stem cell transplant and cellular therapy patients: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  8. Review
  9. Review
  10. Second malignancies in multiple myeloma; emerging patterns and future directions.Best practice & research. Clinical haematology · 2020
    Review
  11. Article
  12. Review
  13. Importance of Assessing Patient-Reported Outcomes With Salvage Autologous Transplantation in Relapsed Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

Sam H Ahmedzai1 The University of Sheffield, Sheffield, United Kingdom.
John A Snowden2 Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Andrew John Ashcroft3 Pinderfields Hospital, Mid-Yorks NHS Trust, Wakefield, United Kingdom.
David Allan Cairns4 University of Leeds, Leeds, United Kingdom.
Cathy Williams5 Nottingham City Hospitals, Nottingham City, United Kingdom.
Anna Hockaday4 University of Leeds, Leeds, United Kingdom.
Jamie D Cavenagh6 Barts Health NHS Trust and The London NHS Trust, London, United Kingdom.
Debo Ademokun7 Ipswich Hospital NHS Trust, Ipswich, United Kingdom.
Eleni Tholouli8 Manchester Royal Infirmary, Manchester, United Kingdom.
David Allotey9 Royal Derby Hospital, Derby, United Kingdom.
Vijay Dhanapal10 Medway Maritime Hospital, Gillingham, United Kingdom.
Matthew Jenner11 University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Kwee Yong12 University College Hospital, London, United Kingdom.
Jim Cavet13 The Christie NHS Foundation Trust, Manchester, United Kingdom.
Hannah Hunter14 Plymouth Hospitals Trust, Plymouth, United Kingdom.
Jennifer M Bird15 University Hospitals Bristol NHS Trust, Bristol, United Kingdom.
Guy Pratt16 University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Christopher Parrish4 University of Leeds, Leeds, United Kingdom.
Julia M Brown4 University of Leeds, Leeds, United Kingdom.
Treen C M Morris17 Queen's University, Belfast, United Kingdom.
Gordon Cook4 University of Leeds, Leeds, United Kingdom.
National Cancer Research Institute Haemato-Oncology Clinical Studies Group

Funding

Cancer Research UK CRUK/06/018
6 · The paper itself

Abstract

purposeSalvage autologous stem-cell transplantation (sASCT) in patients with multiple myeloma (MM) relapsing after a prior autologous stem-cell transplantation leads to increased remission duration and overall survival. We report a comprehensive study on patient-reported outcomes, including quality of life (QoL) and pain in sASCT.

methodsPatients were randomly assigned to either sASCT or nontransplantation consolidation (NTC). Pain and QoL were assessed as secondary outcomes using validated QoL instruments (European Organisation for Research and Treatment of Cancer QLQ-C30 and myeloma-specific module, QLQ-MY20; the Brief Pain Inventory [Short Form]; and the Leeds Assessment of Neuropathic Symptoms and Signs [Self-Assessment] scale).

resultsA total of 288 patients (> 96%) consented to the QoL substudy. The median follow-up was 52 months. The European Organisation for Research and Treatment of Cancer QLQ-C30 Global health status scores were higher (better) in the NTC group at 100 days after random assignment (

conclusionPatients with sASCT with relapsed MM demonstrated a comparative reduction in QoL and greater impact of treatment adverse effects lasting for 6 months and up to 2 years for pain, after which patients who had received sASCT reported better outcomes. Patients who experienced lower adverse effects after sASCT had longer time to progression and overall survival, showing the need to improve symptom management peritransplantation. To our knowledge, this study provides the most comprehensive picture of QoL before and after sASCT in patients with relapsed MM.

Indexed as

Stem Cell TransplantationAdultAgedDecision MakingFemaleHumansMaleMiddle AgedMultiple MyelomaNeoplasm Recurrence, LocalPain ManagementPatient Reported Outcome MeasuresQuality of LifeRemission InductionReproducibility of ResultsResearch Design

Identifiers

PMID30969846
PMCPMC6858007

What OpenQuestion holds

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LicenceCC BY
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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.