Evidence map›Paper›PMID 31462732›Full record

Trial reportLeukemia2019

Allogeneic transplantation in multiple myeloma: long-term follow-up and cytogenetic subgroup analysis.

Stefan Knop, Monika Engelhardt, Peter Liebisch, Christoph Meisner, Ernst Holler, Bernd Metzner, Dietrich Peest, Martin Kaufmann, Donald Bunjes, Christian Straka and 23 more

Open access · greenAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Autologous-allogeneicHaematologica · 2024
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  4. 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
    Trial
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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

33 authors at 20 institutions in 3 countries.

Stefan KnopDepartment of Internal Medicine II, Division of Hematology and Medical Oncology, Würzburg University Medical Centre, Würzburg, Germany.
Monika EngelhardtDepartment of Hematology, Oncology and Stem Cell Transplantation, University Medical Centre, Freiburg, Germany.
Peter LiebischKlinik für Innere Medizin III, Ulm University Hospital, Ulm, Germany.
Christoph MeisnerInstitute for Clinical Epidemiology and Applied Biometry, Tübingen University Medical School, Tübingen, Germany.
Ernst HollerDepartment of Hematology and Oncology, University of Regensburg, Regensburg, Germany.
Bernd MetznerUniversity Clinic for Internal Medicine - Oncology and Haematology, Oldenburg, Germany.
Dietrich PeestDepartment of Hematology, Oncology and Haemostaseology, Hanover Medical School, Hanover, Germany.
Martin KaufmannMedical Centre, Robert-Bosch-Hospital, Stuttgart, Germany.
Donald BunjesKlinik für Innere Medizin III, Ulm University Hospital, Ulm, Germany.
Christian StrakaHematology, Oncology and Infectiology, Munich Schwabing Hospital, Munich, Germany.
Thomas FischerDepartment of Hematology and Oncology, Centre of Internal Medicine, Otto-von-Guericke University, Magdeburg, Germany.
Orhan SezerDepartment of Hematology/Oncology, Charite - Oncology Centre, Berlin, Germany.
Marcus HentrichHematology and Oncology, Red Cross Hospital, Munich, Germany.
Helmut OstermannDepartment of Hematology, University Hospital Grosshadern, Munich, Germany.
Florian BassermannIIIrd Department of Internal Medicine, Hematology/Oncology, Technical University, Munich, Germany.
Georg HessDepartment of Hematology, Oncology and Pneumology, Universitätsmedizin Mainz, Mainz, Germany.
Bernd HertensteinDepartment of Internal Medicine I, Klinikum Bremen Mitte, Bremen, Germany.
Mathias FreundHematology, Oncology, Palliative Medicine, University of Rostock, Rostock, Germany.
Martin KropffHematology and Oncology, University of Munster, Munster, Germany.
Christian A SchmidtDepartment of Internal Medicine, Greifswald University Hospital, Greifswald, Germany.
Hans-Heinrich WolfDepartment of Hematology and Oncology, University Hospital, Halle, Germany.
Wolfram JungHematology and Oncology, Zentrum Innere Medizin, Gottingen, Germany.
Norbert FrickhofenHematology/Oncology, HSK, Dr. Horst-Schmidt-Klinik, Wiesbaden, Germany.
Stephan MielkeDepartment of Internal Medicine II, Division of Hematology and Medical Oncology, Würzburg University Medical Centre, Würzburg, Germany.
Ralf C BargouDepartment of Hematology and Oncology, Charité University Hospital, Berlin, Germany.
Georg MaschmeyerDepartment of Hematology, Oncology and Palliative Care, Ernst von Bergmann Hospital, Potsdam, Germany.ORCID http://orcid.org/0000-0003-2378-2466
Mirija SvaldiBolzano Municipal Hospital, Bolzano, Italy.
Christian H LangerKlinik für Innere Medizin III, Ulm University Hospital, Ulm, Germany.
Martin GramatzkiDepartment of Stem Cell Transplantation and Immunotherapy, Schleswig-Holstein University Hospital, Kiel Campus, Kiel, Germany.
Holger HebartDepartment of Internal Medicine, Stauferklinikum Schwäbisch Gmünd, Mutlangen, Germany.
Lothar KanzDepartment for Oncology, Hematology, Immunology, Rheumatology and Pneumology, University Hospital, Tübingen, Germany.
Hermann EinseleDepartment of Internal Medicine II, Division of Hematology and Medical Oncology, Würzburg University Medical Centre, Würzburg, Germany. einsele_h@ukw.de.
Deutsche Studiengruppe Multiples Myelom
German Red Cross · DEJohannes Gutenberg University Mainz · DEKarolinska University Hospital · SEMünchen Klinik Schwabing · DEOspedale di Bolzano · ITRobert Bosch Hospital · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Schleswig-Holstein · DEUniversity Medical Center Freiburg · DEUniversity of Münster · DECharité - Universitätsmedizin Berlin · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEKlinikum Bremen-Mitte · DEKlinikum Ernst von Bergmann · DEKlinikum Oldenburg · DELMU Klinikum · DEMedizinische Hochschule Hannover · DEUniversitätsmedizin Göttingen · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This phase 3 trial compared tandem autologous stem cell transplantation (autoSCT) versus autoSCT followed by reduced-intensity conditioning allogeneic stem cell transplantation (auto/alloSCT) in patients with newly diagnosed multiple myeloma (MM) with deletion of (del) chromosome 13q (del13q). The availability/absence of a human leukocyte antigen-matched-related or matched-unrelated donor (MUD) determined the nature of the second SCT. The primary endpoint was progression-free survival (PFS) in the intention-to-treat population (n = 199). Auto/alloSCT was performed in 126 patients; 74 received MUD allografts. After 91 months median follow-up, median PFS with auto/allo versus tandem autoSCT was 34.5 versus 21.8 months (P = 0.003; adjusted hazard ratio 0.55, 95% confidence interval 0.36-0.84). Median overall survival (OS) was 70.2 versus 71.8 months (P = 0.856). Two-year non-relapse mortality with auto/allo versus tandem autoSCT was 14.3% versus 4.1% (P = 0.008). In patients harboring both del13q and del17p, median PFS and OS were 37.5 and 61.5 months with auto/allo (n = 19) versus 6.1 and 23.4 months with tandem autoSCT (n = 6) (P = 0.0002 and 0.032). Our findings suggest that auto/alloSCT significantly extends PFS versus tandem autoSCT in del13q MM, and indicate some survival benefit for first-line alloSCT in high-risk MM.

Indexed as

Transplantation, HomologousAdultChromosome DeletionCytogeneticsDisease-Free SurvivalFemaleFollow-Up StudiesGraft vs Host DiseaseHLA AntigensHumansMaleMiddle AgedMultiple MyelomaProportional Hazards ModelsTransplantation ConditioningTreatment OutcomeHLA Antigens

Identifiers

PMID31462732
OpenAlexW2970364058

What OpenQuestion holds

Textmetadata
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.