Evidence map›Paper›PMID 31558804›Full record

Trial reportBritish journal of cancer2019

Ixazomib-Thalidomide-Dexamethasone for induction therapy followed by Ixazomib maintenance treatment in patients with relapsed/refractory multiple myeloma.

Heinz Ludwig, Wolfram Poenisch, Stefan Knop, Alexander Egle, Martin Schreder, Daniel Lechner, Roman Hajek, Eberhard Gunsilius, Karl Jochen Krenosz, Andreas Petzer and 7 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02410694 (Ixazomib in Combination With Thalidomide - Dexamethasone in Patients With Relapsed and/or Refractory Multiple Myeloma), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT02410694 phase2completednot on this map

Ixazomib in Combination With Thalidomide - Dexamethasone in Patients With Relapsed and/or Refractory Multiple Myeloma

TypeinterventionalSponsorArbeitsgemeinschaft medikamentoese TumortherapieRan2015 to 2019Enrolled90ConditionsMultiple MyelomaArmsIxazomib, Thalidomide, Dexamethasone
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Research progress on proteasome subunits in regulating occurrence and development of hepatocellular carcinoma.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2021
    Review
  8. Review
  9. Article
  10. Article
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

17 authors at 10 institutions in 3 countries.

Heinz LudwigWilhelminen Cancer Research Institute, Department of Medicine I, Center for Oncology and Hematology, Wilhelminenspital, Vienna, Austria. heinz.ludwig@wienkav.at.ORCID http://orcid.org/0000-0002-3302-8726
Wolfram PoenischDepartment of Hematology, University of Leipzig, Leipzig, Germany.
Stefan KnopDivision of Hematology and Medical Oncology, Department of Internal Medicine II, Wuerzburg University Medical Center, Wuerzburg, Germany.
Alexander EgleDepartment of Internal Medicine III with Haematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University, Salzburg, Cancer Cluster Salzburg, Austria.
Martin SchrederDepartment of Medicine I, Center for Oncology and Hematology, Wilhelminenspital, Vienna, Austria.
Daniel LechnerDepartment of Medicine I-Hematology with Stem Cell Transplantation, Hemostaseology and Medical Oncology, Ordensklinikum Linz Elisabethinen, Linz, Austria.
Roman HajekFakultní Nemocnice Ostrava, Ostrava, Czech Republic.
Eberhard GunsiliusDepartment of Internal Medicine V, Hematology and Oncology, Medical University Innsbruck, Innsbruck, Austria.
Karl Jochen KrenoszDepartment of Internal Medicine 3, Kepler Universitaetsklinikum GmbH, Med Campus III, Linz, Austria.
Andreas PetzerDepartment of Internal Medicine I, Ordensklinikum Linz-Barmherzige Schwestern, Linz, Austria.
Katja WeiselUniversity Medical Center of Hamburg-Eppendorf, Hamburg, Germany and University of Tuebingen, Tuebingen, Germany.
Dietger NiederwieserDepartment of Hematology, University of Leipzig, Leipzig, Germany.
Hermann EinseleDivision of Hematology and Medical Oncology, Department of Internal Medicine II, Wuerzburg University Medical Center, Wuerzburg, Germany.
Wolfgang WillenbacherDepartment of Internal Medicine V, Hematology and Oncology, Medical University Innsbruck, Innsbruck, Austria.
Thomas MelchardtDepartment of Internal Medicine III with Haematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University, Salzburg, Cancer Cluster Salzburg, Austria.
Richard GreilDepartment of Internal Medicine III with Haematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University, Salzburg, Cancer Cluster Salzburg, Austria.
Niklas ZojerDepartment of Medicine I, Center for Oncology and Hematology, Wilhelminenspital, Vienna, Austria.
Paracelsus Medical University · ATWilhelminen Hospital · ATInnsbruck Medical University · ATLeipzig University · DEUniversity of Würzburg · DEKepler Universitätsklinikum · ATKrankenhaus der Elisabethinen · ATOrdensklinikum Linz Barmherzige Schwestern · ATUniversität Hamburg · DEUniversity Hospital Ostrava · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIxazomib-revlimid-dexamethason showed significant activity in relapsed/refractory multiple myeloma (RRMM). Here, we evaluate ixazomib in combination with thalidomide and dexamethasone for induction treatment followed by ixazomib maintenance therapy in RRMM patients.

methodsNinety patients have been included. Ixazomib-thalidomide-dexamethasone (4 mg, day 1, 8, 15; 100 mg daily; and 40 mg weekly) was scheduled for eight cycles followed by maintenance with ixazomib for one year.

resultsThe overall response rate was 51.1%, 23.3% achieved CR or VGPR and 10% MR resulting in a clinical benefit rate of 61.1%. In patients completing ≥2 cycles, the rates were 60.5%, 27.6% and 68.4%, respectively. Median progression-free survival (PFS) was 8.5 months in all, and 9.4 months in those completing ≥2 cycles. Response rates, PFS and overall survival (OS) were similar in patients with and without t(4;14) and/or del(17p), but PFS and OS was significantly shorter in patients with gain of 1q21. Multivariate regression analysis revealed gain of 1q21 as the most important factor associated with OS. Ixazomib maintenance resulted in an upgrade in the depth of response in 12.4% of patients. Grade 3/4 toxicities were relatively rare.

conclusionsIxazomib-thalidomide-dexamethasone followed by ixazomib maintenance therapy is active and well tolerated in patients with RRMM. TRIAL REGISTRATION NUMBER: NCT02410694.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBoron CompoundsDexamethasoneFemaleGlycineHumansInduction ChemotherapyMaintenance ChemotherapyMaleMiddle AgedMultiple MyelomaProgression-Free SurvivalSurvival RateBoron CompoundsDexamethasoneGlycineixazomibThalidomide

Identifiers

PMID31558804
PMCPMC6889132
OpenAlexW2975797573

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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.