Evidence map›Paper›PMID 31773215›Full record

Trial reportAnnals of hematology2020

The incidence of thromboembolism for lenalidomide versus thalidomide in older patients with newly diagnosed multiple myeloma.

Ang Li, Qian Wu, Greg Warnick, Shan Li, Edward N Libby, David A Garcia, Gary H Lyman

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
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.

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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Cerebrovascular and Peripheral Vascular Complications in Cancer Patients.Current neurology and neuroscience reports · 2025
    Review
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Cancer Therapies and Vascular Toxicities.Current treatment options in oncology · 2022
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

7 authors at 4 institutions in 1 country.

Ang LiDivision of Hematology, University of Washington School of Medicine, Seattle, WA, USA. ali2015@uw.edu.ORCID http://orcid.org/0000-0002-8455-2309
Qian WuClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Greg WarnickPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Shan LiHematology Oncology Clinical Pharmacy, Seattle Cancer Care Alliance, Seattle, WA, USA.
Edward N LibbyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
David A GarciaDivision of Hematology, University of Washington School of Medicine, Seattle, WA, USA.
Gary H LymanClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Fred Hutch Cancer Center · USUniversity of Washington · USUniversity of Washington Medical Center · USSeattle Cancer Care Alliance · US

Funding

Conquer Cancer Foundation Young Investigator AwardNational Hemophilia Foundation Shire Clinical FellowshipThrombosis and Hemostasis Research Society Mentored Research Award
6 · The paper itself

Abstract

It is uncertain if different immunomodulatory drugs (IMID) pose distinct thrombotic risk in patients with newly diagnosed multiple myeloma (MM). Among 2397 MM patients from the SEER-Medicare database from 2007 to 2013, 78% received lenalidomide, and 22% received thalidomide. After inverse probability weighting to balance confounders, the 12-month incidences of venous thromboembolism (VTE 10%) and arterial thromboembolism (ATE 5%) were similarly high in both groups. Lenalidomide versus thalidomide had a subdistribution hazard ratio of 1.11 (0.59-2.02) for VTE and a subdistribution hazard ratio of 0.96 (0.45-1.98) for ATE. Overall survival was not significantly different with a hazard ratio of 0.88 (0.60-1.18) for lenalidomide versus thalidomide. Concurrent anticoagulant prophylaxis was infrequently prescribed in < 20% of both groups. Our study demonstrates that despite improvement in myeloma-directed therapy and supportive care, thrombosis remains an important consideration for all IMID-treated MM patients. Appropriate risk stratification and vigilant thromboprophylaxis remain essential to prevent this complication.

Indexed as

LenalidomideMultiple MyelomaRegistriesThalidomideThromboembolismAgedFemaleHumansMaleRetrospective StudiesLenalidomideThalidomideArterial thrombosisMultiple myelomaThromboembolismVenous thrombosis

Identifiers

PMID31773215
OpenAlexW2991025977

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.