Evidence map›Paper›PMID 31958292›Full record

ArticleESMO open2020

EHA evaluation of the ESMO-Magnitude of Clinical Benefit Scale version 1.1 (ESMO-MCBS v1.1) for haematological malignancies.

Barbara Kiesewetter, Nathan I Cherny, Nicolas Boissel, Francesco Cerisoli, Urania Dafni, Elisabeth G E de Vries, Paolo Ghia, Nicola Gökbuget, Verónica González-Calle, Brian Huntly and 13 more

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. Evidence of clinical benefit of cancer medicines considered for funding in Australia.International journal of technology assessment in health care · 2024
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  6. Can cancer go green? It's up to us.Frontiers in oncology · 2023
    Article
  7. Article
  8. Review
  9. Review
  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

23 authors at 16 institutions in 11 countries.

Barbara Kiesewetter *Department of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria barbara.kiesewetter@meduniwien.ac.at.ORCID 0000-0002-5490-2371
Nathan I Cherny *Cancer Pain and Palliative Medicine Service, Department of Medical Oncology, Shaare Zedek Medical Center, Jerusalem, Israel.
Nicolas BoisselDepartment of Hematology, Hospital Saint-Louis, Paris, Île-de-France, France.
Francesco CerisoliEuropean Hematology Association, Den Haag, Zuid-Holland, The Netherlands.
Urania DafniLaboratory of Biostatistics, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Elisabeth G E de VriesDepartment of Medical Oncology, University Medical Center Groningen, Groningen, The Netherlands.
Paolo GhiaStrategic Research Program on CLL, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Milano, Lombardia, Italy.
Nicola GökbugetDepartment of Hematology/Oncology, Goethe University, Frankfurt am Main, Hessen, Germany.
Verónica González-CalleDepartment of Hematology and Instituto de Investigación Biomédica de Salamanca-IBSAL, University Hospital of Salamanca, Salamanca, Castilla y León, Spain.
Brian HuntlyCambridge Stem Cell Institute, Department of Haematology, University of Cambridge, Cambridge, Cambridgeshire, UK.
Ulrich JägerDepartment of Medicine I, Clinical Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Nicola Jane LatinoHead Office, European Society for Medical Oncology, Lugano, Switzerland.
Jean-Yves DouillardHead Office, European Society for Medical Oncology, Lugano, Switzerland.
Luca MalcovatiDepartment of Molecular Medicine, University of Pavia, Pavia, Lombardia, Italy.
María-Victoria MateosDepartment of Hematology and Instituto de Investigación Biomédica de Salamanca-IBSAL, University Hospital of Salamanca, Salamanca, Castilla y León, Spain.
Gert J OssenkoppeleDepartment of Hematology, VU University Medical Centre Amsterdam, Amsterdam, Noord-Holland, The Netherlands.
Kimmo PorkkaDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Markus RadererDepartment of Medicine I, Clinical Division of Oncology, Medical University of Vienna, Vienna, Austria.
Josep-Maria RiberaClinical Hematology Department, ICO-Hospital Germans Trias i Pujol, Josep Carreras Research Institute, Universitat Autònoma de Barcelona, Barcelona, Catalunya, Spain.
Lydia ScarfòStrategic Research Program on CLL, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Milano, Lombardia, Italy.
Ruth WesterDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, Zuid-Holland, The Netherlands.
Panagiota ZygouraFrontier Science Foundation-Hellas, Frontier Science Foundation-Hellas, Athens, Greece.
Pieter SonneveldDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, Zuid-Holland, The Netherlands.
Medical University of Vienna · ATErasmus MC Cancer Institute · NLEuropean Society for Medical Oncology · CHInstituto de Investigación Biomédica de Salamanca · ESVita-Salute San Raffaele University · ITDélégation Paris 7 · FREuropean Hematology Association · NLFrontier Science Foundation-Hellas · GRGoethe University Frankfurt · DEHelsinki University Hospital · FINational and Kapodistrian University of Athens · GRShaare Zedek Medical Center · ILUniversitat Autònoma de Barcelona · ESUniversity Medical Center Groningen · NLUniversity of Pavia · ITWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Medical Research Council MC_PC_12009Medical Research Council MC_PC_17230
6 · The paper itself

Abstract

objectiveValue frameworks in oncology have not been validated for the assessment of treatments in haematological malignancies, but to avoid overlaps and duplications it appears reasonable to build up experience on existing value frameworks, such as the European Society for Medical Oncology-Magnitude of Clinical Benefit Scale (ESMO-MCBS).

methodsHere we present the results of the first feasibility testing of the ESMO-MCBS v1.1 for haematological malignancies based on the grading of 80 contemporary studies for acute leukaemia, chronic leukaemia, lymphoma, myeloma and myelodysplastic syndromes. The aims were (1) to evaluate the scorability of data, (2) to evaluate the reasonableness of the generated grades for clinical benefit using the current version and (3) to identify shortcomings in the ESMO-MCBS v1.1 that require amendments to improve the efficacy and validity of the scale in grading new treatments in the management of haematological malignancies.

resultsIn general, the ESMO-MCBS v1.1 was found to be widely applicable to studies in haematological malignancies, generating scores that were judged as reasonable by European Hematology Association (EHA) experts. A small number of studies could either not be graded or were not appropriately graded. The reasons, related to the differences between haematological and solid tumour malignancies, are identified and described.

conclusionsBased on the findings of this study, ESMO and EHA are committed to develop a version of the ESMO-MCBS that is validated for haematological malignancies. This development process will incorporate all of the usual stringencies for accountability of reasonableness that have characterised the development of the ESMO-MCBS including field testing, statistical modelling, evaluation for reasonableness and openness to appeal and revision. Applying such a scale will support future public policy decision-making regarding the value of new treatments for haematological malignancies and will provide insights that could be helpful in the design of future clinical trials.

Indexed as

Hematologic NeoplasmsHumansOutcome Assessment, Health CareSocieties, Medicalclinical benefitESMO-MCBShaematologic malignanciesvalue frameworks

Identifiers

PMID31958292
PMCPMC7003483
OpenAlexW3003026322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.