Evidence map›Paper›PMID 32236735›Full record

Observational studyAnnals of hematology2020

Real-world effectiveness and safety of ixazomib-lenalidomide-dexamethasone in relapsed/refractory multiple myeloma.

Evangelos Terpos, Karthik Ramasamy, Nadjoua Maouche, Jiri Minarik, Ioannis Ntanasis-Stathopoulos, Eirini Katodritou, Matthew W Jenner, Hana Plonkova, Maria Gavriatopoulou, Grant D Vallance and 9 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study 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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.8field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Review
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

19 authors at 10 institutions in 4 countries.

Evangelos TerposPlasma Cell Dyscrasias Unit, Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 80 Vasilissis Sophias, 11528, Athens, Greece. eterpos@hotmail.com.ORCID https://orcid.org/0000-0001-5133-1422
Karthik RamasamyDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0003-3385-3707
Nadjoua MaoucheDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Jiri MinarikDepartment of Hemato-Oncology, University Hospital Olomouc, Olomouc, Czech Republic.ORCID https://orcid.org/0000-0003-0513-326X
Ioannis Ntanasis-StathopoulosPlasma Cell Dyscrasias Unit, Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 80 Vasilissis Sophias, 11528, Athens, Greece.ORCID https://orcid.org/0000-0002-6328-9783
Eirini KatodritouDepartment of Hematology, Theagenio Cancer Hospital, Thessaloniki, Greece.
Matthew W JennerDepartment of Haematology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Hana PlonkovaDepartment of Hemato-Oncology, University Hospital Ostrava, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.ORCID https://orcid.org/0000-0002-0543-7987
Maria GavriatopoulouPlasma Cell Dyscrasias Unit, Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 80 Vasilissis Sophias, 11528, Athens, Greece.ORCID https://orcid.org/0000-0002-6244-1229
Grant D VallanceDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Tomas PikaDepartment of Hemato-Oncology, University Hospital Olomouc, Olomouc, Czech Republic.
Maria KotsopoulouDepartment of Hematology, Metaxa Cancer Hospital, Piraeus, Greece.
Jaimal KothariDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Tomas JelinekDepartment of Hemato-Oncology, University Hospital Ostrava, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.ORCID https://orcid.org/0000-0002-5467-9253
Efstathios KastritisPlasma Cell Dyscrasias Unit, Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 80 Vasilissis Sophias, 11528, Athens, Greece.
Robin AitchisonBuckinghamshire Healthcare NHS Trust, Amersham, Bucks, UK.
Meletios A DimopoulosPlasma Cell Dyscrasias Unit, Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 80 Vasilissis Sophias, 11528, Athens, Greece.ORCID https://orcid.org/0000-0001-8990-3254
Athanasios ZomasEUCAN Medical Affairs, Takeda Pharmaceuticals International AG, Glattpark-Opfikon, Zurich, Switzerland.
Roman HajekDepartment of Hemato-Oncology, University Hospital Ostrava, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.ORCID https://orcid.org/0000-0001-6955-6267
National and Kapodistrian University of Athens · GRUniversity of Ostrava · CZOxford BioMedica (United Kingdom) · GBOxford University Hospitals NHS Trust · GBUniversity Hospital Olomouc · CZBuckinghamshire Healthcare NHS Trust · GBMetaxa Hospital · GRTakeda (Switzerland) · CHTheageneio General Hospital · GRUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Real-world data on regimens for relapsed/refractory multiple myeloma (RRMM) represent an important component of therapeutic decision-making. This multi-centric, retrospective, observational study conducted by the treating physicians evaluated the effectiveness and safety of ixazomib-lenalidomide-dexamethasone (IRd) in 155 patients who received ixazomib via early access programs in Greece, the UK, and the Czech Republic. Median age was 68 years; 17% had an Eastern Cooperative Oncology Group performance status ≥ 2; median number of prior therapies was 1 (range 1-7); 91%, 47%, and 17% had received prior bortezomib, thalidomide, and lenalidomide, respectively. Median duration of exposure to ixazomib was 9.6 months. Overall response rate was 74%, including 35% very good partial response or better (16% complete response). Median progression-free survival (PFS) was 27.6 months (27.6 and 19.9 months in patients with 1 or > 1 prior lines, respectively). IRd treatment for ≥ 6 months was associated with longer PFS (hazard ratio 0.06). Fourteen patients (9%) discontinued IRd due to adverse events/toxicity in the absence of disease progression. Peripheral neuropathy was reported in 35% of patients (3% grades 3-4). These findings support the results of the phase III TOURMALINE-MM1 trial in a broader real-world RRMM population.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMultiple MyelomaAdultAgedAged, 80 and overBoron CompoundsDexamethasoneDisease-Free SurvivalFemaleGlycineHumansLenalidomideMaleMiddle AgedRecurrenceSurvival RateBoron CompoundsDexamethasoneGlycineixazomibLenalidomideIxazomibLenalidomideMyelomaReal worldRelapsed

Identifiers

PMID32236735
OpenAlexW3015023972

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.