Evidence map›Paper›PMID 32305989›Full record

ReviewActa haematologica2020

Multiple Myeloma in the Time of COVID-19.

Abdullah S Al Saleh, Taimur Sher, Morie A Gertz

Abstract readReview
In one paragraph

Review in Acta haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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

32 citing papers in PubMed.

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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

3 authors.

Abdullah S Al SalehDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Taimur SherDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Jacksonville, Florida, USA.
Morie A GertzDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA, gertz.morie@mayo.edu.

Funding

Phase 3 stem cell transplant for light chain amyloidosisR01CA111345 · NCI · MAYO CLINIC ROCHESTER · PI GERTZ, MORIE ABRAHAM · 2005 to 2011
$1.4M
NCI NIH HHS R01 CA111345
6 · The paper itself

Abstract

We provide our recommendations (not evidence based) for managing multiple myeloma patients during the pandemic of COVID-19. We do not recommend therapy for smoldering myeloma patients (standard or high risk). Screening for COVID-19 should be done in all patients before therapy. For standard-risk patients, we recommend the following: ixazomib, lenalidomide, and dexamethasone (IRd) (preferred), cyclophosphamide lenalidomide and dexamethasone (CRd), daratumumab lenalidomide and dexamethasone (DRd), lenalidomide, bortezomib, and dexamethasone (RVd), or cyclophosphamide, bortezomib, and dexamethasone (CyBorD). For high-risk patients we recommend carfilzomib, lenalidomide, and dexamethasone (KRd) (preferred) or RVd. Decreasing the dose of dexamethasone to 20 mg and giving bortezomib subcutaneously once a week is recommended. We recommend delaying autologous stem cell transplant (ASCT), unless the patient has high-risk disease that is not responding well, or if the patient has plasma cell leukemia (PCL). Testing for COVID-19 should be done before ASCT. If a patient achieves a very good partial response or better, doses and frequency of drug administration can be modified. After 10-12 cycles, lenalidomide maintenance is recommended for standard-risk patients and bortezomib or ixazomib are recommended for high-risk patients. Daratumumab-based regimens are recommended for relapsed patients. Routine ASCT is not recommended for relapse during the epidemic unless the patient has an aggressive relapse or secondary PCL. Patients on current maintenance should continue their therapy.

Indexed as

PandemicsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBetacoronavirusClinical Decision-MakingCoronavirus InfectionsCOVID-19DexamethasoneDisease ManagementHematopoietic Stem Cell TransplantationHumansLymphopeniaMultiple MyelomaPneumonia, ViralRisk AssessmentSARS-CoV-2Antineoplastic AgentsDexamethasoneCOVID-19Multiple myelomaRecommendations

Identifiers

PMID32305989
PMCPMC7206354

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.