Evidence map›Paper›PMID 32354874›Full record

ArticleHaematologica2021

Subcutaneous daratumumab in patients with relapsed or refractory multiple myeloma: Part 2 of the open-label, multicenter, dose-escalation phase 1b study (PAVO).

Jesus San-Miguel, Saad Z Usmani, Maria-Victoria Mateos, Niels W C J van de Donk, Jonathan L Kaufman, Philippe Moreau, Albert Oriol, Torben Plesner, Lotfi Benboubker, Kevin Liu and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05849610 (An Open Label, Multicenter, Phase 2, Pilot Study, Evaluating Early Treatment With Bispecific T-cell Redirectors), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 6% 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.

NCT05849610 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

An Open Label, Multicenter, Phase 2, Pilot Study, Evaluating Early Treatment With Bispecific T-cell Redirectors (Teclistamab and Talquetamab) in the Frontline Therapy of Newly Diagnosed High-risk Multiple Myeloma

TypeinterventionalSponsorPETHEMA FoundationRan2023 to 2029Enrolled30ConditionsHigh-Risk de Novo Multiple MyelomaArmsDaratumumab, Bortezomib, Lenalidomide, Teclistamab, Talquetamab
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Should all newly diagnosed MM patients receive CD38 antibody-based treatment?Hematology. American Society of Hematology. Education Program · 2020
    Review
  16. Review
  17. Review
  18. Novel Approaches for the Management of AL Amyloidosis.Current hematologic malignancy reports · 2018
    Review
  19. AL Amyloidosis: Unfolding a Complex Disease.Journal of the advanced practitioner in oncology
    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

17 authors at 14 institutions in 8 countries.

Jesus San-MiguelClínica Universidad de Navarra-CIMA, IDISNA, CIBERONC, Pamplona, Spain.
Saad Z UsmaniLevine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Maria-Victoria MateosUniversity Hospital of Salamanca/IBSAL, Salamanca, Spain.
Niels W C J van de DonkAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Hematology, Amsterdam, The Netherlands.
Jonathan L KaufmanWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Philippe MoreauUniversity Hospital of Nantes, Nantes, France.
Albert OriolInstitut Català d'Oncologia, HGTiP, Barcelona, Spain.
Torben PlesnerVejle Hospital and University of Southern Denmark, Vejle, Denmark.
Lotfi BenboubkerService d'Hématologie et Thérapie Cellulaire, Hôpital Bretonneau,Tours, France.
Kevin LiuJanssen Research and Development, LLC, Raritan, NJ, USA.
Peter HellemansJanssen Research and Development, Beerse, Belgium.
Tara MastersonJanssen Research and Development, LLC, Spring House, PA, USA.
Pamela L ClemensJanssen Research and Development, LLC, Spring House, PA, USA.
Man LuoJanssen Research and Development, LLC, Spring House, PA, USA.
Andrew FarnsworthJanssen Research and Development, LLC, High Wycombe, United Kingdom.
Hareth NahiDivision of Hematology, Karolinska University Hospital at Huddinge, Stockholm, Sweden.
Ajai ChariTisch Cancer Institute, Mount Sinai School of Medicine, New York, NY, USA.
Janssen (United States) · USAmsterdam University Medical Centers · NLBretonneau Hospital · FRCentre Hospitalier Universitaire de Nantes · FRCentro de Investigación Biomédica en Red de Cáncer · ESEmory University · USIcahn School of Medicine at Mount Sinai · USInstitut Català d'Oncologia · ESInstituto de Investigación Biomédica de Salamanca · ESJanssen (Belgium) · BEJanssen (United Kingdom) · GBKarolinska University Hospital · SELevine Cancer Institute · USVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous daratumumab is approved for the treatment of multiple myeloma. In Part 1 of the PAVO study, a mix-and-deliver subcutaneous formulation of daratumumab with recombinant human hyaluronidase PH20 (rHuPH20) was well tolerated, with low rates of infusion-related reactions and similar efficacy to intravenous daratumumab. Part 2 of PAVO evaluated a concentrated, pre-mixed co-formulation of daratumumab and rHuPH20 (DARA SC). Patients with ≥2 prior lines of therapy, including a proteasome inhibitor and immunomodulatory drug, received daratumumab (1800 mg) and rHuPH20 (30,000 U) in 15 mL subcutaneously over 3-5 minutes per the approved intravenous monotherapy dosing schedule. Primary endpoints were daratumumab trough concentration at the end of weekly dosing (just prior to the Cycle 3 Day 1 dose) and safety. Twenty-five patients were enrolled in PAVO Part 2. DARA SC achieved daratumumab trough concentrations similar to or greater than intravenous daratumumab 16 mg/kg. The adverse event profile of DARA SC was consistent with intravenous daratumumab, with no new safety concerns and a lower infusion-related reaction rate. At a median follow-up of 14.2 months, the overall response rate was 52%, median duration of response was 15.7 months, and median progression-free survival was 12.0 months. DARA SC 1800 mg was well tolerated in relapsed/refractory multiple myeloma, with a low infusion-related reaction rate and reduced administration time. Daratumumab serum concentrations following DARA SC were consistent with intravenous dosing, and deep and durable responses were observed. Based on these results, ongoing studies are investigating DARA SC in multiple myeloma and other conditions. (ClinicalTrials.gov identifier: 02519452).

Indexed as

Multiple MyelomaAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsHumansProgression-Free SurvivalProteasome InhibitorsAntibodies, MonoclonaldaratumumabProteasome Inhibitors

Identifiers

PMID32354874
PMCPMC8168515
OpenAlexW3022757177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.