Evidence map›Paper›PMID 32376855›Full record

Trial reportLeukemia2020

Pomalidomide, dexamethasone, and daratumumab in relapsed refractory multiple myeloma after lenalidomide treatment.

David S Siegel, Gary J Schiller, Christy Samaras, Michael Sebag, Jesus Berdeja, Siddhartha Ganguly, Jeffrey Matous, Kevin Song, Christopher S Seet, Giampaolo Talamo and 11 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. Review
  8. Review
  9. Article
  10. Monoclonal Antibodies in Relapsed-Refractory Multiple Myeloma.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  11. Article
  12. Review
  13. Article
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  15. Article
  16. Review
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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

21 authors at 15 institutions in 2 countries.

David S SiegelJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, USA. davids.siegel@hackensackmeridian.org.
Gary J SchillerDavid Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Christy SamarasCleveland Clinic, Cleveland, OH, USA.
Michael SebagMcGill University Health Centre, Montreal, QC, Canada.
Jesus BerdejaSarah Cannon Research Institute, Nashville, TN, USA.
Siddhartha GangulyThe University of Kansas Cancer Center, Fairway, KS, USA.
Jeffrey MatousColorado Blood Cancer Institute, Denver, CO, USA.
Kevin SongVancouver General Hospital, Vancouver, BC, Canada.
Christopher S SeetDavid Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Giampaolo TalamoPenn State Hershey Cancer Institute, Hershey, PA, USA.
Mirelis Acosta-RiveraFundación de Investigación, San Juan, PR, USA.
Michael BarStamford Hospital, Stamford, CT, USA.
Donald QuickJoe Arrington Cancer Research and Treatment Center, Lubbock, TX, USA.
Bertrand AnzTennessee Oncology, Chattanooga, TN, USA.
Gustavo FonsecaFlorida Cancer Specialists, St. Petersburg, FL, USA.
Donna ReecePrincess Margaret Cancer Centre, Toronto, ON, Canada.
William E PierceallBristol-Myers Squibb, Summit, NJ, USA.
Weiyuan ChungBristol-Myers Squibb, Summit, NJ, USA.
Faiza ZafarBristol-Myers Squibb, Summit, NJ, USA.
Amit AgarwalBristol-Myers Squibb, Summit, NJ, USA.
Nizar J BahlisArnie Charbonneau Cancer Research Institute, University of Calgary, Calgary, AB, Canada.
Bristol-Myers Squibb (United States) · USUniversity of California, Los Angeles · USCleveland Clinic · USColorado Blood Cancer Institute · USFlorida Cancer Specialists & Research Institute · USHackensack University Medical Center · USInstitute of Cancer Research · CAMcGill University Health Centre · CAPenn State Milton S. Hershey Medical Center · USPrincess Margaret Cancer Centre · CASarah Cannon · USStamford Hospital · USTennessee Oncology · USThe University of Kansas Cancer Center · USVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with multiple myeloma who have relapsed after or become refractory to lenalidomide in early treatment lines represent a clinically important population in need of effective therapies. The safety and efficacy of pomalidomide, low-dose dexamethasone, and daratumumab was evaluated in lenalidomide-pretreated patients with relapsed or refractory multiple myeloma (RRMM) after one to two prior treatment lines in the phase 2 MM-014 study. Patients received pomalidomide 4 mg daily from days 1-21 and dexamethasone 40 mg weekly (28-day cycles). Daratumumab 16 mg/kg was administered per label. Primary endpoint was overall response rate (ORR); secondary endpoints included progression-free survival (PFS) and safety. Per protocol, all patients (N = 112) had received lenalidomide in their most recent prior regimen (75.0% lenalidomide refractory). ORR was 77.7% (76.2% in lenalidomide-refractory patients); median follow-up was 17.2 months. Median PFS was not reached (1-year PFS rate 75.1%). The most common hematologic grade 3/4 treatment-emergent adverse event was neutropenia (62.5%). Grade 3/4 infections were reported in 31.3% of patients, including 13.4% with grade 3/4 pneumonia. These results demonstrate the safety and efficacy of pomalidomide-based therapy as early as second line in patients with RRMM, even immediately after lenalidomide failure, indicating that switching from the immunomodulatory agent class is not necessary.

Indexed as

AgedAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneFemaleHumansLenalidomideMaleMultiple MyelomaNeoplasm Recurrence, LocalProgression-Free SurvivalThalidomideAntibodies, MonoclonaldaratumumabDexamethasoneLenalidomidepomalidomideThalidomide

Identifiers

PMID32376855
PMCPMC7685974
OpenAlexW3023266336

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.