Evidence map›Paper›PMID 32418256›Full record

ArticleEuropean journal of haematology2020

Real-world treatment patterns and outcomes in non-transplant newly diagnosed multiple Myeloma in France, Germany, Italy, and the United Kingdom.

Mohamad Mohty, Wolfgang Knauf, Dorothy Romanus, Shelby Corman, Katharina Verleger, Youngmin Kwon, Dasha Cherepanov, M Janelle Cambron-Mellott, Haris G Vikis, Francisco Gonzalez and 2 more

Abstract read
In one paragraph

Article in European journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Diagnosis and treatment of multiple myeloma in Hunan Province.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  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

12 authors.

Mohamad MohtyHôpital Saint-Antoine, Service d'Hématologie Clinique et de Thérapie Cellulaire, Sorbonne University, Paris, France.ORCID https://orcid.org/0000-0002-7264-808X
Wolfgang KnaufCenter for Hematology and Oncology, Agaplesion Bethanien Hospital, Frankfurt am Main, Germany.
Dorothy RomanusGlobal Outcomes Research and Epidemiology, Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited, Cambridge, MA, USA.
Shelby CormanPharmerit International, Bethesda, MD, USA.ORCID https://orcid.org/0000-0003-4606-2971
Katharina VerlegerPharmerit International, Berlin, Germany.
Youngmin KwonPharmerit International, Bethesda, MD, USA.
Dasha CherepanovGlobal Outcomes Research and Epidemiology, Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited, Cambridge, MA, USA.
M Janelle Cambron-MellottKantar Health, New York, NY, USA.
Haris G VikisKantar Health, New York, NY, USA.
Francisco GonzalezTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Francois GaviniTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Karthik RamasamyDepartment of Clinical Haematology, Oxford University Hospitals, Oxford, UK.

Funding

Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited N/A
6 · The paper itself

Abstract

objectivesThe treatment paradigm in newly diagnosed multiple myeloma (NDMM) is evolving toward individualized, risk-directed, and longer duration of therapy (DOT). The objective of this study was to describe treatment patterns and outcomes in non-transplant NDMM in four European countries.

methodsThis retrospective chart review included adults with NDMM diagnosed between January 1, 2012, and December 31, 2013 (early cohort), or April 1, 2016, and March 31, 2017 (recent cohort).

resultsAmong 836 patients, molecular testing was performed in 21% and 35% patients of early vs recent cohorts; proteasome inhibitor (PI)/alkylator combinations were the principal first-line (1 L) therapy (39% vs 43%). Use of immunomodulatory drug (IMID)/alkylator combinations declined from early to recent cohort (26% vs 13%) but IMID (7% vs 16%) use increased. Few patients (5%) received 1 L maintenance therapy. Two-thirds of patients were treated with a fixed duration intent, with a median 7-month 1 L DOT and progression-free survival (PFS) of 32.8 months in the early cohort. Both 1 L DOT and PFS were longer with oral compared to injectable regimens.

conclusionsAlthough frontline treatment patterns changed significantly, 1 L DOT is short. The uptake of molecular testing and 1 L maintenance is low. These results highlight areas of unmet need in NDMM.

Indexed as

Practice Patterns, Physicians'AgedAged, 80 and overClinical Decision-MakingCombined Modality TherapyCytogenetic AnalysisDisease ManagementEuropeFemaleFranceGermanyHumansItalyMaleMiddle AgedMultiple Myelomaclinical practice patternsmedical recordsmultiple myelomaretrospective studiestreatment outcomes

Identifiers

PMID32418256
PMCPMC7497114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.