Evidence map›Paper›PMID 32524584›Full record

Trial reportBritish journal of haematology2021

Early relapse after high-dose melphalan autologous stem cell transplant predicts inferior survival and is associated with high disease burden and genetically high-risk disease in multiple myeloma.

Ceri Bygrave, Charlotte Pawlyn, Faith Davies, Zoe Craig, David Cairns, Anna Hockaday, Matthew Jenner, Gordon Cook, Mark Drayson, Roger Owen and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

  1. Trial
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  15. Review
  16. A rational approach to functional high-risk myeloma.Hematology. American Society of Hematology. Education Program · 2023
    Review
  17. Article
  18. Review
  19. Review
  20. 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

14 authors.

Ceri BygraveUniversity Hospital of Wales, Cardiff, UK.ORCID 0000-0002-1571-0692
Charlotte PawlynThe Institute of Cancer Research, London, UK.ORCID 0000-0002-7190-0028
Faith DaviesNYU Langone Health, New York University, New York, USA.
Zoe CraigClinical Trials Research Unit, University of Leeds, Leeds, UK.
David CairnsClinical Trials Research Unit, University of Leeds, Leeds, UK.ORCID 0000-0002-2338-0179
Anna HockadayClinical Trials Research Unit, University of Leeds, Leeds, UK.
Matthew JennerUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Gordon CookClinical Trials Research Unit, University of Leeds, Leeds, UK.
Mark DraysonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Roger OwenHaematological Malignancy Diagnostic Service (HMDS), St James's University Hospital, Leeds, UK.
Walter GregoryClinical Trials Research Unit, University of Leeds, Leeds, UK.
Gareth MorganNYU Langone Health, New York University, New York, USA.
Graham JacksonNorthern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Martin KaiserThe Institute of Cancer Research, London, UK.ORCID 0000-0002-3677-4804

Funding

Cancer Research UK 25447Cancer Research UK 29957Cancer Research UK C1298/A10410
6 · The paper itself

Abstract

Predicting patient outcome in multiple myeloma remains challenging despite the availability of standard prognostic biomarkers. We investigated outcome for patients relapsing early from intensive therapy on NCRI Myeloma XI. Relapse within 12 months of autologous stem cell transplant was associated with markedly worse median progression-free survival 2 (PFS2) of 18 months and overall survival (OS) of 26 months, compared to median PFS2 of 85 months and OS of 91 months for later relapsing patients despite equal access to and use of subsequent therapies, highlighting the urgent need for improved outcome prediction and early intervention strategies for myeloma patients.

Indexed as

Multiple MyelomaStem Cell TransplantationAdultAgedAutograftsCost of IllnessDisease-Free SurvivalFemaleHumansMaleMelphalanMiddle AgedRisk FactorsSurvival RateMelphalanmyelomaprognostic factorstransplantation

Identifiers

PMID32524584
PMCPMC11497268

What OpenQuestion holds

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Registered trials

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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.