Evidence map›Paper›PMID 32989806›Full record

ArticleEuropean journal of haematology2021

Changes in treatment landscape of relapsed or refractory multiple myeloma and their association with mortality: Insights from German claims database.

Christof Scheid, Igor W Blau, Leopold Sellner, Boris A Ratsch, Edin Basic

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Christof ScheidDepartment of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Igor W BlauCharité University Medicine Berlin, Berlin, Germany.
Leopold SellnerTakeda Pharma Vertrieb GmbH & Co. KG, Berlin, Germany.
Boris A RatschTakeda Pharma Vertrieb GmbH & Co. KG, Berlin, Germany.
Edin BasicTakeda Pharma Vertrieb GmbH & Co. KG, Berlin, Germany.ORCID https://orcid.org/0000-0001-7351-2910
Takeda (Germany) · DECharité - Universitätsmedizin Berlin · DEUniversity Hospital Cologne · DE

Funding

Takeda Pharma Vertrieb GmbH & Co. KG N/A
6 · The paper itself

Abstract

objectivesEmerging treatments for relapsed or refractory multiple myeloma (rrMM) have led to increasing options for many patients. This study aimed to assess changes in utilization of these options in Germany with a focus on modern triplet regimens including new agents, such as carfilzomib, ixazomib, elotuzumab and daratumumab, and to evaluate whether this had an impact on rrMM-related outcomes over time.

methodsThe study population consisted of 1255 rrMM patients who were assigned to one of the following 6 treatment groups: immunomodulatory drug (IMiD)-based doublets, proteasome inhibitor (PI)-based doublets, daratumumab monotherapy, PI-IMiD-based triplets, monoclonal antibodies (mAbs)-based triplets, or other treatment.

resultsUse of triplet-based therapy regimens increased from 5.9% in 2014 to 31.4% in 2017. In parallel, use of IMiD-based doublets decreased from 74.3% in 2014 to 37.6% in 2017. Over the same time period, the risk of death decreased by 32% and the risk of hospitalization which was reduced by 30%. The risk for serious adverse events remained unchanged.

conclusionsBetween 2014 and 2017, the use of triplet-based therapy regimens for rrMM in Germany has significantly increased and this was associated with a significant decline in deaths and hospitalizations without an increased incidence of serious adverse events.

Indexed as

AgedAged, 80 and overAge FactorsCombined Modality TherapyComorbidityDatabases, FactualDisease ManagementDrug Resistance, NeoplasmFemaleGermanyHumansMaleMiddle AgedMultiple MyelomaNeoplasm StagingOdds Ratiodoubletsobservational studyrelapsed or refractory multiple myelomarisk reductiontriplets

Identifiers

PMID32989806
PMCPMC7894176
OpenAlexW3089429007

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.