Evidence map›Paper›PMID 32992506›Full record

ReviewJournal of clinical medicine2020

Melflufen: A Peptide-Drug Conjugate for the Treatment of Multiple Myeloma.

María-Victoria Mateos, Joan Bladé, Sara Bringhen, Enrique M Ocio, Yvonne Efebera, Luděk Pour, Francesca Gay, Pieter Sonneveld, Joachim Gullbo, Paul G Richardson

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 54 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Recent Advances in the Linkers of Drug Conjugates.Current medicinal chemistry · 2025
    Review
  6. Recent advances in targeted drug delivery systems for multiple myeloma.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
  7. Review
  8. Review
  9. Review
  10. Antibody-drug conjugates: Recent advances in payloads.Acta pharmaceutica Sinica. B · 2023
    Review
  11. Research advances in peptide‒drug conjugates.Acta pharmaceutica Sinica. B · 2023
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Biomarker Jeopardy.Journal of the advanced practitioner in oncology · 2022
    Article
  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

10 authors at 9 institutions in 6 countries.

María-Victoria MateosHospital Clínico Universitario de Salamanca/IBSAL/CIC, 37007 Salamanca, Spain.
Joan BladéHematology Department, Institut d'Investigacions Biomèdiques August Pi I Sunyer, Hospital Clinic, 08036 Barcelona, Spain.
Sara BringhenMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Enrique M OcioUniversity Hospital Marqués de Valdecilla (IDIVAL), University of Cantabria, 39008 Santander, Spain.ORCID 0000-0002-5765-0085
Yvonne EfeberaDivision of Hematology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, USA.
Luděk PourDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, 62500 Brno, Czech Republic.
Francesca GayMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Pieter SonneveldErasmus MC Cancer Institute, 3075 EA Rotterdam, The Netherlands.
Joachim GullboDepartment of Medical Sciences, Division of Clinical Pharmacology, Uppsala University, 751 85 Uppsala, Sweden.
Paul G RichardsonJerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215, USA.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESErasmus MC Cancer Institute · NLHarvard University · USHospital Clínico Universitario de Valencia · ESThe Ohio State University · USUniversidad de Cantabria · ESUniversity Hospital Brno · CZUppsala University · SE

Funding

Oncopeptides AB N/A
6 · The paper itself

Abstract

Despite the availability of new therapies that have led to improved outcomes for patients with multiple myeloma, most patients will eventually relapse. With triplet and even quadruplet combination therapies becoming standard in the first and second line, many patients will have few treatment options after second-line treatment. Melflufen (melphalan flufenamide) is a first-in-class peptide-drug conjugate (PDC) that targets aminopeptidases and rapidly releases alkylating agents into tumor cells. Once inside the tumor cells, melflufen is hydrolyzed by peptidases to release alkylator molecules, which become entrapped. Melflufen showed anti-myeloma activity in myeloma cells that were resistant to bortezomib and the alkylator melphalan. In early phase studies (O-12-M1 and HORIZON [OP-106]), melflufen plus dexamethasone has demonstrated encouraging clinical activity and a manageable safety profile in heavily pretreated patients with relapsed/refractory multiple myeloma, including those with triple-class refractory disease and extramedullary disease. The Phase III OCEAN study (OP-104) is further evaluating melflufen plus dexamethasone in patients with relapsed/refractory multiple myeloma. The safety profile of melflufen is characterized primarily by clinically manageable hematologic adverse events. Melflufen, with its novel mechanism of action, has the potential to provide clinically meaningful benefits to patients with relapsed/refractory multiple myeloma, including those with high unmet needs.

Indexed as

drug combinationsmelflufenmelphalan flufenamidemultiple myelomanew drugspeptide–drug conjugate

Identifiers

PMID32992506
PMCPMC7601491
OpenAlexW3088270822

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.