Evidence map›Paper›PMID 33297668›Full record

Trial reportHaematologica2022

Autologous stem cell transplantation is safe and effective for fit older myeloma patients: exploratory results from the Myeloma XI trial.

Charlotte Pawlyn, David Cairns, Tom Menzies, John Jones, Matthew Jenner, Gordon Cook, Kevin Boyd, Mark Drayson, Martin Kaiser, Roger Owen and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Haematologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Transplant in myeloma: what is its role?Hematology. American Society of Hematology. Education Program · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Fitness and frailty in myeloma.Hematology. American Society of Hematology. Education Program · 2022
    Review
  11. Article
  12. Treatment of older adult or frail patients with multiple myeloma.Hematology. American Society of Hematology. Education Program · 2021
    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 at 9 institutions in 3 countries.

Charlotte PawlynThe Institute of Cancer Research, London, UK; The Royal Marsden Hospital, London. charlotte.pawlyn@icr.ac.uk.
David CairnsClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds.
Tom MenziesClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds.
John JonesKings Hospital NHS Foundation Trust, London.
Matthew JennerUniversity Hospital Southampton NHS Foundation Trust, Southampton.
Gordon CookClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK; Leeds Cancer Centre, Leeds Teaching Hospitals Trust, Leeds.
Kevin BoydThe Royal Marsden Hospital, London.
Mark DraysonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham.
Martin KaiserThe Institute of Cancer Research, London, UK; The Royal Marsden Hospital, London.
Roger OwenHMDS, Leeds Cancer Centre, Leeds Teaching Hospitals Trust, Leeds.
Walter GregoryClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds.
Gareth MorganPerlmutter Cancer Center, NYU Langone, New York.
Graham JacksonDepartment of Haematology, Newcastle University, Newcastle.
Faith DaviesPerlmutter Cancer Center, NYU Langone, New York.
Royal Marsden Hospital · GBUniversity of Leeds · GBLeeds Teaching Hospitals NHS Trust · GBKing's College Hospital NHS Foundation Trust · GBNewcastle University · GBNYU Langone Health · USNYU Langone’s Laura and Isaac Perlmutter Cancer CenterUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Birmingham · GB

Funding

Cancer Research UK 25447Cancer Research UK 29957
6 · The paper itself

Abstract

Autologous stem cell transplant (ASCT) remains standard of care for consolidation after induction therapy for eligible newly diagnosed myeloma patients. In recent clinical trials comparing ASCT to delayed ASCT, patients aged over 65 were excluded. In real-world practice stem cell transplants are not restricted to those aged under 65 and clinicians decide on transplant eligibility based on patient fitness rather than a strict age cut off. Data from the UK NCRI Myeloma XI trial, a large phase III randomised controlled trial with pathways for transplant-eligible (TE) and ineligible (TNE) patients, was used in an exploratory analysis to examine the efficacy and toxicity of ASCT in older patients including analysis using an agematched population to compare outcomes for patients receiving similar induction therapy with or without ASCT. Older patients within the TE pathway were less likely to undergo stem cell harvest at the end of induction than younger patients and of those patients undergoing ASCT there was a reduction in PFS associated with increasing age. ASCT in older patients was well tolerated with no difference in morbidity or mortality between patients aged.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaAgedAntineoplastic Combined Chemotherapy ProtocolsHumansStem Cell TransplantationTransplantation, Autologous

Identifiers

PMID33297668
PMCPMC8719065
OpenAlexW3107779140

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.