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ArticleTurkish journal of haematology : official journal of Turkish Society of Haematology2021

Original Versus Generic Lenalidomide in Patients with Relapsed/Refractory Multiple Myeloma: Comparison of Efficacy and Adverse Events

Ali Zahit Bolaman, Atakan Turgutkaya, Birsen Sahip, Cem Selim, Hilal Eroğlu Küçükerdiler, Şehmus Ertop, Gökhan Sargın, İrfan Yavaşoğlu

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Turkish journal of haematology : official journal of Turkish Society of Haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 100% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

8 authors at 2 institutions in 1 country.

Ali Zahit BolamanAydın Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, TurkeyORCID 0000-0003-0651-5462
Atakan TurgutkayaAydın Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, TurkeyORCID 0000-0001-8428-4730
Birsen SahipZonguldak Bülent Ecevit University Faculty of Medicine, Division of Hematology, Zonguldak, TurkeyORCID 0000-0001-5375-6432
Cem SelimAydın Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, TurkeyORCID 0000-0002-2717-8306
Hilal Eroğlu KüçükerdilerAydın Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, TurkeyORCID 0000-0002-2604-3127
Şehmus ErtopZonguldak Bülent Ecevit University Faculty of Medicine, Division of Hematology, Zonguldak, TurkeyORCID 0000-0001-8771-7343
Gökhan SargınAydın Adnan Menderes University Faculty of Medicine, Department of Immunology-Rheumatology, Aydın, TurkeyORCID 0000-0002-3778-8351
İrfan YavaşoğluAydın Adnan Menderes University Faculty of Medicine, Department of Hematology, Aydın, TurkeyORCID 0000-0003-1703-2175
Adnan Menderes University · TRBülent Ecevit University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Lenalidomide is an effective immunomodulatory derivative drug used in the treatment of multiple myeloma (MM). It is available in original and generic forms in Turkey, but there is no clinical study that has compared the effectiveness and adverse events (AEs) of the generic and original forms of lenalidomide. We compared the effectivity and AEs of generic and original lenalidomide in patients with relapsed/refractory MM (RRMM). Materials and Methods: Patients with RRMM using original or generic lenalidomide were evaluated retrospectively. Overall response (OR), complete response (CR), very good partial response (VGPR), partial response (PR), stable disease, and progressive disease rates and hematologic and nonhematologic AEs were evaluated in these RRMM patients. The results were described as numbers, frequencies, and percentages and were analyzed using PASW 19.0 for Windows with chi-square and Fisher exact tests. Results: The number of patients using original lenalidomide was 55 and the number of patients using generic lenalidomide was 43. The OR rate was 67.2% for patients using original lenalidomide and 60.4% for those on generic lenalidomide. CR and VGPR rates were 14.5% and 45.4% in the original group while the CR and VGPR rates were 20.9% and 18.6%, respectively, in patients using generic lenalidomide. Hematologic AEs were similar in the two groups while some nonhematologic AEs were less common in the original lenalidomide group than the generic group. Only pyrexia as a grade 3-4 AE was more common in the original lenalidomide than the generic lenalidomide group. Conclusion: This study showed that the generic form of lenalidomide has similar efficacy with the original form of lenalidomide in the treatment of RRMM. The AEs of original lenalidomide were generally fewer than those of generic lenalidomide. Further studies involving a larger number of patients with RRMM would be useful for comparing the efficacy and AEs of original and generic lenalidomide.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsDisease ProgressionDrug Resistance, NeoplasmDrugs, GenericFemaleHumansLenalidomideMaleMiddle AgedMultiple MyelomaNeoplasm GradingNeoplasm StagingOdds RatioRecurrenceRetreatmentDrugs, GenericLenalidomideAdverse effectGenericLenalidomideOriginalTreatment

Identifiers

PMID33342205
PMCPMC7927438
OpenAlexW3116422431

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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.