Evidence map›Paper›PMID 33431806›Full record

ArticleBlood cancer journal2021

Venetoclax induces deep hematologic remissions in t(11;14) relapsed/refractory AL amyloidosis.

Vikram J Premkumar, Suzanne Lentzsch, Samuel Pan, Divaya Bhutani, Joshua Richter, Sundar Jagannath, Michaela Liedtke, Arnaud Jaccard, Ashutosh D Wechalekar, Raymond Comenzo and 8 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
6.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 101 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Monoclonal gammopathy of renal significance from a hematologic perspective.Hematology. American Society of Hematology. Education Program · 2025
    Review
  8. Monoclonal-related neuropathies: diagnosis, prognosis, and outcomes.Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. The Impact of Melphalan Conditioning and CD34American journal of hematology · 2025
    Article
  18. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
  19. Review
  20. 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

18 authors at 14 institutions in 4 countries.

Vikram J PremkumarDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-2871-8394
Suzanne LentzschDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA. sl3440@columbia.edu.ORCID 0000-0003-1708-7344
Samuel PanColumbia University Irving Medical Center, New York, NY, USA.
Divaya BhutaniDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Joshua RichterDivision of Hematology and Medical Oncology, Tisch Cancer Institute, Mount Sinai Medical Center, New York, NY, USA.
Sundar JagannathDivision of Hematology and Medical Oncology, Tisch Cancer Institute, Mount Sinai Medical Center, New York, NY, USA.
Michaela LiedtkeStanford Amyloid Center, Stanford University School of Medicine, Stanford, CA, USA.
Arnaud JaccardHematology Department, French Reference Center for AL Amyloidosis (Limoges-Poitiers), CHU Limoges, Limoges, France.
Ashutosh D WechalekarNational Amyloidosis Centre, University College London, London, UK.
Raymond ComenzoJohn C. Davis Myeloma and Amyloid Program, Tufts Medical Center, Boston, MA, USA.
Vaishali SanchorawalaAmyloidosis Center, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA.ORCID 0000-0002-6307-2445
Bruno RoyerParis 7 University and APHP, Immuno-Hematology Department, Saint-Louis Hospital, Paris, France.
Michael RosenzweigDepartment of Hematology and Hematopoietic Cell Transplantation, Judy and Bernard Briskin Center for Multiple Myeloma Research, City of Hope, Duarte, CA, USA.
Jason ValentDepartment of Hematology and Medical Oncology, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH, USA.
Stefan SchönlandAmyloidosis Center, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-4853-5579
Rafael FonsecaDivision of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-5938-3769
Sandy WongDivision of Hematology/Oncology, University of California San Francisco, San Francisco, CA, USA.
Prashant KapoorDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Columbia University Irving Medical Center · USMount Sinai Medical Center · USBoston University · USCity of Hope · USCleveland Clinic · USHeidelberg University · DEHoly Name Medical Center · USMayo Clinic in Arizona · USStanford University · USTufts Medical Center · USUniversité Paris Cité · FRUniversity College London · GBUniversity of California, San Francisco · USWinnMed · US

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Molecular Oncology Training ProgramT32CA203703 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Katherine D Crew, DAWN HERSHMAN · 2016 to 2026
$4.1M
Screening to Improve Survival in AL AmyloidosisR21AG070502 · NIA · TUFTS MEDICAL CENTER · PI COMENZO, RAYMOND LUKE, LENTZSCH, SUZANNE · 2020 to 2021
$515k
NCI NIH HHS P30 CA013696NCI NIH HHS P50 CA186781NCI NIH HHS T32 CA203703NIA NIH HHS R21 AG070502
6 · The paper itself

Abstract

Venetoclax is efficacious in relapsed/refractory t(11;14) multiple myeloma, thus warranting investigation in light-chain amyloidosis (AL). This retrospective cohort includes 43 patients with previously treated AL, from 14 centers in the US and Europe. Thirty-one patients harbored t(11;14), 11 did not, and one t(11;14) status was unknown. Patients received a venetoclax-containing regimen for at least one 21- or 28-day cycle; the median prior treatments was three. The hematologic response rate for all patients was 68%; 63% achieved VGPR/CR. t(11;14) patients had higher hematologic response (81% vs. 40%) and higher VGPR/CR rate (78% vs. 30%, odds ratio: 0.12, 95% CI 0.02-0.62) than non-t(11;14) patients. For the unsegregated cohort, median progression-free survival (PFS) was 31.0 months and median OS was not reached (NR). For t(11;14), median PFS was NR and for non-t(11;14) median PFS was 6.7 months (HR: 0.14, 95% CI 0.04-0.53). Multivariate analysis incorporating age, sex, prior lines of therapy, and disease stage suggested a risk reduction for progression or death in t(11;14) patients. Median OS was NR for either subgroup. The organ response rate was 38%; most responders harbored t(11;14). Grade 3 or higher adverse events occurred in 19% with 7% due to infections. These promising results require confirmation in a randomized clinical trial.

Indexed as

AgedAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicFemaleHumansImmunoglobulin Light-chain AmyloidosisMaleMiddle AgedNeoplasm Recurrence, LocalProgression-Free SurvivalRetrospective StudiesSulfonamidesTranslocation, GeneticTreatment OutcomeAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID33431806
PMCPMC7801694
OpenAlexW3119152468

What OpenQuestion holds

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LicenceCC BY
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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.