Evidence map›Paper›PMID 33527753›Full record

Trial reportCancer medicine2021

Comparison of efficacy, safety, patients' quality of life, and doctors' occupational stress between lenalidomide-based and bortezomib-based induction in patients with newly diagnosed multiple myeloma.

Limei Xu, Junru Liu, Beihui Huang, Lifen Kuang, Jingli Gu, Meilan Chen, Waiyi Zou, Juan Li

Open access · goldAbstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

8 authors at 1 institution in 1 country.

Limei XuDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-0391-7327
Junru LiuDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Beihui HuangDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-2804-4913
Lifen KuangDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jingli GuDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Meilan ChenDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Waiyi ZouDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Juan LiDepartment of Hematology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-2140-1845
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the new therapeutic era, comparisons between regimens containing lenalidomide and bortezomib are needed.

methodsIn this single-center, prospective study, patients received four to six cycles of lenalidomide+liposomal doxorubicin+dexamethasone (RAD) or bortezomib+liposomal doxorubicin+dexamethasone (PAD) every 4 weeks, with subsequent autologous stem cell transplantation (ASCT) and maintenance therapy. We compared the efficacy, safety, patients' quality of life, and doctors' occupational stress between RAD and PAD induction in newly diagnosed MM patients.

resultsThe complete response (CR) rate was comparable between the RAD and PAD groups after induction (30.8% vs. 32.0%, p = 0.92). Common adverse events, including infections, peripheral neuropathy, and gastrointestinal disturbances, were more frequent in the PAD group, while leukopenia and rashes were more common in the RAD group. Compared with PAD, RAD improved patients' quality of life more quickly and caused less occupational stress for doctors. However, only 31.6% of patients collected adequate CD34+ cells (≥2 × 10

conclusionCompared to PAD, RAD induction had comparable efficacy and a significantly better safety profile, improved quality of life for patients, and reduced occupational stress for doctors. However, RAD induction may need to be limited to four cycles to avoid irreversible damage to hematopoietic stem cells. CLINICAL

trial registrationThis study was registered at www.chictr.org.cn (ChiCTR1900021558).

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBortezomibCombined Modality TherapyDexamethasoneDoxorubicinDrug Administration ScheduleFemaleHematopoietic Stem Cell MobilizationHematopoietic Stem Cell TransplantationHumansInduction ChemotherapyLenalidomideMaintenance ChemotherapyMaleBortezomibDexamethasoneDoxorubicinLenalidomideliposomal doxorubicinPolyethylene Glycolsbortezomiblenalidomideoccupational stressquality of lifestem cell collection

Identifiers

PMID33527753
PMCPMC7940229
OpenAlexW3126977464

What OpenQuestion holds

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LicenceCC BY
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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.