Evidence map›Paper›PMID 33856638›Full record

Trial reportInternational journal of hematology2021

Pembrolizumab plus pomalidomide and dexamethasone for relapsed or refractory multiple myeloma (KEYNOTE-183): subgroup analysis in Japanese patients.

Morio Matsumoto, Kenshi Suzuki, Junya Kuroda, Masafumi Taniwaki, Kazutaka Sunami, Hiroshi Kosugi, Kiyoshi Ando, Dai Maruyama, Kensei Tobinai, Uma Kher and 7 more

Abstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

17 authors at 10 institutions in 2 countries.

Morio MatsumotoNational Hospital Organization, Shibukawa Medical Center, 383 Shiroi, Shibukawa, 377-0280, Japan. matsumoto.morio.zr@mail.hosp.go.jp.
Kenshi SuzukiJapanese Red Cross Medical Center, Tokyo, Japan.
Junya KurodaKyoto Prefectural University of Medicine, Kyoto, Japan.
Masafumi TaniwakiKyoto Prefectural University of Medicine, Kyoto, Japan.
Kazutaka SunamiNational Hospital Organization Okayama Medical Center, Okayama, Japan.
Hiroshi KosugiOgaki Municipal Hospital, Ogaki, Japan.
Kiyoshi AndoTokai University Hospital, Isehara, Japan.
Dai MaruyamaNational Cancer Center Hospital, Tokyo, Japan.
Kensei TobinaiNational Cancer Center Hospital, Tokyo, Japan.
Uma KherMerck & Co., Inc., Kenilworth, NJ, USA.
Mohammed FarooquiMerck & Co., Inc., Kenilworth, NJ, USA.
Jason LiaoMerck & Co., Inc., Kenilworth, NJ, USA.
Patricia MarinelloMerck & Co., Inc., Kenilworth, NJ, USA.
Kenji MatsudaMSD K.K., Tokyo, Japan.
Yasuhiro KohMSD K.K., Tokyo, Japan.
Takashi ShimamotoMSD K.K., Tokyo, Japan.
Shinsuke IidaNagoya City University Hospital, Nagoya, Japan.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USMSD K.K. (Japan) · JPKyoto Prefectural University of Medicine · JPTokyo National Hospital · JPJapanese Red Cross Medical Center · JPNagoya City University Hospital · JPNational Hospital Organization · JPOgaki Municipal Hospital · JPOkayama Medical Center · JPTokai University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global, randomized, open-label KEYNOTE-183 phase 3 study was closed early after an interim analysis showed unfavorable risk-benefit when pembrolizumab was added to pomalidomide and dexamethasone in patients with relapsed or refractory multiple myeloma (MM). This subgroup analysis reported outcomes in 27 Japanese patients randomly assigned to receive pembrolizumab plus pomalidomide and dexamethasone (n = 15) or pomalidomide and dexamethasone alone (n = 12). Co-primary endpoints were progression-free survival (PFS) and overall survival (OS). After a median (range) follow-up of 9.6 (1.4-15.3) months in Japanese patients, median PFS [6.5 vs 2.8 months; hazard ratio (HR) 0.16 (95% CI 0.03-0.83)] and OS [not reached vs 14.8 months; HR 0.46 (95% CI 0.05-4.20)] seemed to favor the pembrolizumab plus pomalidomide and dexamethasone arm. Objective response rate was numerically higher in this group (47%) than in the pomalidomide and dexamethasone group (25%). The safety profile was consistent with that of the overall study population. No deaths were attributed to a study drug by the investigators. Although adding pembrolizumab to pomalidomide and dexamethasone did not show unfavorable risk-benefit in the Japanese subgroup of KEYNOTE-183, the analysis is limited by short follow-up and small sample size, which affects the generalizability of the results.

Indexed as

Multiple MyelomaAdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsAsian PeopleDexamethasoneDisease-Free SurvivalFemaleHumansJapanMaleMiddle AgedSurvival RateThalidomideAntibodies, Monoclonal, HumanizedDexamethasonepembrolizumabpomalidomideThalidomideJapaneseKEYNOTE-183Multiple myelomaPembrolizumab

Identifiers

PMID33856638
OpenAlexW3156305262

What OpenQuestion holds

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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.