Evidence map›Paper›PMID 33916376›Full record

ArticleJournal of clinical medicine2021

Pomalidomide Plus Low-Dose Dexamethasone in Relapsed/Refractory Multiple Myeloma Patients: Results of the Real-World "POWERFUL" Study.

Evangelos Terpos, Panagiotis Repousis, Chrysavgi Lalayanni, Evdoxia Hatjiharissi, Theodora Assimakopoulou, Georgios Vassilopoulos, Anastasia Pouli, Emmanouil Spanoudakis, Eurydiki Michalis, Gerassimos Pangalis and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03353545 (A Retrospective Chart Review and a Prospective Study of the POmalidomide Plus LoW Dose Dexamethasone Efficacy in Relapsed/ ReFractory Multiple Myeloma Patients Under Real-Life Conditions,), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% 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.

NCT03353545 completednot on this map

A Retrospective Chart Review and a Prospective Study of the POmalidomide Plus LoW Dose Dexamethasone Efficacy in Relapsed/ ReFractory Multiple Myeloma Patients Under Real-Life Conditions,

TypeobservationalSponsorGenesis Pharma S.A.Ran2017 to 2020Enrolled110ConditionsRelapse/Refractory Multiple Myeloma
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

22 authors at 16 institutions in 1 country.

Evangelos TerposDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 11527 Athens, Greece.ORCID 0000-0001-5133-1422
Panagiotis RepousisDepartment of Hematology, "METAXA" Cancer Hospital of Piraeus, 18537 Athens, Greece.
Chrysavgi LalayanniDepartment of Hematology, «G. PAPANIKOLAOU» General Hospital of Thessaloniki, 57010 Thessaloniki, Greece.
Evdoxia Hatjiharissi1st Department of Internal Medicine, Division of Hematology, AHEPA University General Hospital of Thessaloniki, 54636 Thessaloniki, Greece.
Theodora AssimakopoulouDepartment of Hematology, "SISMANOGLIO-AMALIA FLEMING" General Hospital of Athens, Marousi, 15126 Athens, Greece.
Georgios VassilopoulosDepartment of Hematology, Larissa University Hospital, 41110 Larissa, Greece.
Anastasia PouliDepartment of Hematology, "AGIOS SAVVAS" Anticancer-Oncology Hospital of Athens, 11522 Athens, Greece.
Emmanouil SpanoudakisDepartment of Hematology, University Hospital of Alexandroupolis, 68100 Alexandroupolis, Greece.ORCID 0000-0003-4985-5862
Eurydiki MichalisDepartment of Hematology, "G. GENNIMATAS" General Hospital of Athens, 11527 Athens, Greece.
Gerassimos PangalisDepartment of Hematology, Athens Medical Center-Psychikon Branch, Psychiko, 11525 Athens, Greece.
Ioannis Ntanasis-StathopoulosDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 11527 Athens, Greece.ORCID 0000-0002-6328-9783
Christos PoziopoulosDepartment of Hematology, "METROPOLITAN" Athens Private Hospital, N. Faliro, 18547 Athens, Greece.
Marie-Christine KyrtsonisFirst Department of Propaedeutic Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Vasiliki Pappa2nd Department of Internal Medicine and Research Unit, Hematology Unit, "ATTIKON" University General Hospital of Athens, School of Medicine, National and Kapodistrian University of Athens, Haidari, 12462 Athens, Greece.
Argiris SymeonidisDepartment of Hematology, University General Hospital of Patras, Rio, 26504 Patras, Greece.ORCID 0000-0002-3685-3473
Christos GeorgopoulosDepartment of Hematology, 424 General Military Hospital of Thessaloniki, 56429 Thessaloniki, Greece.
Panagiotis M ZikosDepartment of Hematology, "Agios Andreas" General Hospital of Patras, 26335 Patras, Greece.
Maria GavriatopoulouDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Alexandra General Hospital, 11527 Athens, Greece.
Helen A PapadakiDepartment of Hematology, University General Hospital of Heraklion, School of Medicine, University of Crete, 71110 Heraklion, Greece.
Magdalini DadakaridouDepartment of Hematology, "METAXA" Cancer Hospital of Piraeus, 18537 Athens, Greece.
Kiki Karvounis-MarolachakisMedical Department, Genesis pharma SA, Halandri, 15232 Athens, Greece.
Eirini KatodritouDepartment of Hematology, "THEAGENIO" Anti-Cancer Hospital of Thessaloniki, 54007 Thessaloniki, Greece.ORCID 0000-0001-9404-807X
National and Kapodistrian University of Athens · GRMetaxa Hospital · GR424 General Military Hospital · GRAgios Andreas Hospital · GRAHEPA University Hospital · GRAthens Medical Center · GRGeneral Hospital of Athens G. Genimatas · GRGeneral University Hospital of Patras · GRG. Papanikolaou General Hospital · GRMetropolitan Hospital · GRSismanoglio General Hospital · GRSt Savas Hospital · GRTheageneio General Hospital · GRUniversity Hospital of Alexandroupolis · GRUniversity Hospital of Larissa · GRUniversity of Crete · GR

Funding

Genesis Pharma SA SA
6 · The paper itself

Abstract

The "POWERFUL" multicenter, retrospective, and prospective study investigated the effectiveness of pomalidomide plus low-dose dexamethasone (POM/LoDex) therapy in relapsed/refractory multiple myeloma in routine care in Greece. Ninety-nine eligible adult patients treated with POM/LoDex according to the approved label after having received ≥2 prior therapies, including lenalidomide and bortezomib, were consecutively enrolled between 16 November 2017 and 21 February 2019 in 18 hematology departments. Fifty patients (50.5%) started POM/LoDex as third-line treatment. During the treatment period (median: 8.3 months; range: 0.3-47.6 months), the median POM dose was 4 mg/day, and 31.3% of the patients received additional antimyeloma agents. The overall response rate was 32.3%. During a median follow-up period of 13.8 months (Kaplan-Meier estimate), the median progression-free survival (PFS) was 10.5 months (95% CI: 7.4-14.4). The PFS was not significantly different between patients receiving POM/LoDex in the third versus later line of therapy, nor between patients receiving concomitant antimyeloma therapy versus POM/LoDEx doublet. During the prospective safety data collection period (median: 7.6 months) among patients with prospective follow-up (N = 75), POM-related adverse event incidence rate was 42.7% (serious: 18.7%; grade  ≥  3 hematological POM-related adverse events: 8.0%). Only neutropenia (13.3%) was reported at a frequency ≥10%. In conclusion, in this real-world study, POM/LoDex displayed a long PFS with no new safety signals emerging.

Indexed as

duration of responselenalidomidemultiple myelomaORRPFSpomalidomiderefractory

Identifiers

PMID33916376
PMCPMC8038613
OpenAlexW3141013823

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Registered trials

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.