Evidence map›Paper›PMID 34062004›Full record

Trial reportAmerican journal of hematology2021

Selinexor, bortezomib, and dexamethasone versus bortezomib and dexamethasone in previously treated multiple myeloma: Outcomes by cytogenetic risk.

Shambavi Richard, Ajai Chari, Sosana Delimpasi, Maryana Simonova, Ivan Spicka, Ludek Pour, Iryna Kriachok, Meletios A Dimopoulos, Halyna Pylypenko, Holger W Auner and 28 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in American journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03110562 (A Phase 3 Randomized, Controlled, Open-label Study of Selinexor, Bortezomib, and Dexamethasone), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 8% 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.

NCT03110562 phase3completednot on this map

A Phase 3 Randomized, Controlled, Open-label Study of Selinexor, Bortezomib, and Dexamethasone (SVd) Versus Bortezomib and Dexamethasone (Vd) in Patients With Relapsed or Refractory Multiple Myeloma (RRMM)

TypeinterventionalSponsorKaryopharm Therapeutics IncRan2017 to 2022Enrolled402ConditionsMultiple MyelomaArmsSelinexor, Bortezomib, Dexamethasone
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Co-Occurrence of Cytogenetic Abnormalities and High-Risk Disease in Newly Diagnosed and Relapsed/Refractory Multiple Myeloma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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  16. Multiple Myeloma: Current Clinical Landscape and Compounding Costs.Current hematologic malignancy reports · 2023
    Review
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  18. Review
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  20. 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

38 authors at 20 institutions in 11 countries.

Shambavi RichardIcahn School of Medicine at Mount Sinai Tisch Cancer Institute, New York, New York, USA.ORCID 0000-0003-0274-4292
Ajai ChariIcahn School of Medicine at Mount Sinai Tisch Cancer Institute, New York, New York, USA.
Sosana DelimpasiGeneral Hospital Evangelismos, Athens, Greece.
Maryana SimonovaInstitute of Blood Pathology & Transfusion Medicine of National Academy of Medical Sciences of Ukraine, Lviv, Ukraine.
Ivan SpickaCharles University and General Hospital, Prague, Czech Republic.
Ludek PourClinic of Internal Medicine -Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Iryna KriachokNational Cancer Institute Ukraine, Kiev, Ukraine.
Meletios A DimopoulosSchool of Medicine, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.ORCID 0000-0001-8990-3254
Halyna PylypenkoDepartment of Hematology, Cherkassy Regional Oncological Center, Cherkassy, Ukraine.
Holger W AunerImperial College London, London, UK.ORCID 0000-0003-4040-0642
Xavier LeleuDepartment of Hematology, CHU la Miletrie and Inserm CIC 1402, Poitiers, France.
Ganna UsenkoCity Clinical Hospital No. 4 of Dnipro City Council, Dnipro, Ukraine.
Roman HajekDepartment of Hemato-oncology, University Hospital Ostrava, University of Ostrava, Ostrava, Czech Republic.
Reuben BenjaminKings College Hospital NHS Foundation Trust, London, UK.
Tuphan Kanti DolaiNil Ratan Sircar Medical College and Hospital, Kolkata, India.
Dinesh Kumar SinhaState Cancer Institute, Indira Gandhi Institute of Medical Sciences, Patna, India.
Christopher P VennerCross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Mamta GargUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Don Ambrose StevensNorton Cancer Institute, St. Matthews Campus, Louisville, Kentucky, USA.
Hang QuachUniversity of Melbourne, St. Vincent's Hospital, Melbourne, Victoria, Australia.
Sundar JagannathIcahn School of Medicine at Mount Sinai Tisch Cancer Institute, New York, New York, USA.
Phillipe MoreauUniversity Hospital, Hotel-Dieu, Nantes, France.ORCID 0000-0003-1780-8746
Moshe LevyBaylor University Medical Center, Dallas, Texas, USA.
Ashraf BadrosUniversity of Maryland, Greenebaum Comprehensive Cancer Center, Baltimore, Maryland, USA.
Larry D AndersonSimmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA.
Nizar J BahlisUniversity of Calgary, Charbonneau Cancer Research Institute, Calgary, Alberta, Canada.
Thierry FaconCHU Lille Service des Maladies du Sang F-59000, Lille, France.
Maria Victoria MateosHospital Universitario de Salamanca, Salamanca, Spain.
Michele CavoSeràgnoli Institute of Hematology, Bologna University School of Medicine, Bologna, Italy.
Hua ChangKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Yosef LandesmanKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Yi ChaiKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Melina ArazyKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Jatin ShahKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Sharon ShachamKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Michael G KauffmanKaryopharm Therapeutics Inc., Newton, Massachusetts, USA.
Sebastian GrosickiMedical University of Silesia, Katowice, Poland.
Paul G RichardsonDana Farber Cancer Institute, Boston, Massachusetts, USA.
Karyopharm Therapeutics (United States) · USTisch Hospital · USBaylor University Medical Center · USCentre Hospitalier Universitaire de Lille · FRCharles University · CZCherkasy National University · UAComplejo Hospitalario de Salamanca · ESDana-Farber Cancer Institute · USEvangelismos Hospital · GRHotel Dieu Hospital · CAImperial College London · GBIndira Gandhi Institute of Medical Sciences · INInserm · FRInstitute of Blood Pathology and Transfusion Medicine of the National Academy of Medical Sciences of Ukraine · UAKing's College Hospital NHS Foundation Trust · GBMedical University of Silesia · PLNational and Kapodistrian University of Athens · GRNational Cancer Institute · UANil Ratan Sircar Medical College and Hospital · INNorton Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the phase 3 BOSTON study, patients with multiple myeloma (MM) after 1-3 prior regimens were randomized to once-weekly selinexor (an oral inhibitor of exportin 1 [XPO1]) plus bortezomib-dexamethasone (XVd) or twice-weekly bortezomib-dexamethasone (Vd). Compared with Vd, XVd was associated with significant improvements in median progression-free survival (PFS), overall response rate (ORR), and lower rates of peripheral neuropathy, with trends in overall survival (OS) favoring XVd. In BOSTON, 141 (35.1%) patients had MM with high-risk (presence of del[17p], t[4;14], t[14;16], or ≥4 copies of amp1q21) cytogenetics (XVd, n = 70; Vd, n = 71), and 261 (64.9%) exhibited standard-risk cytogenetics (XVd, n = 125; Vd, n = 136). Among patients with high-risk MM, median PFS was 12.91 months for XVd and 8.61 months for Vd (HR, 0.73 [95% CI, (0.4673, 1.1406)], p = 0.082), and ORRs were 78.6% and 57.7%, respectively (OR 2.68; p = 0.004). In the standard-risk subgroup, median PFS was 16.62 months for XVd and 9.46 months for Vd (HR 0.61; p = 0.004), and ORRs were 75.2% and 64.7%, respectively (OR 1.65; p = 0.033). The safety profiles of XVd and Vd in both subgroups were consistent with the overall population. These data suggest that selinexor can confer benefits to patients with MM regardless of cytogenetic risk. ClinicalTrials.gov identifier: NCT03110562.

Indexed as

AdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBortezomibCytogenetic AnalysisDexamethasoneFemaleHumansHydrazinesMaleMiddle AgedMultiple MyelomaProgression-Free SurvivalTreatment OutcomeTriazolesAntineoplastic AgentsBortezomibDexamethasoneHydrazinesselinexorTriazoles

Identifiers

PMID34062004
PMCPMC8457116
OpenAlexW3165381538

What OpenQuestion holds

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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.