Evidence map›Paper›PMID 34145225›Full record

Trial reportBlood cancer journal2021

KarMMa-RW: comparison of idecabtagene vicleucel with real-world outcomes in relapsed and refractory multiple myeloma.

Sundar Jagannath, Yi Lin, Hartmut Goldschmidt, Donna Reece, Ajay Nooka, Alicia Senin, Paula Rodriguez-Otero, Ray Powles, Kosei Matsue, Nina Shah and 7 more

Registry-linked trialAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03361748 (A Phase 2, Multicenter Study to Determine the Efficacy and Safety of bb2121 in Subjects With Relapsed and Refractory Multiple Myeloma), which is not on this map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03361748 phase2completednot on this map

A Phase 2, Multicenter Study to Determine the Efficacy and Safety of bb2121 in Subjects With Relapsed and Refractory Multiple Myeloma

TypeinterventionalSponsorCelgeneRan2017 to 2023Enrolled149ConditionsMultiple MyelomaArmsbb2121
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Quality of Life in CAR-T Cell Therapy.Hematology reports · 2026
    Review
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  15. Observational
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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.

Sundar JagannathMount Sinai Hospital, New York, NY, USA. sundar.jagannath@mountsinai.org.ORCID 0000-0003-2934-6518
Yi LinMayo Clinic, Rochester, MN, USA.
Hartmut GoldschmidtUniversity Hospital Heidelberg, Internal Medicine V and National Center for Tumor Diseases (NCT), Heidelberg, Germany.ORCID 0000-0003-0961-0035
Donna ReecePrincess Margaret Cancer Centre, Toronto, ON, Canada.
Ajay NookaEmory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-4165-6869
Alicia SeninInstitut Català d'Oncologia, Badalona, Barcelona, Spain.
Paula Rodriguez-OteroClínica Universidad de Navarra, Pamplona, Spain.
Ray PowlesCancer Centre London, London, UK.
Kosei MatsueKameda Medical Center, Kameda-honchō, Japan.
Nina ShahUniversity of California San Francisco, San Francisco, CA, USA.
Larry D AndersonSimmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-6531-9595
Matthew StreetlyGuy's and St Thomas's Hospital, London, UK.
Kimberly WilsonBristol Myers Squibb, Princeton, NJ, USA.
Hoa Van LeBristol Myers Squibb, Princeton, NJ, USA.
Arlene S SwernBristol Myers Squibb, Princeton, NJ, USA.
Amit AgarwalBristol Myers Squibb, Princeton, NJ, USA.
David S SiegelHackensack University Medical Center, Hackensack, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with relapsed and refractory multiple myeloma (RRMM) who are triple-class exposed (to an immunomodulatory agent, proteasome inhibitor, and anti-CD38 antibody) have limited treatment options and there is no standard of care. Idecabtagene vicleucel (ide-cel, bb2121), a BCMA-directed CAR T-cell therapy, demonstrated efficacy in triple-class exposed RRMM patients in the KarMMa trial (NCT03361748). In this retrospective study (KarMMa-RW), patient-level data from triple-class exposed RRMM patients were merged into a single data model and compared with KarMMa using trimmed stabilized inverse probability of treatment weighting. Endpoints included overall response rate (ORR; primary), rate of very good partial response or better (≥VGPR), progression-free survival (PFS), and overall survival (OS). Of 1949 real-world triple-class exposed RRMM patients, 190 received subsequent (index) line of therapy and met KarMMa eligibility criteria (Eligible RRMM cohort). With a median follow-up of 13.3 months in KarMMa and 10.2 months in Eligible RRMM, ORR, and ≥VGPR were significantly improved in KarMMa versus Eligible RRMM (ORR, 76.4% vs 32.2%; ≥VGPR, 57.9% vs 13.7%; both P < 0.0001) as were PFS (11.6 vs 3.5 months; P = 0.0004) and OS (20.2 vs 14.7 months; P = 0.0006). This study demonstrated that ide-cel significantly improved responses and survival compared with currently available therapies in triple-class exposed RRMM.

Indexed as

Immunotherapy, AdoptiveMultiple MyelomaAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedProgression-Free SurvivalReceptors, Chimeric AntigenRetrospective StudiesSurvival Rateidecabtagene vicleucelReceptors, Chimeric Antigen

Identifiers

PMID34145225
PMCPMC8213772

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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.