Evidence map›Paper›PMID 34187943›Full record

ArticleBlood research2021

Lenalidomide for anemia correction in lower-risk del(5q) myelodysplastic syndrome patients of Asian ethnicity.

Junshik Hong, Yoo Jin Lee, Sung Hwa Bae, Jun Ho Yi, Sungwoo Park, Myung Hee Chang, Young Hoon Park, Shin Young Hyun, Joo-Seop Chung, Ji Eun Jang and 12 more

Open access · diamondAbstract read
In one paragraph

Article in Blood research, 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
–field-weighted citation impact, top 92% 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, 2 citations in OpenAlex.

  1. Review
  2. 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

22 authors at 17 institutions in 1 country.

Junshik HongDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Yoo Jin LeeDepartment of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Sung Hwa BaeDepartment of Internal Medicine, Daegu Catholic University School of Medicine, Daegu Catholic University Hospital, Daegu, Korea.
Jun Ho YiDivision of Hematology-Oncology, Chung-Ang University Hospital, Seoul, Department of Internal Medicine, Jinju, Korea.
Sungwoo ParkGyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Myung Hee ChangNational Health Insurance Service Ilsan Hospital, Goyang, Korea.
Young Hoon ParkEwha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Shin Young HyunYonsei University Wonju College of Medicine, Wonju, Korea.
Joo-Seop ChungPusan National University College of Medicine, Pusan National University Hospital, Busan, Korea.
Ji Eun JangDivision of Hematology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Joo Young JungDepartment of Internal Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
So-Yeon JeonDivision of Oncology and Hematology, Department of Internal Medicine, Jeonbuk National University Hospital-Jeonbuk National University Medical School, Jeonju, Korea.
Seo-Young SongDepartment of Internal Medicine, Kangwon National University College of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Hawk KimDivision of Hematology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Division of Hematology-Oncology, Department of Internal Medicine, Seoul, Korea.
Dae Sik KimKorea University Guro Hospital, Seoul, Korea.
Sung-Hyun KimDong-A University College of Medicine, Dong-A University Hospital, Busan, Korea.
Min Kyoung KimYeungnam University College of Medicine, Daegu, Department of Internal Medicine, Jeju, Korea.
Sang Hoon HanJeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.
Seonyang ParkInje University Haeundae Paik Hospital, Busan, Korea.
Yoo-Jin KimSeoul St. Mary's Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Je-Hwan LeeUniversity of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
AML/MDS Working Party of the Korean Society of Hematology
Gyeongsang National University Hospital · KRUlsan College · KRYonsei University · KRChung-Ang University Hospital · KRDong-A University Hospital · KREwha Womans University · KRGachon University · KRHallym University Dongtan Sacred Heart Hospital · KRJeju National University Hospital · KRJeonbuk National University · KRKangwon National University Hospital · KRKorea University Medical Center · KRNational Health Insurance Service Ilsan Hospital · KRPusan National University Hospital · KRSeoul National University Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYeungnam University College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate real-world outcomes in East Asian populations, we conducted a nationwide retrospective analysis of the efficacy and safety of lenalidomide for del(5q) myelodysplastic syndrome (MDS) patients with transfusion-dependent anemia in Korea.

methodsPatients aged ≥19 years who had received lenalidomide for the treatment of lower-risk, red blood cell (RBC) transfusion-dependent del(5q) MDS were selected. A filled case report form (CRF) with information from electronic medical records was requested from members of the acute myeloid leukemia (AML)/MDS Working Party of the Korean Society of Hematology. All the CRFs were gathered and analyzed.

resultsA total of 31 patients were included in this study. Of 28 evaluable patients, 19 (67.9%) achieved RBC transfusion independence (RBC-TI). Female sex and the development of thrombocytopenia during treatment were associated with achieving RBC-TI. The most common non-hematologic toxicities were pruritus, fatigue, and rashes. All non-hematologic toxicities of grades ≥3 were limited to rash (12.9%) and pruritus (6.5%). Dose reduction was required in 15 of the 19 responders (78.9%). The most common final stable dosing schedule for the responders was 5 mg once every other day (31.6%).

conclusionLenalidomide efficacy and tolerability were similar in the Asian del(5q) MDS patients and western patients. Dose reduction during treatment was common, but it was not associated with inferior outcomes.

Indexed as

5q deletion syndromeAnemiaLenalidomideMyelodysplastic syndrome

Identifiers

PMID34187943
PMCPMC8246035
OpenAlexW3177143907

What OpenQuestion holds

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LicenceCC BY-NC
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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.