Evidence map›Paper›PMID 34470049›Full record

Trial reportBlood advances2021

Phase 2 study of venetoclax plus carfilzomib and dexamethasone in patients with relapsed/refractory multiple myeloma.

Luciano J Costa, Faith E Davies, Gregory P Monohan, Tibor Kovacsovics, Nicholas Burwick, Andrzej Jakubowiak, Jonathan L Kaufman, Wan-Jen Hong, Monique Dail, Ahmed Hamed Salem and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02899052 (A Phase 2, Open-Label, Multi-Center Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT02899052 phase2active not recruitingnot on this map

A Phase 2, Open-Label, Multi-Center Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma

TypeinterventionalSponsorAbbVieRan2017 to 2027Enrolled120ConditionsMultiple MyelomaArmsCarfilzomib, Venetoclax, Dexamethasone
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
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  12. Endless possibilities and how to exploit them? What is the optimal treatment sequence?Hematology. American Society of Hematology. Education Program · 2025
    Review
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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 at 11 institutions in 2 countries.

Luciano J CostaDivision of Hematology/Oncology, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0001-5362-2469
Faith E DaviesMyeloma Research Program, Perlmutter Cancer Center, NYU Langone, New York, NY.
Gregory P MonohanDivision of Hematology and Blood & Marrow Transplant, University of Kentucky, Lexington, KY.
Tibor KovacsovicsDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, UT.
Nicholas BurwickDivision of Hematology, University of Washington, Seattle, WA.
Andrzej JakubowiakMyeloma Program, The University of Chicago Medicine, Chicago, IL.
Jonathan L KaufmanDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0002-5687-6429
Wan-Jen HongGenentech, Inc, South San Francisco, CA.
Monique DailGenentech, Inc, South San Francisco, CA.ORCID 0000-0002-2687-8829
Ahmed Hamed SalemAbbVie, Inc, North Chicago, IL.
Xiaoqing YangAbbVie, Inc, North Chicago, IL.
Abdullah A MasudAbbVie, Inc, North Chicago, IL.
Wijith MunasingheAbbVie, Inc, North Chicago, IL.
Jeremy A RossAbbVie, Inc, North Chicago, IL.
Orlando F BuenoAbbVie, Inc, North Chicago, IL.
Shaji K KumarDivision of Hematology, Mayo Clinic, Rochester, MN; and.ORCID 0000-0001-5392-9284
Edward A StadtmauerDivision of Hematology and Oncology, University of Pennsylvania Abramson Cancer Center, Philadelphia, PA.
AbbVie (United States) · USAin Shams University · EGEmory University · USMayo Clinic in Arizona · USNYU Langone Health · USUniversity of Alabama at Birmingham · USUniversity of Chicago · USUniversity of Kentucky · USUniversity of Pennsylvania · USUniversity of Utah · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proteins in the antiapoptotic B-cell lymphoma 2 (BCL-2) family play a role in the pathophysiology of multiple myeloma (MM). Venetoclax is a highly selective, potent, oral BCL-2 inhibitor that induces apoptosis of MM cells, and its efficacy may be potentiated through combination with agents that increase BCL-2 dependency or have complementary mechanisms of action. The safety, tolerability, pharmacokinetics, and antitumor activity of venetoclax in combination with carfilzomib and dexamethasone (VenKd) in adults with relapsed/refractory MM (RRMM) were investigated in this phase 2 dose-escalation study. Oral venetoclax (400 or 800 mg) was administered daily in combination with intravenous carfilzomib (27, 56, or 70 mg/m2) and oral dexamethasone (20 or 40 mg) in 4 dose-finding cohorts. The expansion cohort received venetoclax 800 mg, carfilzomib 70 mg/m2, and dexamethasone 40 mg. Forty-nine patients received treatment. Median prior lines of therapy was 1 (range, 1-3), and median time in the study was 27 months. The most common treatment-emergent adverse events were diarrhea (65%), fatigue (47%), nausea (47%), and lymphopenia (35%). Serious adverse events occurred in 26 (53%) patients. Of 3 treatment-emergent deaths, 1 was considered treatment related. The overall response rate was 80% in all patients, 92% in patients with t(11;14) (n = 13), and 75% in patients without (n = 36). The rate of complete response or better was 41%. Median progression-free survival was 22.8 months. Treatment with VenKd was well tolerated and showed promising response rates in this RRMM patient population, with greater responses observed in patients with t(11;14). This trial is registered at www.clinicaltrials.gov as #NCT02899052.

Indexed as

Multiple MyelomaAntineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, HeterocyclicDexamethasoneHumansOligopeptidesSulfonamidesBridged Bicyclo Compounds, HeterocycliccarfilzomibDexamethasoneOligopeptidesSulfonamidesvenetoclax

Identifiers

PMID34470049
PMCPMC8679663
OpenAlexW2891530262

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.