Evidence map›Paper›PMID 34608275›Full record

ArticleBone marrow transplantation2022

Maintenance therapy after second autologous hematopoietic cell transplantation for multiple myeloma. A CIBMTR analysis.

Oren Pasvolsky, Moshe Yeshurun, Raphael Fraser, Noel Estrada-Merly, Uri Rozovski, Liat Shargian-Alon, Amer Assal, Rahul Banerjee, Naresh Bumma, Robert Peter Gale and 20 more

Open access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

30 authors at 20 institutions in 5 countries.

Oren Pasvolsky *Institute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah-Tikvah, Israel.
Moshe Yeshurun *Institute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah-Tikvah, Israel.
Raphael FraserCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
Noel Estrada-MerlyCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
Uri RozovskiInstitute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah-Tikvah, Israel.
Liat Shargian-AlonInstitute of Hematology, Davidoff Cancer Center, Rabin Medical Center, Petah-Tikvah, Israel.ORCID http://orcid.org/0000-0002-6429-148X
Amer AssalDepartment of Medicine, Bone Marrow Transplant and Cell Therapy Program, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-4707-9265
Rahul BanerjeeDivision of Hematology-Oncology, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-3781-5441
Naresh BummaOhio State Medical Center, James Cancer Center, Columbus, OH, USA.
Robert Peter GaleDepartment of Immunology and Inflammation, Haematology Research Centre, Imperial College London, London, UK.
Patrick HagenLoyola University Medical Center, Maywood, IL, USA.
Leona HolmbergFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Nasheed M HossainDepartment of Medicine, Division of Hematology/Oncology, Stem Cell Transplant Program-Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA.ORCID http://orcid.org/0000-0002-3278-655X
Hillard M LazarusUniversity Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-1159-5607
Cindy LeeRoyal Adelaide Hospital, Adelaide, SA, Australia.
Hira MianMcMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0003-1584-1067
Kevin C MillerMassachusetts General Hospital, Boston, MA, USA.
Sunita NathanSection of Bone Marrow Transplant and Cell Therapy, Rush University Medical Center, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-7920-4265
Arnon NaglerHematology Division and BMT, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Taiga NishihoriDepartment of Blood & Marrow Transplant and Cellular Immunotherapy (BMT CI), Moffitt Cancer Center and Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-2621-7924
Ricardo D ParrondoDivision of Hematology-Oncology, Blood and Marrow Transplantation Program, Mayo Clinic, Jacksonsville, FL, USA.
Sagar PatelBlood and Marrow Transplant Program, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0001-9949-3615
Mark A SchroederWashington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-4924-8990
Saad Z UsmaniDepartment of Hematologic Oncology & Blood Disorders, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Trent WangDivision of Transplantation and Cellular Therapy, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0000-0001-5685-7204
Baldeep WirkBone Marrow Transplant Program, Penn State Cancer Institute, Hershey, PA, USA.ORCID http://orcid.org/0000-0002-2804-2531
Shaji KumarMayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-5392-9284
Nina ShahDivision of Hematology-Oncology, University of California San Francisco, San Francisco, CA, USA.
Muzaffar H QazilbashM.D. Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2876-2886
Anita D'SouzaCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI, 53226, USA. anitadsouza@mcw.edu.ORCID http://orcid.org/0000-0002-1092-5643
Medical College of Wisconsin · USTel Aviv University · ILRabin Medical Center · ILUniversity of California, San Francisco · USColumbia University Irving Medical Center · USFred Hutch Cancer Center · USImperial College London · GBLevine Cancer Institute · USLoyola University Chicago · USLoyola University Medical Center · USMassachusetts General Hospital · USMayo Clinic in Arizona · USMayo Clinic in Florida · USMcMaster University · CAMoffitt Cancer Center · USPenn State Milton S. Hershey Medical Center · USRoyal Adelaide Hospital · AURush University Medical Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
Development and validation of a disease-relevant patient-reported outcome tool in light chain amyloidosisK23HL141445 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI D'SOUZA, ANITA · 2019 to 2022
$597k
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA186781NCI NIH HHS U24 CA076518NHLBI NIH HHS K23 HL141445
6 · The paper itself

Abstract

The role of maintenance therapy after high-dose chemotherapy and first autologous transplantation in multiple myeloma (MM) is well established. We explored the effect of maintenance therapy on outcomes after salvage second autologous hematopoietic cell transplant (AHCT2) using the Center for International Blood and Marrow Transplant Research registry. Outcomes of interest included non-relapse mortality (NRM), relapse/progression (REL), progression-free and overall survival (PFS, OS). Of 522 patients who underwent AHCT2 between 2010 and 2018, 342 received maintenance therapy and 180 did not. Maintenance regimens included lenalidomide (42%), pomalidomide (13%), and bortezomib (13%). Median follow up was 58 months in the maintenance group and 61.5 months in the no-maintenance group. Univariate analysis showed superior outcomes at 5 years in maintenance compared to the no-maintenance group: NRM 2 (0.7-3.9)% vs 9.9 (5.9-14.9)%, (p < 0.01), REL 70.2 (64.4-75.8)% vs 80.3 (73.6-86.3)% (p < 0.01), PFS 27.8 (22.4-33.5)% vs. 9.8 (5.5-15.2)% (p < 0.01), and OS 54 (47.5-60.5)% vs 30.9 (23.2-39.2)% (p < 0.01), respectively. Use of maintenance therapy retained its association with improved outcomes in multivariate analysis. There was no difference in second cancers in the two groups (p = 0.39). We conclude that maintenance after AHCT2 is associated with improved 5-year outcomes.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaAntineoplastic Combined Chemotherapy ProtocolsBortezomibHumansLenalidomideNeoplasm Recurrence, LocalTransplantation, AutologousBortezomibLenalidomide

Identifiers

PMID34608275
PMCPMC8764606
OpenAlexW3203613081

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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.