Evidence map›Paper›PMID 34754015›Full record

SynthesisScientific reports2021

Addition of daratumumab to multiple myeloma backbone regimens significantly improves clinical outcomes: a systematic review and meta-analysis of randomised controlled trials.

Szabolcs Kiss, Noémi Gede, Péter Hegyi, Bettina Nagy, Rita Deák, Fanni Dembrovszky, Stefania Bunduc, Bálint Erőss, Tamás Leiner, Zsolt Szakács and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Teclistamab in Relapsed or Refractory Multiple Myeloma.The New England journal of medicine · 2022
    Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

11 authors at 5 institutions in 3 countries.

Szabolcs KissDoctoral School of Clinical Medicine, University of Szeged, Korányi fasor 8-10, Szeged, 6720, Hungary.ORCID 0000-0001-5032-866X
Noémi GedeInstitute for Translational Medicine, Medical School, University of Pécs, Szigeti Street 12, 2nd Floor, Pécs, 7624, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Üllői Street 26, Budapest, 1085, Hungary.ORCID 0000-0003-0399-7259
Bettina NagyInstitute for Translational Medicine, Medical School, University of Pécs, Szigeti Street 12, 2nd Floor, Pécs, 7624, Hungary.ORCID 0000-0003-4977-1079
Rita DeákInstitute for Translational Medicine, Medical School, University of Pécs, Szigeti Street 12, 2nd Floor, Pécs, 7624, Hungary.ORCID 0000-0002-2676-1946
Fanni DembrovszkyInstitute for Translational Medicine, Medical School, University of Pécs, Szigeti Street 12, 2nd Floor, Pécs, 7624, Hungary.ORCID 0000-0001-6953-3591
Stefania BunducDoctoral School, Carol Davila University of Medicine and Pharmacy, Bulevardul Eroii Sanitari 8, 050474, Bucureşti, Romania.ORCID 0000-0001-6978-4526
Bálint ErőssInstitute for Translational Medicine, Medical School, University of Pécs, Szigeti Street 12, 2nd Floor, Pécs, 7624, Hungary.ORCID 0000-0003-3658-8427
Tamás LeinerNorth West Anglia NHS Foundation Trust, Parkway Hinchingbrooke, Huntingdon, PE29 6NT, UK.ORCID 0000-0002-7910-0084
Zsolt Szakács *Division of Haematology, First Department of Medicine, Medical School, University of Pécs, Ifjúság Street 13, Pécs, 7624, Hungary.ORCID 0000-0002-7035-941X
Hussain Alizadeh *Division of Haematology, First Department of Medicine, Medical School, University of Pécs, Ifjúság Street 13, Pécs, 7624, Hungary. alizadeh.hussain@pte.hu.ORCID 0000-0002-4609-487X
University of Pecs · HUCarol Davila University of Medicine and Pharmacy · ROHinchingbrooke Hospital · GBSemmelweis University · HUUniversity of Szeged · HU

Funding

Economic Development and Innovation Operative Programme Grant GINOP-2.3.4-15-2020-00010Human Resources Development Operational Programme Grant EFOP-3.6.1-16-2016-00004New National Excellence Program of the Ministry for Innovation and Technology from the source of the National Research, Development and Innovation Fund ÚNKP-20-3
6 · The paper itself

Abstract

Daratumumab has shown clinical benefit in multiple myeloma. We aimed to evaluate the safety and efficacy of adding daratumumab to backbone anti-myeloma treatments. Systematic search was performed up to August 2021 to identify randomised controlled trials comparing the outcomes of backbone therapy with and without daratumumab in relapsed/refractory and newly diagnosed myeloma (RRMM and NDMM, respectively). Odds ratios (ORs) and hazard ratios (HRs) were calculated with 95% confidence intervals (CIs). Primary outcomes were death or disease progression, minimal residual disease (MRD) negativity, and stringent complete response (sCR). Secondary outcomes were complete response or better and safety endpoints prespecified in the study protocol: PROSPERO (CRD42020222904). In NDMM, MRD negativity [OR = 3.61 (CI 2.33-5.61)] and sCR [OR = 2.29 (CI 1.49-3.51)] were more likely and death or disease progression [HR = 0.47 (CI 0.39-0.57)] was less likely to occur with daratumumab compared to control. Regarding RRMM, MRD negativity [OR = 5.43 (CI 2.76-10.66)] and sCR [OR = 3.08 (CI 2.00-4.76)] were more likely and death or disease progression was less likely [HR = 0.50 (CI 0.37-0.67)] with daratumumab compared to control. The addition of daratumumab has shown high clinical efficacy and acceptable toxicity profile for the treatment of NDMM and RRMM regarding the endpoints examined.

Indexed as

Antibodies, MonoclonalAntineoplastic AgentsDisease ProgressionHumansMultiple MyelomaProgression-Free SurvivalRandomized Controlled Trials as TopicTreatment OutcomeAntibodies, MonoclonalAntineoplastic Agentsdaratumumab

Identifiers

PMID34754015
PMCPMC8578422
OpenAlexW3213622034

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.