Evidence map›Paper›PMID 34756169›Full record

ReviewThe Lancet. Haematology2021

COVID-19 vaccination in patients with multiple myeloma: a consensus of the European Myeloma Network.

Heinz Ludwig, Pieter Sonneveld, Thierry Facon, Jesus San-Miguel, Hervé Avet-Loiseau, Mohamad Mohty, Maria-Victoria Mateos, Philippe Moreau, Michele Cavo, Charlotte Pawlyn and 26 more

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in The Lancet. Haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.6field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 64 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

36 authors at 20 institutions in 13 countries.

Heinz LudwigWilhelminen Cancer Research Institute, First Department of Medicine, Center for Oncology, Hematology, and Palliative Care, Clinic Ottakring, Vienna, Austria. Electronic address: heinz.ludwig@extern.gesundheitsverbund.at.
Pieter SonneveldErasmus Medical Center Cancer Institute-Erasmus University Rotterdam, Rotterdam, Netherlands.
Thierry FaconUniversity of Lille, CHU Lille, Service des Maladies du Sang, Lille, France.
Jesus San-MiguelClínica Universidad de Navarra, CIMA, CIBERONC, IDISNA, Pamplona, Spain.
Hervé Avet-LoiseauInstitut Universitaire du Cancer de Toulouse Oncopole, Toulouse, France.
Mohamad MohtyService d'Hematologie Clinique et Therapie Cellulaire, Hopital Saint-Antoine, Assistance Publique-Hopitaux de Paris (AP-HP), Sorbonne University, INSERM Unite Mixte de Recherche (UMR) 938, Paris, France.
Maria-Victoria MateosHospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca, Instituto de Biología Molecular y Celular del Cáncer (Universidad de Salamanca-Consejo Superior de Investigaciones Científicas), CIBERONC, Salamanca, Spain.
Philippe MoreauDepartment of Hematology, University hospital Hotel-Dieu, Nantes, France.
Michele CavoIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Charlotte PawlynInstitute of Cancer Research, London, UK; Royal Marsden Hospital, London, UK.
Sonja ZweegmanDepartment of Hematology, Amsterdam UMC, VU University, Amsterdam, Netherlands.
Monika EngelhardtDepartment of Medicine I and Department of Hematology, Oncology, and Stem-Cell Transplantation, Clinical Cancer Research Group, University Hospital of Freiburg, Freiburg, Germany.
Christoph DriessenDepartment of Oncology and Hematology, Kantonsspital St Gallen, St Gallen, Switzerland.
Gordon CookLeeds Institute of Clinical Trial Research, University of Leeds, Leeds, UK.
Melitios A DimopoulosDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Francesca GayMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza, Torino, Italy.
Hermann EinseleDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.
Michel DelforgeLeuven Cancer Institute, Leuven, Belgium.
Jo CaersDepartment of Hematology, CHU de Liège, Liège, Belgium.
Katja WeiselUniversitätsklinikum Hamburg-Eppendorf II, Medizinische Klinik und Poliklinik, Hamburg, Germany.
Graham JacksonNorthern Centre for Cancer Care, Freeman Hospital, Newcastle Upon Tyne Hospitals trust, Newcastle Upon Tyne, UK.
Laurent GarderetSorbonne Université-INSERM, UMR-S 938, Centre de Recherche Saint-Antoine-Team Hematopoietic and leukemic development, Assistance Publique-Hôpitaux de Paris, Hôpital Pitié Salpetrière, Département d'Hématologie et de Thérapie Cellulaire, Paris, France.
Niels van de DonkDepartment of Hematology, Amsterdam UMC, VU University, Amsterdam, Netherlands.
Xavier LeleuCHU Poitiers, Poitiers, France; Inserm, Poitiers, France.
Hartmut GoldschmidtUniversity Hospital Heidelberg, Internal Medicine V and National Center for Tumor Diseases (NCT), Heidelberg, Germany.
Meral BeksacDepartment of Hematology, Ankara University, Ankara, Turkey.
Inger NijhofDepartment of Hematology, Amsterdam UMC, VU University, Amsterdam, Netherlands.
Martin SchrederFirst Department of Medicine, Center for Oncology, Hematology, and Palliative Care, Clinic Ottakring, Vienna, Austria.
Niels AbildgaardHematology Research Unit, Department of Hematology, Odense University Hospital, and Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Roman HajekDepartment of Hematooncology, University Hospital Ostrava and Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
Niklas ZojerFirst Department of Medicine, Center for Oncology, Hematology, and Palliative Care, Clinic Ottakring, Vienna, Austria.
Efstathios KastritisDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Annemiek BroijlErasmus Medical Center Cancer Institute-Erasmus University Rotterdam, Rotterdam, Netherlands.
Fredrik SchjesvoldOslo Myeloma Center, Oslo University Hospital Oslo, Norway.
Mario BoccadoroKG Jebsen Center for B Cell Malignancies, University of Oslo, Oslo, Norway; European Myeloma Network (EMN) Italy, Torino, Italy.
Evangelos TerposDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRAmsterdam University Medical Centers · NLAnkara University · TRAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCentre Hospitalier Universitaire de Liège · BECentre Hospitalier Universitaire de Lille · FRCentro de Investigación Biomédica en Red de Cáncer · ESConsejo Superior de Investigaciones Científicas · ESFreeman Hospital · GBInserm · FRInstitut universitaire du cancer de Toulouse Oncopole · FRKantonsspital St. Gallen · CHOdense University Hospital · DKOslo University Hospital · NOUniversitätsklinikum Würzburg · DEUniversity Hospital Heidelberg · DEUniversity Hospital Ostrava · CZUniversity Medical Center Freiburg · DEUniversity of Bologna · ITUniversity of Leeds · GB

Funding

Cancer Research UK 29957
6 · The paper itself

Abstract

Patients with multiple myeloma frequently present with substantial immune impairment and an increased risk for infections and infection-related mortality. The risk for infection with SARS-CoV-2 virus and resulting mortality is also increased, emphasising the importance of protecting patients by vaccination. Available data in patients with multiple myeloma suggest a suboptimal anti-SARS-CoV-2 immune response, meaning a proportion of patients are unprotected. Factors associated with poor response are uncontrolled disease, immunosuppression, concomitant therapy, more lines of therapy, and CD38 antibody-directed and B-cell maturation antigen-directed therapy. These facts suggest that monitoring the immune response to vaccination in patients with multiple myeloma might provide guidance for clinical management, such as administration of additional doses of the same or another vaccine, or even temporary treatment discontinuation, if possible. In those who do not exhibit a good response, prophylactic treatment with neutralising monoclonal antibody cocktails might be considered. In patients deficient of a SARS-CoV-2 immune response, adherence to measures for infection risk reduction is particularly recommended. This consensus was generated by members of the European Multiple Myeloma Network and some external experts. The panel members convened in virtual meetings and conducted an extensive literature research and evaluated recently published data and work presented at meetings, as well as findings from their own studies. The outcome of the discussions on establishing consensus recommendations for COVID-19 vaccination in patients with multiple myeloma was condensed into this Review.

Indexed as

COVID-19COVID-19 VaccinesHumansMultiple MyelomaPractice Guidelines as TopicSARS-CoV-2VaccinationCOVID-19 Vaccines

Identifiers

PMID34756169
PMCPMC8553271
OpenAlexW3210974283

What OpenQuestion holds

Textmetadata
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.