Evidence map›Paper›PMID 35246820›Full record

SynthesisAdvances in therapy2022

Treatment Regimens for Transplant-Ineligible Patients With Newly Diagnosed Multiple Myeloma: A Systematic Literature Review and Network Meta-analysis.

Thierry Facon, Jesús San-Miguel, Meletios A Dimopoulos, Maria-Victoria Mateos, Michele Cavo, Sophie van Beekhuizen, Zijiao Yuan, João Mendes, Annette Lam, Jianming He and 2 more

Erratum issuedOpen access · hybridAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
4.3field-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

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 4 countries.

Thierry FaconDepartment of Haematology, Lille University Hospital, Lille, France.
Jesús San-MiguelClínica Universidad de Navarra-CIMA, IDISNA, CIBERONC, Pamplona, Spain.
Meletios A DimopoulosNational and Kapodistrian University of Athens, Athens, Greece.
Maria-Victoria MateosUniversity Hospital of Salamanca/IBSAL, Salamanca, Spain.
Michele CavoIRCCS Azienda Ospedaliero-Universitaria di Bologna, Seràgnoli Institute of Hematology, Bologna University School of Medicine, Bologna, Italy.
Sophie van BeekhuizenIngress Health, Rotterdam, The Netherlands.
Zijiao YuanIngress Health, Rotterdam, The Netherlands.
João MendesJanssen Cilag, Porto Salvo, Portugal.
Annette LamJanssen Global Services, Raritan, NJ, USA.
Jianming HeJanssen Global Services, Raritan, NJ, USA.
Eric AmmannJanssen Global Services, Raritan, NJ, USA. eammann@its.jnj.com.ORCID http://orcid.org/0000-0001-5882-5388
Shaji KumarMayo Clinic Rochester, Rochester, MN, USA.
Janssen (United States) · USClinica Universidad de Navarra · ESInstituto de Investigación Biomédica de Salamanca · ESLille’s Cardiology Hospital · FRMayo Clinic · USNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMany treatment regimens have been evaluated in transplant-ineligible (TIE) patients with newly diagnosed multiple myeloma (NDMM). The objective of this study was to compare the efficacy of relevant therapies for the treatment of TIE patients with NDMM.

methodsProgression-free survival (PFS) and overall survival (OS) from large randomised controlled trials (RCTs) evaluating different treatment options for TIE patients with NDMM were compared in a network meta-analysis (NMA). The NMA includes recent primary and long-term OS readouts from SWOG S0777, ENDURANCE, MAIA, and ALCYONE. Relevant trials were identified through a systematic literature review. Relative efficacy measures (i.e., hazard ratios [HRs] for PFS and OS) were extracted and synthesised in random-effects NMAs.

resultsA total of 122 publications describing 45 unique RCTs was identified. Continuous lenalidomide/dexamethasone (Rd) was selected as the referent comparator. Daratumumab-containing treatments (daratumumab/lenalidomide/dexamethasone [D-Rd], daratumumab/bortezomib/melphalan/prednisone [D-VMP]) and bortezomib/lenalidomide/dexamethasone (VRd) had the highest probabilities of being more effective than Rd continuous for PFS (HR: D-Rd, 0.53; D-VMP, 0.57, VRd, 0.77) and OS (HR: D-Rd, 0.68; VRd, 0.77, D-VMP, 0.78). D-Rd had the highest chance of being ranked as the most effective treatment with respect to PFS and OS. Results using a smaller network focusing on only those regimens that are relevant in Europe were consistent with the primary analysis.

conclusionsThese comparative effectiveness data may help inform treatment selection in TIE patients with NDMM.

Indexed as

Multiple MyelomaAntineoplastic Combined Chemotherapy ProtocolsBortezomibDexamethasoneHumansLenalidomideTreatment OutcomeBortezomibDexamethasoneLenalidomideMultiple myelomaNetwork meta-analysisProgression-free survivalTransplant ineligible

Identifiers

PMID35246820
PMCPMC9056460
OpenAlexW4221099759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.