Evidence map›Paper›PMID 35462406›Full record

ArticleThe oncologist2022

Daratumumab Improves Depth of Response and Progression-free Survival in Transplant-ineligible, High-risk, Newly Diagnosed Multiple Myeloma.

Andrzej J Jakubowiak, Shaji Kumar, Rohan Medhekar, Huiling Pei, Patrick Lefebvre, Shuchita Kaila, Jianming He, Marie-Hélène Lafeuille, Annelore Cortoos, Anil Londhe and 3 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  16. Immunotherapy of Multiple Myeloma: Current Status as Prologue to the Future.International journal of molecular sciences · 2023
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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

13 authors at 6 institutions in 2 countries.

Andrzej J JakubowiakUniversity of Chicago Medical Center, Chicago, IL, USA.
Shaji KumarDepartment of Internal Medicine, Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Rohan MedhekarJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Huiling PeiJanssen Research & Development, Raritan, NJ, USA.
Patrick LefebvreAnalysis Group, Inc., Montreal, QC, Canada.
Shuchita KailaJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Jianming HeJanssen Global Services, LLC, Raritan, NJ, USA.
Marie-Hélène LafeuilleAnalysis Group, Inc., Montreal, QC, Canada.
Annelore CortoosJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Anil LondheJanssen Research & Development, Raritan, NJ, USA.
Panagiotis MavrosJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Thomas S LinJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Saad Z UsmaniLevine Cancer Institute, Atrium Health, Charlotte, NC, USA.
Janssen (United States) · USGroup for Research in Decision Analysis · CAJanssen Scientific Affairs (United States)Levine Cancer Institute · USMayo Clinic in Arizona · USUniversity of Chicago Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with high-risk, newly diagnosed multiple myeloma (HR-NDMM) who are ineligible for autologous stem cell transplant (ASCT) have limited first-line treatment options. Recent meta-analyses evaluating the impact of incorporating daratumumab in the backbone regimen on progression-free survival (PFS) have found mixed results in these patients. MATERIALS AND

methodsA pooled analysis of patient-level data for ASCT-ineligible patients with HR-NDMM [ie, del(17p), t(4;14), t(14;16)] from the MAIA and ALCYONE trials; stratified by study identifier and adjusting for cytogenetic abnormality subtype, baseline performance status, International Staging System stage, myeloma type, and renal impairment; was conducted. Impact of daratumumab on PFS and rates of complete response or better (≥CR), minimal residual disease (MRD)-negative CR, very good partial response or better (≥VGPR), and overall response (ORR) was compared to control.

resultsAmong 101 patients in the daratumumab and 89 patients in the control cohort, median follow-up was 43.7 months. Daratumumab reduced the risk of progression or death by 41% (adjusted hazard ratio for PFS [95% confidence interval (CI)] = 0.59 [0.41-0.85]) versus control. At 36 months, the estimated proportion of patients who did not progress and were still alive was 41.3% in the daratumumab and 19.9% in the control cohort. Rates of ≥CR (41.6% vs. 22.5%), MRD-negative CR (24.8% vs. 5.6%), ≥VGPR (75.2% vs. 46.1%), and ORR (92.1% vs. 74.2%) were higher for daratumumab versus control.

conclusionThese findings demonstrate that incorporation of daratumumab in frontline treatment regimens reduced the risk of progression or death and improved response rates among ASCT-ineligible HR-NDMM patients.

Indexed as

Multiple MyelomaAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBortezomibHumansProgression-Free SurvivalTreatment OutcomeAntibodies, MonoclonalBortezomibdaratumumabcytogeneticsdaratumumabminimal residual diseasemultiple myelomaprogression-free survival

Identifiers

PMID35462406
PMCPMC9256027
OpenAlexW4220913590

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.