Evidence map›Paper›PMID 35749094›Full record

Observational studyEuropean journal of haematology2022

Carfilzomib plus dexamethasone in patients with relapsed and refractory multiple myeloma: A retro-prospective observational study.

Maria Livia Del Giudice, Alessandro Gozzetti, Elisabetta Antonioli, Irene Attucci, Ludovica Pengue, Raffaella Cassano Cassano, Francesco Ghio, Enrico Orciuolo, Martina Simoncelli, Monica Bocchia and 2 more

Abstract readObservational Study
In one paragraph

Observational study in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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  3. Observational
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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

12 authors.

Maria Livia Del GiudiceDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0003-4291-8875
Alessandro GozzettiHematology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Elisabetta AntonioliHematology, Careggi Hospital, University of Florence, Florence, Italy.
Irene AttucciHematology, Careggi Hospital, University of Florence, Florence, Italy.
Ludovica PengueHematology, Careggi Hospital, University of Florence, Florence, Italy.
Raffaella Cassano CassanoDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.
Francesco GhioDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.
Enrico OrciuoloDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.
Martina SimoncelliHematology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Monica BocchiaHematology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Sara GalimbertiDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.
Gabriele BudaDepartment of Clinical and Experimental Medicine, Hematology, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0002-5240-5611

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigate safety and efficacy in common clinical practice of the combination of carfilzomib and dexamethasone (Kd56) approved for the ENDEAVOR trial for the treatment of relapsed or refractory multiple myeloma.

methodsWe retro-prospective analyzed 75 patients in three centers in Tuscany, 48 of whom had a clinically relevant comorbidity and 50 of whom were older than 65 years, treated with a median use in the fourth line of therapy. We assessed the efficacy based on the International Myeloma Working Group criteria.

resultsThe overall response rate was 60%. Median PFS was 10 months in the general cohort; in patients treated for more than 1 cycle of therapy PFS was 12 months. Quality of response to Kd56 treatment was found to positively impact PFS. Refractory status to previous line of therapy or to lenalidomide or an history of exposure to pomalidomide, seemed to have no impact on survival. We also showed a low adverse events rate, with no neuropathy events, and a relatively small number of cardiovascular events above grade 3 (10%).

conclusionKd56 is an effective and well tolerated regimen in highly pretreated and elderly patients with a good safety profile.

Indexed as

Multiple MyelomaAgedAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneHumansNeoplasm Recurrence, LocalOligopeptidesProspective StudiescarfilzomibDexamethasoneOligopeptidescarfilzomibdexamethasonemultiple myelomareal world clinical trials

Identifiers

PMID35749094
PMCPMC9544660

What OpenQuestion holds

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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.