Evidence map›Paper›PMID 36473843›Full record

ArticleBlood cancer journal2022

Second- and third-line treatment strategies in multiple myeloma: a referral-center experience.

Sarah Goldman-Mazur, Alissa Visram, S Vincent Rajkumar, Prashant Kapoor, Angela Dispenzieri, Martha Q Lacy, Morie A Gertz, Francis K Buadi, Suzanne R Hayman, David Dingli and 7 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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

17 authors at 1 institution in 2 countries.

Sarah Goldman-MazurDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
Alissa VisramDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
S Vincent RajkumarDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0002-5862-1833
Prashant KapoorDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0002-4342-364X
Angela DispenzieriDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0001-8780-9512
Martha Q LacyDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
Morie A GertzDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0002-3853-5196
Francis K BuadiDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0003-3214-0203
Suzanne R HaymanDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
David DingliDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0001-7477-3004
Taxiarchis KourelisDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0001-8573-9434
Wilson GonsalvesDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
Rahma WarsameDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
Eli MuchtarDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID 0000-0003-2210-2174
Nelson LeungDivision of Nephrology, Mayo Clinic Rochester, Rochester, MN, USA.
Robert A KyleDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA.
Shaji K KumarDivision of Hematology, Mayo Clinic Rochester, Rochester, MN, USA. Kumar.Shaji@mayo.edu.ORCID 0000-0001-5392-9284
Mayo Clinic · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

The treatment landscape for relapsed multiple myeloma (MM) has increased. In this study, we aimed to characterize 2nd (n = 1439) and 3rd (n = 1104) line regimens and compare the results between subgroups based on the year of treatment initiation (2nd line: 2003-2008, 2009-2015, 2016-2021; 3rd line: 2004-2009, 2010-2015, and 2016-2021). In both the second- and third- lines, we observed increasing use of novel agents (from 78 to 95% and from 77 to 95%, respectively) and triplet regimens (from 15 to 69% and from 21 to 71%, respectively). The most frequently used regimens in the last studied periods included lenalidomide-dexamethasone (RD; 14%), carfilzomib-RD (12%), and daratumumab-RD (10%) for the second-line, and daratumumab-pomalidomide-dexamethasone (11%) and daratumumab-RD (10%) for the third-line. The median time to the next treatment from second-line therapy has improved from 10.4 months (95% CI: 8.4-12.4) to 16.6 months (95% CI: 13.3-20.3; p < 0.001). The median overall survival from the first relapse increased from 30.9 months (95% CI: 26.8-183.0) to 65.8 months (95% CI: 50.7-72.8; p < 0.001). Over the last two decades, more patients were treated with newer agents and triplets for relapsed MM. The landscape of regimens has become more diverse, and survival after the first relapse is continually improving.

Indexed as

Multiple MyelomaDexamethasoneHumansDexamethasone

Identifiers

PMID36473843
PMCPMC9723783
OpenAlexW4311587513

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.