Evidence map›Paper›PMID 36648884›Full record

ReviewHematology reports2023

Survival in Patients with Relapsed-Refractory Multiple Myeloma: Indirect Comparison of Six New Treatments.

Luca Cancanelli, Melania Rivano, Lorenzo Di Spazio, Marco Chiumente, Daniele Mengato, Andrea Messori

Abstract readReview
In one paragraph

Review in Hematology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Luca CancanelliHospital Pharmacy Department, Azienda Ulss 2 Marca Trevigiana, Castelfranco Veneto, 31033 Treviso, Italy.ORCID 0000-0002-6409-4195
Melania RivanoHospital Pharmacy Department, Binaghi Hospital, 09126 Cagliari, Italy.ORCID 0000-0002-8541-539X
Lorenzo Di SpazioHospital Pharmacy Department, S. Chiara Hospital, 38122 Trento, Italy.
Marco ChiumenteScientific Direction, Società Italiana di Farmacia Clinica e Terapia (SIFaCT), 20159 Milan, Italy.
Daniele MengatoHospital Pharmacy Department, Azienda Ospedale, Università of Padova, 35122 Padova, Italy.ORCID 0000-0003-1374-1505
Andrea MessoriHTA Unit, Regional Health Service, 50136 Firenze, Italy.ORCID 0000-0002-5829-107X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, new treatments have been studied for relapsed-refractory multiple myeloma (RRMM), including two CAR-T products and a variety of non-CAR-T agents. Since direct comparisons between these innovative treatments are not available, indirect comparisons can be of interest. Reconstruction of individual patient data from Kaplan-Meier graphs (e.g., according to the Shiny method) has been the subject of numerous reports that have fully validated their performance. In the present systematic review, we evaluated six treatments proposed for RRMM, including two CAR-T products (ciltacabtagene autoleucel and idecabtagene vicleucel) and four treatments not based on a CAR-T (melflufen plus dexamethasone, isatuximab plus dexamethasone, selinexor, and belantamab). The endpoint was overall survival (OS). Our results showed statistically significant differences in OS across these treatments. In particular, ciltacabtagene autoleucel showed better OS than idecabtagene vicleucel. As regards non-CAR-T treatments, the ranking in OS was headed by isatuximab plus dexamethasone, followed by belantamab, selinexor, and melflufen plus dexamethasone. In conclusion, while the Shiny method has confirmed its validity in reconstructing individual patient data, our indirect comparisons have offered some original clues to interpret the results of OS published in these studies.

Indexed as

CAR-Tnon-CAR-T agentsoverall survivalrelapsed-refractory multiple myeloma

Identifiers

PMID36648884
PMCPMC9844331

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.