Evidence map›Paper›PMID 36726287›Full record

ArticleCancer medicine2023

Matching-adjusted indirect comparison of isatuximab plus carfilzomib and dexamethasone with daratumumab plus lenalidomide and dexamethasone in relapsed multiple myeloma.

Joshua Richter, Peggy L Lin, Viviana Garcia-Horton, Patricia Guyot, Erin Singh, Zheng-Yi Zhou, Mark Sievert, Riley Taiji

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Joshua RichterIcahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-0274-0585
Peggy L LinSanofi, Cambridge, Massachusetts, USA.
Viviana Garcia-HortonAnalysis Group, New York, New York, USA.
Patricia GuyotSanofi, Chilly-Mazarin, France.
Erin SinghSanofi, Cambridge, Massachusetts, USA.
Zheng-Yi ZhouAnalysis Group, London, UK.
Mark SievertSanofi, Cambridge, Massachusetts, USA.
Riley TaijiAnalysis Group, London, UK.
Sanofi (United States) · USInstitute of Group Analysis · GBAnalysis Group (United States) · USIcahn School of Medicine at Mount Sinai · USSanofi (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgoundLenalidomide-based regimens are commonly used for early relapse in patients with relapsed and/or refractory multiple myeloma (RRMM) receiving at least one prior line of therapy. In the absence of head-to-head comparison, matching-adjusted indirect comparison (MAIC) was conducted to demonstrate efficacy and safety of isatuximab+carfilzomib+dexamethasone (Isa-Kd) versus daratumumab + lenalidomide + dexamethasone (Dara-Rd) in RRMM.

methodsPatient-level data from IKEMA trial (Isa-Kd, n = 179) were matched to aggregate data from POLLUX (Dara-Rd, n = 286). Hazard ratios (HR) and 95% confidence intervals (CI) for progression-free survival (PFS) and overall survival (OS) were generated by weighted Cox proportional hazard models. Odds ratios (OR), 95% CI, and p-value were calculated for ≥very good partial response (≥VGPR) and treatment-emergent adverse events (TEAEs).

resultsAfter matching, no significant differences were observed between Isa-Kd and Dara-Rd in baseline characteristics except for patients with >3 prior lines (0.0% vs. 4.9%). Isa-Kd showed significantly better PFS (HR [95% CI]: 0.46 [0.24-0.86]; p = 0.0155), statistically non-significant improvement favoring Isa-Kd in OS (0.47 [0.20-1.09]; 0.0798), and ≥VGPR (OR [95% CI]: 1.53 [0.89-2.64]; p = 0.1252) than Dara-Rd. Odds of occurrence were significantly lower for some all-grade and grade 3/4 TEAEs with Isa-Kd than Dara-Rd.

conclusionThese results support Isa-Kd as an efficacious treatment for early relapse in non-lenalidomide refractory patients.

Indexed as

Multiple MyelomaAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneHumansLenalidomideNeoplasm Recurrence, LocalOligopeptidesRecurrenceAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedcarfilzomibdaratumumabDexamethasoneisatuximabLenalidomideOligopeptidescomparative efficacydaratumumabisatuximabmatching-adjusted indirect comparisonrelapsed refractory multiple myeloma

Identifiers

PMID36726287
PMCPMC10134287
OpenAlexW4318922107

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Registered trials

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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.