Evidence map›Paper›PMID 37163358›Full record

ArticleBlood advances2023

Final analysis of carfilzomib, dexamethasone, and daratumumab vs carfilzomib and dexamethasone in the CANDOR study.

Saad Z Usmani, Hang Quach, Maria-Victoria Mateos, Ola Landgren, Xavier Leleu, David Siegel, Katja Weisel, Xiaomei Shu, Chuang Li, Meletios Dimopoulos

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03158688 (A Randomized, Open-label, Phase 3 Study Comparing Carfilzomib, Dexamethasone, and Daratumumab to Carfilzomib and Dexamethasone for the Treatment of Patients With Relapsed or Refractory Multiple Myeloma), which is not on this map. Cited by 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 pooled it
24.7field-weighted citation impact, top 1% 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.

NCT03158688 phase3completednot on this map

A Randomized, Open-label, Phase 3 Study Comparing Carfilzomib, Dexamethasone, and Daratumumab to Carfilzomib and Dexamethasone for the Treatment of Patients With Relapsed or Refractory Multiple Myeloma

TypeinterventionalSponsorAmgenRan2017 to 2022Enrolled466ConditionsRelapsed Multiple Myeloma, Refractory Multiple MyelomaArmsDexamethasone, Daratumumab, Carfilzomib
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 87 citations in OpenAlex.

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  17. Reduced-dose dexamethasone premedication for weekly paclitaxel: a retrospective cohort study of early hypersensitivity reactions and steroid-related toxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

10 authors at 9 institutions in 6 countries.

Saad Z UsmaniMemorial Sloan Kettering Cancer Center, New York, NY.
Hang QuachUniversity of Melbourne, St Vincent's Hospital, Melbourne, VIC, Australia.ORCID 0000-0002-4796-3352
Maria-Victoria MateosUniversity Hospital Salamanca/ISAI, Salamanca, Spain.ORCID 0000-0003-2390-1218
Ola LandgrenSylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0001-6485-4839
Xavier LeleuCentre Hospitalier Universitaire de Poitiers, La Miletrie/INSERM CIC 1402, Poitiers, France.
David SiegelJohn Theurer Cancer Center at Hackensack University Medical Center, Hackensack, NJ.ORCID 0000-0002-3604-2574
Katja WeiselUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Xiaomei ShuParaxel, Chengdu, China.
Chuang LiAmgen Inc, Thousand Oaks, CA.
Meletios DimopoulosNational and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Amgen (United States) · USHackensack University Medical Center · USInserm · FRMemorial Sloan Kettering Cancer Center · USNational and Kapodistrian University of Athens · GRThe University of Melbourne · AUUniversidad de Salamanca · ESUniversität Hamburg · DEUniversity of Miami · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

CANDOR (NCT03158688) is a phase 3, randomized, open-label trial comparing carfilzomib, daratumumab, and dexamethasone (KdD) vs carfilzomib and dexamethasone (Kd) in adults with relapsed/refectory multiple myeloma (RRMM) with 1 to 3 prior therapies. The CANDOR study met its primary end point of progression-free survival (PFS) in the primary analysis. Here, we report the final analysis of the study, including secondary end points and subgroup analyses thereof. The median follow-up was 50 months. Patients treated with KdD had higher minimal residual disease-negative (MRD-) achievement rates (28% vs 9%; odds ratio [OR], 4.22; 95% confidence interval [95% CI], 2.28-7.83) and MRD- complete response rates (22% vs 8%; OR, 3.55; 95% CI, 1.83-6.88) than those treated with Kd. Median PFS was 28.4 months for KdD vs 15.2 months for Kd (hazard ratio [HR], 0.64; 95% CI, 0.49-0.83). Median overall survival (OS) for KdD was 50.8 months vs 43.6 months for Kd (HR, 0.78 [0.60-1.03]; P = .042). Trends toward improved OS occurred in predefined subgroups, including patients refractory to lenalidomide (KdD, not reached vs Kd, 38.2 months; HR, 0.69 [0.43-1.11]) and refractory to proteasome inhibitor (KdD, 43.2 months vs Kd, 30.0 months; HR, 0.70 [0.45-1.09]), and there was significant improvement in patients with high-risk cytogenetics (KdD, 34.3 months vs Kd: 17.1 months; HR, 0.52 [0.29-0.94]). No new safety signals were identified. In summary, the final analysis of CANDOR confirmed the PFS benefit and showed a trend in OS benefit with KdD vs Kd. These findings reinforce KdD as a standard of care for RRMM, especially in clinically relevant patient subgroups. This trial was registered at www.clinicaltrials.gov as #NCT03158688.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMultiple MyelomaAdultAntibodies, MonoclonalDexamethasoneHumansOligopeptidesAntibodies, MonoclonalcarfilzomibdaratumumabDexamethasoneOligopeptides

Identifiers

PMID37163358
PMCPMC10368773
OpenAlexW4376131860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.