Evidence map›Paper›PMID 37185672›Full record

ReviewOncotarget2023

Systemic AL amyloidosis: current approach and future direction.

Maroun Bou Zerdan, Lewis Nasr, Farhan Khalid, Sabine Allam, Youssef Bouferraa, Saba Batool, Muhammad Tayyeb, Shubham Adroja, Mahinbanu Mammadii, Faiz Anwer and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Oncotarget, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 43 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

12 authors at 8 institutions in 2 countries.

Maroun Bou ZerdanDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Lewis NasrUniversity of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Farhan KhalidDepartment of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
Sabine AllamDepartment of Medicine and Medical Sciences, University of Balamand, Balamand, Lebanon.
Youssef BouferraaDepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.
Saba BatoolDepartment of Internal Medicine, UnityPoint Methodist, Peoria, IL 61636, USA.
Muhammad TayyebDepartment of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
Shubham AdrojaHematology and Medical Oncology, Houston Methodist Cancer Center, Houston, TX 77094, USA.
Mahinbanu MammadiiDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Faiz AnwerDepartment of Hematology-Oncology, Cleveland Clinic, Cleveland, OH 44195, USA.
Shahzad RazaDepartment of Hematology-Oncology, Cleveland Clinic, Cleveland, OH 44195, USA.
Chakra P ChaulagainDepartment of Hematology-Oncology, Myeloma and Amyloidosis Program, Maroone Cancer Center, Cleveland Clinic Florida, Weston, FL 33331, USA.
Cleveland Clinic · USMonmouth Medical Center · USSUNY Upstate Medical University · USCleveland Clinic Florida · USHouston Methodist · USThe University of Texas MD Anderson Cancer Center · USUnityPoint Health · USUniversity of Balamand · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic Light chain (AL) amyloidosis is a monoclonal plasma cell proliferative disorder characterized by deposition of amyloidogenic monoclonal light chain fragments causing organ dysfunction. It is a fatal disease and if not diagnosed and treated early can lead to organ failure and potentially death. The renal system along with the cardiovascular system are the most common organs involved but other organs such as gut and liver can be involved as well. The initial evaluation of patients requires confirming the diagnosis with tissue biopsy and staining with Congo red followed by confirmatory typing with mass spectrometry of the Congo red positive tissue. Then establishing the extent of the organs involvement by various staging and biomarkers testing. The treatment options and the tolerability of therapy depend on the disease staging, frailty, and co-morbidities. The autologous hematopoietic cell transplantation (HCT) after high dose melphalan therapy is an effective strategy which is usually done after initial bortezomib induction therapy. Unfortunately, most systemic AL amyloidosis patients are not candidate for HCT due to frailty, old age, multi-organ involvement, renal and heart failure at the time of diagnosis. While it is widely accepted that the patients need to be treated until they achieve complete hematologic response, the maintenance therapy after HCT is not well established in AL amyloidosis. In this review, we report the literature on the latest treatment updates of AL amyloidosis and the ongoing clinical trials highlighting the future treatments.

Indexed as

AmyloidosisFrailtyHematopoietic Stem Cell TransplantationImmunoglobulin Light-chain AmyloidosisParaproteinemiasCongo RedHumansMelphalanCongo RedMelphalanamyloidosismanagement

Identifiers

PMID37185672
PMCPMC10132994
OpenAlexW4367050240

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.