Evidence map›Paper›PMID 37752793›Full record

Trial reportCancer research and treatment2024

A Phase II Study to Evaluate the Efficacy of Bortezomib in Combination with Thalidomide in Treatment-Naïve Waldenstrom Macroglobulinemia Patients.

Ja Min Byun, Junghoon Shin, Sang-A Kim, Hyunkyung Park, Jiyun Lee, Dong-Yeop Shin, Junshik Hong, Jeong-Ok Lee, Soo-Mee Bang, Inho Kim and 2 more

Open access · diamondAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer research and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 61% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 4 institutions in 1 country.

Ja Min ByunDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Junghoon ShinDivision of Hematology and Oncology, Samsung Medical Center, Seoul, Korea.
Sang-A KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Hyunkyung ParkDepartment of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
Jiyun LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Dong-Yeop ShinDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Junshik HongDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jeong-Ok LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Soo-Mee BangDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Inho KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Sung-Soon YoonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Youngil KohDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seoul National University Hospital · KRSeoul National University Bundang Hospital · KRSamsung Medical Center · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite the recent success of Bruton's tyrosine kinase (BTK) inhibitors for the treatment of Waldenstrom macroglobulinemia (WM), their indefinite treatment duration ultimately tantamount to substantial financial and emotional burden. On the other hand, fixed duration of proteasome inhibitors (PI) have shown rapid and reasonable response in WM treatment. Despite the well-known synergism between PI and immunomodulatory drugs (IMiD), there is no trials evaluating such combination in WM. MATERIALS AND

methodsBased on above, we designed this phase II study to investigate the efficacy and safety of 6 cycles of 28-day bortezomib-thalidomide-dexamethasone (VTD) regimen for treatment-naïve WM.

resultsA total of 15 patients were enrolled: major response rate was 64.3%, and overall response rate was 78.6%. During the median follow-up of 41 months, median progression-free survival (PFS) was 13 months and overall survival 40 months. For responders, median duration of response was 13 months and median PFS 19 months. The most common adverse event (AE) of any grade was constipation (57.1%). The most common grade ≥ 3 AE was anemia (21.4%).

conclusionAll in all, we hereby provide proof-of-concept that PI + IMiD may be an attractive backbone for fixed duration treatment. It should be noted that granting the same level of access to newer drugs globally is virtually impossible. Thus efforts to develop regimens using readily available drugs to yield similar or adequate treatment outcomes should not be disregarded. In this sense, we believe our study holds its place for its novelty and eloquently addresses achieving the daunting societal quest of health equity.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsWaldenstrom MacroglobulinemiaBortezomibDexamethasoneHumansThalidomideTreatment OutcomeBortezomibDexamethasoneThalidomideBortezomibFrontlineThalidomideWaldenstrom macroglobulinemia

Identifiers

PMID37752793
PMCPMC11016632
OpenAlexW4387024135

What OpenQuestion holds

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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.