Evidence map›Paper›PMID 38024635›Full record

ArticleEJHaem2023

The real-world use and efficacy of pomalidomide for relapsed and refractory multiple myeloma in the era of CD38 antibodies.

Agoston Gyula Szabo, Jonathan Thorsen, Katrine Fladeland Iversen, Mette Bøegh Levring, Carsten Helleberg, Emil Hermansen, Søren Thorgaard Bønløkke, Katrine Nielsen, Elena Manuela Teodorescu, Eva Kurt and 2 more

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 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
1.2field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  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

12 authors at 8 institutions in 1 country.

Agoston Gyula SzaboDepartment of Hematology Vejle Hospital Vejle Denmark.ORCID https://orcid.org/0000-0001-9943-7007
Jonathan ThorsenCOPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital University of Copenhagen Copenhagen Denmark.
Katrine Fladeland IversenDepartment of Hematology Vejle Hospital Vejle Denmark.
Mette Bøegh LevringDepartment of Hematology Odense University Hospital Odense Denmark.
Carsten HellebergDepartment of Hematology, Rigshospitalet Copenhagen University Copenhagen Denmark.
Emil HermansenDepartment of Hematology, Rigshospitalet Copenhagen University Copenhagen Denmark.ORCID https://orcid.org/0000-0002-1754-5336
Søren Thorgaard BønløkkeDepartment of Hematology Aarhus University Hospital Aarhus Denmark.ORCID https://orcid.org/0000-0002-6289-4869
Katrine NielsenDepartment of Hematology Aarhus University Hospital Aarhus Denmark.
Elena Manuela TeodorescuDepartment of Hematology Aalborg University Hospital Aalborg Denmark.
Eva KurtDepartment of Hematology Regionshospitalet Gødstrup Herning Denmark.
Casper Nørgaard StrandholdtDepartment of Hematology Hospital of Southwest Jutland Esbjerg Denmark.
Annette Juul VangstedDepartment of Hematology, Rigshospitalet Copenhagen University Copenhagen Denmark.
Copenhagen University Hospital · DKAarhus University Hospital · DKAalborg University Hospital · DKHospital South West Jutland · DKOdense University Hospital · DKRegionshospitalet Herning · DKUniversity of Copenhagen · DKVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pomalidomide-dexamethasone (Pd) has been a standard care treatment for relapsed and refractory multiple myeloma since 2013. However, the outcomes of Pd after exposure to CD38 antibodies are not known. Here we describe the real-world use and efficacy of pomalidomide in a Danish, nationwide cohort of daratumumab-exposed patients. We identified 328 patients that were treated with pomalidomide. Of these, 137 received Pd, 65 daratumumab-pomalidomide-dexamethasone (DPd), 43 pomalidomide-cyclophosphamide-dexamethasone (PCd), 19 carfilzomib-pomalidomide-dexamethasone (KPD), 11 pomalidomide-bortezomib-dexamethasone (PVd), and 52 pomalidomide in other combinations. Patients treated with Pd in this cohort had a partial response or better (≥ PR) rate of 35.8% and median time to next treatment (mTNT) of 4.9 months, almost identical to the results of previous prospective clinical trials. Although treatment with the various pomalidomide-containing triplet regimens resulted in higher ≥ PR rates (PCd: 46.5%, PVd: 63.6%, DPd: 55.4%, KPd: 63.2%), the mTNT achieved was not significantly better than with Pd in most cases (PCD: 5.4, PVD: 5.3, DPD: 4.7 months). The exception to this was KPd (mTNT 7.4 months), but this regimen was mainly used earlier in the course of the disease (median time from diagnosis 2.3 years vs. 3.7-4.3 years). The most important predictor of outcomes was not the choice of index regimen (

Indexed as

immunomodulatory agentmyelomatherapy

Identifiers

PMID38024635
PMCPMC10660104
OpenAlexW4386164736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.