Evidence map›Paper›PMID 38845015›Full record

ArticleJournal of hematology & oncology2024

Impact of extramedullary multiple myeloma on outcomes with idecabtagene vicleucel.

Saurabh Zanwar, Surbhi Sidana, Leyla Shune, Omar Castaneda Puglianini, Oren Pasvolsky, Rebecca Gonzalez, Danai Dima, Aimaz Afrough, Gurbakhash Kaur, James A Davis and 17 more

Abstract readLetterMulticenter Study
In one paragraph

Article in Journal of hematology & oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Dramatic Response to Elranatamab in a Patient with Large PlasmacytomasTurkish journal of haematology : official journal of Turkish Society of Haematology · 2026
    Article
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  11. Review
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  19. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
    Review
  20. Review
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

27 authors.

Saurabh Zanwar *Division of Hematology, Department of Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Surbhi Sidana *Stanford University School of Medicine, Stanford, CA, USA.
Leyla Shune *The University of Kansas Medical Center, Kansas City, KS, USA.
Omar Castaneda PuglianiniBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Oren PasvolskyDepartment of Lymphoma/Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rebecca GonzalezBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Danai DimaCleveland Clinic Taussig Cancer Center, Cleveland, OH, USA.
Aimaz AfroughUT Southwestern Harold C. Simmons Comprehensive Cancer Center, Dallas, TX, USA.
Gurbakhash KaurUT Southwestern Harold C. Simmons Comprehensive Cancer Center, Dallas, TX, USA.
James A DavisMedical University of South Carolina, Charleston, SC, USA.
Megan HerrRoswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Hamza HashmiMedical University of South Carolina, Charleston, SC, USA.
Peter ForsbergUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Douglas SborovThe University of Utah Huntsman Cancer Institute, Salt Lake City, UT, USA.
Larry D AndersonUT Southwestern Harold C. Simmons Comprehensive Cancer Center, Dallas, TX, USA.
Joseph P McGuirkThe University of Kansas Medical Center, Kansas City, KS, USA.
Charlotte WagnerThe University of Utah Huntsman Cancer Institute, Salt Lake City, UT, USA.
Alex Lieberman-CribbinDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Adriana RossiDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ciara L FreemanBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Frederick L LockeBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Shambavi RichardDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jack KhouriCleveland Clinic Taussig Cancer Center, Cleveland, OH, USA.
Yi LinDivision of Hematology, Department of Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Krina K Patel *Department of Lymphoma/Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. KPatel1@mdanderson.org.
Shaji K Kumar *Division of Hematology, Department of Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Kumar.Shaji@mayo.edu.
Doris K Hansen *Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL, USA. Doris.Hansen@moffitt.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Yi Lin · 2015 to 2026
$25.5M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

Idecabtagene vicleucel (Ide-cel) has demonstrated excellent efficacy and durable responses in patients with relapsed/refractory multiple myeloma (RRMM). However, the outcomes with ide-cel in patients with extramedullary disease (EMD) remain incompletely characterized. We included patients with RRMM treated with ide-cel between May 2021 and April 2023 across 11 US academic institutions. Visceral or soft tissue lesions non-contiguous from bone was classified as EMD. Time-to-event analyses were performed from date of ide-cel infusion. Among 351 patients, 84 (24%) had EMD prior to infusion. The median follow-up from ide-cel infusion was 18.2 months (95% CI: 17-19.3). The day 90 overall response rates (ORR) were 52% vs. 82% for the EMD and non-EMD cohorts, respectively (p < 0.001). The median progression-free survival (PFS) was 5.3 months (95% CI: 4.1-6.9) for the EMD cohort vs. 11.1 months (95% CI: 9.2-12.6; p < 0.0001) for the non-EMD cohort. In a multivariable analysis, EMD was an independent predictor of inferior PFS [hazard ratio 1.5 (1.1-2.2), p = 0.02]. The median overall survival was 14.8 months [95% CI: 9-Not reached (NR)] vs. 26.9 months (26.3 vs. NR, p = 0.006) for the EMD and non-EMD cohorts, respectively. Extramedullary disease represents an independent predictor of inferior day 90 ORR and PFS among patients treated with ide-cel.

Indexed as

Multiple MyelomaAdultAgedAged, 80 and overBiological ProductsFemaleHumansImmunotherapy, AdoptiveMaleMiddle AgedProgression-Free SurvivalReceptors, Chimeric AntigenRetrospective StudiesTissue ExtractsTreatment OutcomeBiological Productsidecabtagene vicleucelReceptors, Chimeric AntigenTissue ExtractsBCMA CAR-TIde-celImmunotherapyRadiationRelapsed/refractory myeloma

Identifiers

PMID38845015
PMCPMC11157748

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.