Evidence map›Paper›PMID 39081803›Full record

ArticleHemaSphere2024

Impact of second autologous stem-cell transplantation at relapsed multiple myeloma: A French multicentric real-life study.

Axel André, Lydia Montes, Damien Roos-Weil, Laurent Frenzel, Marguerite Vignon, Thomas Chalopin, Pierre-Edouard Debureaux, Alexis Talbot, Agathe Farge, Fabrice Jardin and 6 more

Abstract read
In one paragraph

Article in HemaSphere, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

Axel AndréImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.ORCID 0009-0006-0852-1670
Lydia MontesHematology Department Amiens-Sud University Hospital Center Amiens France.
Damien Roos-WeilSorbonne Université, Service d'Hématologie Clinique, Hôpital Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Laurent FrenzelAdult Hematology, Necker University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Marguerite VignonClinical Hematology, Cochin University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Thomas ChalopinClinical Hematology Tours University Hospital Tours France.
Pierre-Edouard DebureauxImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Alexis TalbotImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Agathe FargeClinical Hematology Caen University Hospital Caen France.
Fabrice JardinClinical Hematology Henri Becquerel Cancer Center Rouen France.
Karim BelhadjLymphoid Malignancies Unit, Henri Mondor University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Créteil France.
Bruno RoyerImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Jean-Pierre MarolleauHematology Department Amiens-Sud University Hospital Center Amiens France.
Bertrand ArnulfImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.
Pierre MorelHematology Department Amiens-Sud University Hospital Center Amiens France.
Stéphanie HarelImmuno-Hematology Unit, Saint-Louis University Hospital Assistance Publique-Hôpitaux de Paris (AP-HP) Paris France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A second autologous stem-cell transplantation (ASCT2) is considered for relapsed multiple myeloma (RMM) patients showing prolonged response after a first ASCT. However, given breakthrough treatments like anti-CD38 and immunotherapy, its role remains debated. We conducted a real-life study in 10 French centers (1996-2017) involving 267 RMM patients receiving ASCT2. The median age was 61 years, with 49% females. Most patients received melphalan 200 mg/m² before ASCT2, with low early mortality (1%). Very good partial response or better (VGPR+) rate post ASCT2 was 78%. Post ASCT2, 48% received consolidation therapy and 40% maintenance therapy. Median event-free survival (EFS) after ASCT2 was 2.6 years (95% confidence interval [CI]: 2.3-2.8), and 2-year EFS estimate was 63% (95% CI: 57-70). Median overall survival (OS) was 8.1 years (95% CI: 5.9-NA), and 2-year OS estimate was 92% (95% CI: 88-95). Multivariate analysis revealed that VGPR+ status and maintenance therapy post ASCT2 were associated with better EFS (hazard ratio [HR]: 0.6; 95% CI: 0.3-0.9,

Identifiers

PMID39081803
PMCPMC11285034

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.