Evidence map›Paper›PMID 39134544›Full record

ReviewBlood cancer journal2024

Progression-free survival as a surrogate endpoint in myeloma clinical trials: an evolving paradigm.

Charlotte Pawlyn, Fredrik H Schjesvold, David A Cairns, L J Wei, Faith Davies, Omar Nadeem, Haifaa Abdulhaq, Maria-Victoria Mateos, Jacob Laubach, Katja Weisel and 6 more

Abstract readReview
In one paragraph

Review in Blood cancer journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

16 authors.

Charlotte PawlynThe Institute of Cancer Research, London, UK. charlotte.pawlyn@icr.ac.uk.ORCID http://orcid.org/0000-0002-7190-0028
Fredrik H SchjesvoldOslo Myeloma Center, Department of Hematology, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0003-1096-0569
David A CairnsLeeds Cancer Research UK Clinical Trials Unit of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-2338-0179
L J WeiDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Faith DaviesPerlmutter Cancer Center, NYU Langone, New York, NY, USA.
Omar NadeemDana-Farber Cancer Institute, Boston, MA, USA.
Haifaa AbdulhaqUniversity of California, San Francisco, Fresno Campus, CA, USA.
Maria-Victoria MateosUniversity Hospital of Salamanca; IBSAL; Institute of Cancer Molecular and Cellular Biology; and CIBERONC, Salamanca, Spain.ORCID http://orcid.org/0000-0003-2390-1218
Jacob LaubachDana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7565-2052
Katja WeiselUniversity Medical Center of Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-9422-6614
Heinz LudwigMedical Department Center for Oncology, Hematology and Palliative Medicine, Wilhelminen Cancer Research Institute, Vienna, Austria.ORCID http://orcid.org/0000-0002-3302-8726
S Vincent RajkumarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-5862-1833
Pieter SonneveldDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-0808-2237
Graham JacksonNorthern Centre for Cancer Care, Newcastle Upon Tyne Hospitals Trust, Newcastle Upon Tyne, UK.ORCID http://orcid.org/0000-0003-0756-969X
Gareth MorganPerlmutter Cancer Center, NYU Langone, New York, NY, USA.
Paul G RichardsonDana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7426-8865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurement of overall survival (OS) remains the gold standard for interpreting the impact of new therapies for multiple myeloma in phase 3 trials. However, as outcomes have improved, it is increasingly challenging to use OS as the primary endpoint if timely approval of novel agents is to be ensured to enable maximum benefit for patients. Surrogate endpoints of OS, such as progression-free survival (PFS) and response to treatment, have contributed to approval decisions by the Food and Drug Administration (FDA) and European Medicines Agency as endpoints demonstrating clinical benefit, and the FDA has recently supported the use of minimal residual disease (MRD) as an accelerated approval endpoint in multiple myeloma. This review aims to address situations in which the use of PFS as a surrogate endpoint warrants careful interpretation especially for specific subgroups of patients and considers ways to ensure that studies can be designed to account for possible discordance between PFS and OS. The utility of subgroup analyses, including the potential for those not pre-specified, to identify target populations for new agents is also discussed.

Indexed as

Multiple MyelomaProgression-Free SurvivalBiomarkersClinical Trials as TopicHumansNeoplasm, ResidualBiomarkers

Identifiers

PMID39134544
PMCPMC11319634

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.