Evidence map›Paper›PMID 39191755›Full record

ArticleNature communications2024

The TGFβ type I receptor kinase inhibitor vactosertib in combination with pomalidomide in relapsed/refractory multiple myeloma: a phase 1b trial.

Ehsan Malek, Priyanka S Rana, Muthulekha Swamydas, Michael Daunov, Masaru Miyagi, Elena Murphy, James J Ignatz-Hoover, Leland Metheny, Seong Jin Kim, James J Driscoll

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03143985 (A Phase 1b Trial of Vactosertib in Combination With Pomalidomide), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT03143985 phase1completednot on this map

A Phase 1b Trial of Vactosertib in Combination With Pomalidomide (POM) in Relapsed or Relapsed and Refractory Multiple Myeloma (RRMM)

TypeinterventionalSponsorKoen van BesienRan2017 to 2022Enrolled18ConditionsMultiple MyelomaArmsVactosertib, Pomalidomide
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Review
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  4. Article
  5. Amoeboid cancer cells at a glance.Journal of cell science · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
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  12. Review
  13. Article
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  16. Article
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  18. Review
  19. Review
  20. Spatio-Temporal Dynamics of MBulletin of mathematical biology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ehsan MalekAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. ehsan.malek@RoswellPark.org.
Priyanka S RanaAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.ORCID 0000-0001-5774-4383
Muthulekha SwamydasAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Michael DaunovAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Masaru MiyagiCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA.ORCID 0000-0003-4325-1216
Elena MurphyDepartment of Biochemistry, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0009-0000-3080-8121
James J Ignatz-HooverAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.ORCID 0000-0001-8196-2655
Leland MethenyAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Seong Jin KimMedpacto Inc., Seoul, Republic of Korea.
James J DriscollAdult Hematologic Malignancies & Stem Cell Transplant Section, Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. james.driscoll@UHhospitals.org.ORCID 0000-0001-8364-0617

Funding

TARGETING HUMAN PLASMA CELLS TO OVERCOME HUMORAL RESPONSES IN TRANSPLANTATIONR01AI139141 · NIAID · UNIVERSITY OF CINCINNATI · PI DRISCOLL, JAMES JOSEPH · 2019 to 2023
$2.1M
Intermediate-Featured Flow CytometerS10OD021559 · OD · CASE WESTERN RESERVE UNIVERSITY · PI JACOBBERGER, JAMES W · 2016 to 2016
$230k
NIAID NIH HHS R01 AI139141NIH HHS S10 OD021559
6 · The paper itself

Abstract

Functional blockade of the transforming growth factor-beta (TGFβ) signalling pathway improves the efficacy of cytotoxic and immunotherapies. Here, we conducted a phase 1b study (ClinicalTrials.gov., NCT03143985) to determine the primary endpoints of safety, tolerability, and maximal tolerated dose (200 mg twice daily) for the orally-available TGFβ type I receptor kinase inhibitor vactosertib in combination with pomalidomide in relapsed and/or refractory multiple myeloma (RRMM) patients who had received ≥2 lines of chemoimmunotherapy. Secondary endpoints demonstrated sustained clinical responses, favorable pharmacokinetic parameters and a 6-month progression-free survival of 82%. Vactosertib combined with pomalidomide was well-tolerated at all dose levels and displayed a manageable adverse event profile. Exploratory analysis indicated that vactosertib co-treatment with pomalidomide also reduced TGFβ levels in patient bone marrow as well as the level of CD8

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMultiple MyelomaReceptor, Transforming Growth Factor-beta Type IThalidomideAdultAgedAniline CompoundsCD8-Positive T-LymphocytesFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalProtein Kinase InhibitorsTransforming Growth Factor betaTriazolesAniline CompoundspomalidomideProtein Kinase InhibitorsReceptor, Transforming Growth Factor-beta Type ITGFBR1 protein, humanThalidomideTransforming Growth Factor betaTriazolesvactosertib

Identifiers

PMID39191755
PMCPMC11350185

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Registered trials

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.