Evidence map›Paper›PMID 39271684›Full record

ArticleBlood cancer journal2024

Quadruplet therapy for newly diagnosed myeloma: comparative analysis of sequential cohorts with triplet therapy lenalidomide, bortezomib and dexamethasone (RVd) versus daratumamab with RVD (DRVd) in transplant-eligible patients.

Nisha S Joseph, Jonathan L Kaufman, Vilas A Gupta, Craig C Hofmeister, Madhav V Dhodapkar, Lawrence H Boise, Sara M DiCamillo, Danielle Roberts, Ajay K Nooka, Sagar Lonial

Abstract readComparative Study
In one paragraph

Article 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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, 1 synthesis or guideline 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

10 authors.

Nisha S JosephWinship Cancer Institute, Emory University, Atlanta, GA, USA. njoseph@emory.edu.ORCID 0000-0003-4001-9622
Jonathan L KaufmanWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-5687-6429
Vilas A GuptaWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-8980-2338
Craig C HofmeisterWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0003-4816-1607
Madhav V DhodapkarWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-8249-5988
Lawrence H BoiseWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0001-9436-8815
Sara M DiCamilloWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Danielle RobertsWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Ajay K NookaWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0003-4165-6869
Sagar LonialWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-8322-9323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lenalidomide, bortezomib, and dexamethasone (RVd) have previously been established as standard-of-care induction therapy for newly diagnosed multiple myeloma (NDMM). More recently, randomized phase 3 data have demonstrated the benefit of the addition of daratumumab (Dara-RVd) to the RVd backbone in terms of improved both depth of response and long-term survival benefit as measured by progression-free survival (PFS). Our group has previously published on a historical cohort of 1000 NDMM patients uniformly treated with RVd induction with impressive both PFS and overall survival. Here, we present a comparative analysis of our RVd cohort with a recent cohort of 326 patients induced with Dara-RVd at our institution with intent to transplant. This analysis demonstrates the utility of this regimen in real-world clinical practice and provides additional insights into D-RVd performance in patient subsets often underrepresented in clinical trials, as well as the impact of daratumumab in maintenance for NDMM patients.

Indexed as

Antibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBortezomibDexamethasoneLenalidomideMultiple MyelomaAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedAntibodies, MonoclonalBortezomibdaratumumabDexamethasoneLenalidomide

Identifiers

PMID39271684
PMCPMC11399152

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.