Evidence map›Paper›PMID 39370303›Full record

Observational studyEuropean journal of haematology2025

Clinical Efficacy of Isatuximab Plus Carfilzomib and Dexamethasone in Relapsed/Refractory Multiple Myeloma Patients.

Danilo De Novellis, Daniele Derudas, Donatella Vincelli, Raffaele Fontana, Roberta Della Pepa, Salvatore Palmieri, Fabrizio Accardi, Francesco Rotondo, Emanuela Morelli, Emilia Gigliotta and 39 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Monoclonal Antibodies in Relapsed-Refractory Multiple Myeloma.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  5. An Update of the Appropriate Sequencing for Salvage Therapies in Multiple Myeloma.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  6. Article
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

49 authors.

Danilo De NovellisHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Daniele DerudasS.C. di Ematologia e C.T.M.O., Ospedale Oncologico di Riferimento Regionale "A. Businco", Cagliari, Italy.
Donatella VincelliDivision of Hematology, Azienda Ospedaliera "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
Raffaele FontanaHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Roberta Della PepaHematology - Department of Clinical Medicine and Surgery, University Hospital "Federico II", Naples, Italy.
Salvatore PalmieriHematology, Hospital "Antonio Cardarelli", Naples, Italy.
Fabrizio AccardiU.O.C di Oncoematologia, Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello, Palermo, Italy.
Francesco RotondoHematology Unit, Infermi Hospital Rimini, Rimini, Italy.
Emanuela MorelliHematology and Transplant Center, Istituto Nazionale Tumori, Fondazione "G.Pascale", IRRCS, Naples, Italy.
Emilia GigliottaDipartimento di Promozione della Salute, Materno-infantile, di medicina interna e specialistica d'eccellenza "G. D'alessandro", Università di Palermo, Palermo, Italy.
Daniela RoccotelliDivision of Hematology and Stem Cell Unit, IRCCS S. Giovanni Rotondo and Division of Hematology, San Giovanni Rotondo, Italy.
Luana MaranoHematology, Hospital "San Giuseppe Moscati", Avellino, Italy.
Maria Lucia BaroneHematology, Hospital "Andrea Tortora", Pagani, Italy.
Giusy CetaniHematology, Hospital "Sant'Anna e San Sebastiano", Caserta, Italy.
Daniela EspositoHematology, Hospital "San Giuseppe Moscati", Aversa, Italy.
Antonio LazzaroUO di Ematologia e Centro Trapianti Midollo Osseo, Dipartimento di Oncoematologia Azienda Usl di Piacenza, Piacenza, Italy.
Giuseppe Delle CaveHematology, Hospital "San Giuliano", Giugliano, Italy.
Bianca SerioHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Denise MoriniHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Marika PorrazzoU.O.C di Oncoematologia, Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello, Palermo, Italy.
Eleonora UrciuoliHematology, Hospital "San Giuseppe Moscati", Avellino, Italy.
Chiara MasucciHematology, Hospital "San Giuseppe Moscati", Avellino, Italy.
Fulvia FanelliHematology, Hospital "San Giuseppe Moscati", Avellino, Italy.
Michela RizzoHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Manuela ArcamoneHematology and Transplant Center, Istituto Nazionale Tumori, Fondazione "G.Pascale", IRRCS, Naples, Italy.
Fabio TrastulliHematology, Hospital "Antonio Cardarelli", Naples, Italy.
Stefano RoccoHematology, Hospital "Antonio Cardarelli", Naples, Italy.
Aldo LeoneHematology - Department of Clinical Medicine and Surgery, University Hospital "Federico II", Naples, Italy.
Rosario BiancoHematology, Hospital "Sant'Anna e San Sebastiano", Caserta, Italy.
Flavia SalvatoreHematology Unit, Infermi Hospital Rimini, Rimini, Italy.
Aurora IdatoDivision of Hematology, Azienda Ospedaliera "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
Maria SicariDivision of Hematology, Azienda Ospedaliera "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
Patrizia TosiHematology Unit, Infermi Hospital Rimini, Rimini, Italy.
Maria Gabriella RascatoHematology, Hospital "San Giuseppe Moscati", Aversa, Italy.
Maria Di PernaHematology, Hospital "Andrea Tortora", Pagani, Italy.
Antonietta Pia FalconeDivision of Hematology and Stem Cell Unit, IRCCS S. Giovanni Rotondo and Division of Hematology, San Giovanni Rotondo, Italy.
Lucia MorelloUO di Ematologia e Centro Trapianti Midollo Osseo, Dipartimento di Oncoematologia Azienda Usl di Piacenza, Piacenza, Italy.
Melania CarlisiDipartimento di Promozione della Salute, Materno-infantile, di medicina interna e specialistica d'eccellenza "G. D'alessandro", Università di Palermo, Palermo, Italy.
Gino SvaneraHematology, Hospital "San Giuliano", Giugliano, Italy.
Mario AnnunziataHematology, Hospital "San Giuseppe Moscati", Aversa, Italy.
Ferdinando FrigeriHematology, Hospital "Sant'Anna e San Sebastiano", Caserta, Italy.
Catello CalifanoHematology, Hospital "Andrea Tortora", Pagani, Italy.
Angelo Michele CarellaDivision of Hematology and Stem Cell Unit, IRCCS S. Giovanni Rotondo and Division of Hematology, San Giovanni Rotondo, Italy.
Gianpaolo MarcacciHematology and Transplant Center, Istituto Nazionale Tumori, Fondazione "G.Pascale", IRRCS, Naples, Italy.
Fabrizio PaneHematology - Department of Clinical Medicine and Surgery, University Hospital "Federico II", Naples, Italy.
Antonio Maria RisitanoHematology, Hospital "San Giuseppe Moscati", Avellino, Italy.
Valentina GiudiceHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.ORCID https://orcid.org/0000-0002-7492-6848
Ciro BottaDipartimento di Promozione della Salute, Materno-infantile, di medicina interna e specialistica d'eccellenza "G. D'alessandro", Università di Palermo, Palermo, Italy.
Carmine SelleriHematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isatuximab, a novel anti-CD38 monoclonal antibody, is approved in combination with carfilzomib and dexamethasone (Isa-Kd) in relapsed/refractory multiple myeloma (RRMM) patients. Because of its recent introduction, real-world efficacy and safety are poorly reported. In this Italian multicenter real-life observational retrospective study, efficacy and safety of the Isa-Kd regimen were evaluated in a cohort of 103 RRMM patients. Overall response rate (ORR) was 85%, with stringent (sCR) or complete response (CR) in 18% of cases and very good partial response (VGPR) in 39%. Median PFS and OS were not reached within the study period, while 1-year PFS and OS were 72% and 77%, respectively. Hematological toxicities were observed in 42% of subjects, and cardiac toxicities occurred in 24% of cases. Moreover, we conducted a subanalysis on patients (N = 69) treated with Isa-Kd after one prior line of therapy, showing an ORR of 88%, with sCR + CR in 20% of subjects, VGPR in 46%, and PR in 22% of patients. In this group, median PFS and OS were not reached, while 1-year PFS and OS were 92% and 95%, respectively. In conclusions, our study confirmed Isa-Kd as an effective treatment option for RRMM with a manageable safety profile even in real-life settings.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneMultiple MyelomaOligopeptidesAdultAgedAged, 80 and overDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedcarfilzomibDexamethasoneisatuximabOligopeptidesisatuximabmultiple myelomaproteasome inhibitorsreal life

Identifiers

PMID39370303
PMCPMC11613624

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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.