Evidence map›Paper›PMID 39428570›Full record

Observational studyAnnals of medicine2024

Maintenance therapy promotes profound organ and haematologic response in light-chain amyloidosis patients not undergoing autologous stem cell transplantation.

Wenjing Wang, Jing Li, Tianhong Xu, Yang Yang, Chenqi Yu, Pu Wang, Chi Zhou, Peng Liu

Abstract readObservational Study
In one paragraph

Observational study in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Wenjing WangDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Jing LiDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Tianhong XuDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Yang YangDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Chenqi YuDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Pu WangDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Chi ZhouDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Peng LiuDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.ORCID 0000-0002-9639-6606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on maintenance therapy following frontline induction is sparse in primary light-chain amyloidosis (AL), especially for those who do not undergo autologous haematopoietic stem cell transplantation (ASCT).

methodsWe enrolled primary AL patients who achieved at least haematologic very good partial response (VGPR) by the 4th month at the frontline from December 2008 to June 2023 at Zhongshan Hospital, Fudan University. Those who followed maintenance therapy were identified as the maintenance group (

resultsAfter 7.2(interquartile range, 4.7-18.6) months of maintenance therapy, 9(20.5%), 14(31.8%) and 5 (11.4%) patients achieved improvement in haematologic, cardiac and renal response respectively. Five (11.4%) patients had minimal residual disease (MRD) response conversion from positive to negative based on maintenance therapy. In the observation group, none of the patients had haematologic response improvement, with 3(12.5%) and 1(4.2%) patient showing cardiac and renal response improvement during follow-up.

conclusionThis study identified the clinical benefits of maintenance therapy in patients with AL who did not undergo ASCT in real-world practice.

Indexed as

Immunoglobulin Light-chain AmyloidosisAgedFemaleHematopoietic Stem Cell TransplantationHumansMaintenance ChemotherapyMaleMiddle AgedNeoplasm, ResidualTransplantation, AutologousTreatment OutcomeHematologic responselight chain amyloidosismaintenance therapyminimal residual diseaseorgan response

Identifiers

PMID39428570
PMCPMC11492453

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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.