Evidence map›Paper›PMID 39486091›Full record

ArticleCancer medicine2024

Comparison of Time to Next Treatment or Death Between Front-Line Daratumumab, Lenalidomide, and Dexamethasone (DRd) Versus Bortezomib, Lenalidomide, and Dexamethasone (VRd) Among Transplant-Ineligible Patients With Multiple Myeloma.

Doris K Hansen, Santosh Gautam, Marie-Hélène Lafeuille, Carmine Rossi, Bronwyn Moore, Anabelle Tardif-Samson, Philippe Thompson-Leduc, Alex Z Fu, Annelore Cortoos, Shuchita Kaila and 1 more

Abstract readComparative Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. 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

11 authors.

Doris K HansenDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, USA.
Santosh GautamJanssen Scientific Affairs, LLC, Horsham, Pennsylvania, USA.
Marie-Hélène LafeuilleAnalysis Group, Inc., Montréal, Quebec, Canada.
Carmine RossiAnalysis Group, Inc., Montréal, Quebec, Canada.ORCID https://orcid.org/0000-0001-5801-6927
Bronwyn MooreAnalysis Group, Inc., Montréal, Quebec, Canada.
Anabelle Tardif-SamsonAnalysis Group, Inc., Montréal, Quebec, Canada.
Philippe Thompson-LeducAnalysis Group, Inc., Montréal, Quebec, Canada.
Alex Z FuJanssen Scientific Affairs, LLC, Horsham, Pennsylvania, USA.
Annelore CortoosJanssen Scientific Affairs, LLC, Horsham, Pennsylvania, USA.
Shuchita KailaJanssen Scientific Affairs, LLC, Horsham, Pennsylvania, USA.
Rafael FonsecaDivision of Hematology and Medical Oncology, Mayo Clinic, Phoenix, Arizona, USA.

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
Janssen Scientific Affairs, LLCNCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

introductionDaratumumab, lenalidomide, and dexamethasone (DRd) and bortezomib, lenalidomide, and dexamethasone (VRd) are the only preferred treatment regimens for patients with transplant-ineligible (TIE) newly diagnosed multiple myeloma (NDMM). As there are no randomized head-to-head studies of DRd versus VRd, this analysis aimed to compare real-world time-to-next-treatment (TTNT) or death in this population.

methodsPatients with NDMM who received front-line (FL) DRd or VRd were identified from the Acentrus database (January 1, 2018 to May 31, 2023). Those with a record of a stem cell transplant or aged < 65 years were excluded to limit analysis to the TIE population. Inverse probability of treatment weighting was used to balance baseline patient characteristics. A doubly robust Cox proportional hazards model was used to compare TTNT or death between cohorts.

resultsA total of 149 and 494 patients who initiated DRd and VRd, respectively, were identified. After weighting (weighted N

conclusionTreatment of TIE NDMM patients with DRd led to a significantly longer TTNT or death compared to VRd, evidenced by a 42% risk reduction, supporting the effectiveness of DRd over VRd as FL treatment in this patient population.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBortezomibDexamethasoneLenalidomideMultiple MyelomaAgedAged, 80 and overAntibodies, MonoclonalFemaleHumansMaleMiddle AgedRetrospective StudiesTime-to-TreatmentAntibodies, MonoclonalBortezomibdaratumumabDexamethasoneLenalidomidebortezomibdaratumumabdrug therapyhealth carehematologic diseasesmultiple myelomaobservational studyoutcome assessment

Identifiers

PMID39486091
PMCPMC11530241

What OpenQuestion holds

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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.