Evidence map›Paper›PMID 39691253›Full record

ArticleEJHaem2024

The UK consensus supporting effective introduction of novel treatments for multiple myeloma in the National Health Service.

Rakesh Popat, Supratik Basu, Sarah Henshaw, Kamaraj Karunanithi, Karthik Ramasamy, Inderjit Singh, Anish Tailor, Ian Walker, Tim Warren, Noreen Ali and 2 more

Abstract read
In one paragraph

Article in EJHaem, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Rakesh PopatHaematology University College London Hospitals NHS Foundation Trust London UK.ORCID https://orcid.org/0000-0001-6553-4618
Supratik BasuUniversity of Wolverhampton The Royal Wolverhampton NHS Trust Wolverhampton UK.ORCID https://orcid.org/0000-0003-2206-4796
Sarah HenshawDepartment of Clinical Haematology Nottingham University Hospitals NHS Trust Nottingham UK.
Kamaraj KarunanithiClinical Haematology University Hospitals of North Midlands NHS Trust Stoke-on-Trent UK.ORCID https://orcid.org/0000-0002-4708-8092
Karthik RamasamyOxford University Hospitals NHS Trust, Radcliffe Department of Medicine Oxford University Oxford UK.ORCID https://orcid.org/0000-0003-3385-3707
Inderjit SinghQueen Elizabeth Hospital University Hospitals Birmingham NHS Foundation Trust Birmingham UK.ORCID https://orcid.org/0000-0001-7834-1938
Anish TailorHaematology University College London Hospitals NHS Foundation Trust London UK.ORCID https://orcid.org/0009-0000-6836-8555
Ian WalkerTriducive Partners Limited St Albans UK.ORCID https://orcid.org/0000-0002-2548-4502
Tim WarrenTriducive Partners Limited St Albans UK.
Noreen AliPfizer Limited Tadworth UK.
Charles DuffieldPfizer Limited Tadworth UK.ORCID https://orcid.org/0000-0003-1717-0412
Gordon CookLeeds Institute of Clinical Trial research & Leeds Cancer Centre Leeds Teaching Hospitals NHS Trust Leeds UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Multiple myeloma (MM) is a relapsing, debilitating blood cancer which remains incurable despite advances in treatments. Patients typically receive multiple lines of treatment, to which they become refractory, thereby limiting treatment options. B-cell maturation antigen (BCMA) bispecific antibodies (BsAbs) represent a novel modality of treatment that has significant efficacy for relapsed or refractory patients.The objective was to develop consensus statements for the effective implementation of BCMA BsAbs for relapsed or refractory MM patients within the National Health Service (NHS). Methods: The process employed a modified Delphi methodology. In March 2023, a literature review on the topic of novel treatments for MM was performed using the PubMed database.The process employed a modified Delphi methodology. Following a literature review, a steering group of eight expert clinicians identified and agreed on five main topics of focus and 44 statements. These were then developed into an online survey which was distributed to healthcare professionals working in Levels 1, 2 and 3 haematology centres in the United Kingdom. Results were then shared with the expert panel to determine conclusions. The threshold for consensus agreement was set at 75%. Results: A total of 60 responses were received from all three centre levels. There was representation from all targeted centres. Consensus was achieved in 42 statements (95%) across three broad areas: the patient profile, initiation and step-up dosing, monitoring and ongoing care, the role of multidisciplinary team and service designs for optimal management, consensus was not achieved for two statements. Given the level of agreement and that the stopping criteria were met, it was decided not to undertake further Delphi rounds. Conclusion: This consensus provides a framework to support the effective introduction of novel treatments for MM in the NHS. The results were used to inform a checklist for use within haematology services when considering the provision of MM care specific to BCMA BsAbs.

Indexed as

B‐cell maturation antigenbispecific antibodiesDelphi studymultiple myelomaUnited Kingdom

Identifiers

PMID39691253
PMCPMC11647736

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.