Evidence map›Paper›PMID 39866949›Full record

ArticleEJHaem2025

Combined Proteasome and Autophagy Inhibition in Relapsed/Refractory Multiple Myeloma-A Phase I Trial of Hydroxychloroquine, Carfilzomib, and Dexamethasone.

Tobias S Slørdahl, Frida Bugge Askeland, Margrete Sofie Sætre Hanssen, Håkon Hov, Stine Marie Sundt-Hansen, Sofia Lindahl, Nils Tore Vethe, Henrik Hjorth-Hansen, Mona H Fenstad, Anders Waage and 3 more

Abstract read
In one paragraph

Article in EJHaem, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Tobias S SlørdahlDepartment of Hematology St. Olavs Hospital Trondheim Norway.ORCID https://orcid.org/0000-0001-7488-4863
Frida Bugge AskelandOslo Myeloma Center Department of Hematology Oslo University Hospital Oslo Norway.
Margrete Sofie Sætre HanssenDepartment of Ophthalmology St. Olavs Hospital Trondheim Norway.
Håkon HovDepartment of Clinical and Molecular Medicine Norwegian University of Science and Technology (NTNU) Trondheim Norway.
Stine Marie Sundt-HansenDepartment of Hematology St. Olavs Hospital Trondheim Norway.
Sofia LindahlDepartment of Pharmacology Oslo University Hospital Oslo Norway.
Nils Tore VetheDepartment of Pharmacology Oslo University Hospital Oslo Norway.
Henrik Hjorth-HansenDepartment of Hematology St. Olavs Hospital Trondheim Norway.
Mona H FenstadDepartment of Immunology and Transfusion Medicine St. Olavs Hospital Trondheim Norway.
Anders WaageDepartment of Clinical and Molecular Medicine Norwegian University of Science and Technology (NTNU) Trondheim Norway.ORCID https://orcid.org/0000-0001-9072-1220
Øyvind HjertnerDepartment of Hematology St. Olavs Hospital Trondheim Norway.
Fredrik SchjesvoldOslo Myeloma Center Department of Hematology Oslo University Hospital Oslo Norway.ORCID https://orcid.org/0000-0003-1096-0569
Anders SundanDepartment of Clinical and Molecular Medicine Norwegian University of Science and Technology (NTNU) Trondheim Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple myeloma is characterized by malignant cells which produce high amounts of monoclonal immunoglobulin. Myeloma cells are, therefore, dependent on effective protein degradation. Proteasomal protein degradation is targeted by proteasome inhibitors in routine care. Autophagic protein degradation is currently not targeted in myeloma treatment. This Phase I trial showed that the combination of the proteasome inhibitor carfilzomib and the autophagy inhibitor hydroxychloroquine was well tolerated in patients with relapsed/refractory multiple myeloma. Adverse events were mostly Grades 1 and 2. An overall response rate of 44% indicates a meaningful clinical efficacy of this combination.

Indexed as

autophagymultiple myelomamyelomamyeloma therapy

Identifiers

PMID39866949
PMCPMC11756982

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.