Evidence map›Paper›PMID 39954075›Full record

Observational studyAnnals of hematology2025

Real-world evidence of Carfilzomib, Lenalidomide and Dexamethasone (KRD) Scheme in patients with relapsed / refractory multiple myeloma.

Antoni Garcia-Guiñon, Paola Andrea Charry, María Jimenez, Josep Sarra, Izarbe Delgado, Laura Segura de la Torre, Marta Santaliestra, Marta Garcia-Pintos, Yolanda Gonzalez, Alicia Senin and 12 more

Abstract readObservational Study
In one paragraph

Observational study in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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

22 authors.

Antoni Garcia-GuiñonHematology Department, Hospital Universitari Arnau de Vilanova de Lleida, Av. Rovira Roure, Lleida, 80 | 25198, Spain. agarciag.lleida.ics@gencat.cat.
Paola Andrea CharryHematology Department, Hospital Clínic and IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
María JimenezHematology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain.
Josep SarraHematology Department, Hospital Universitari Joan XXIII- ICO Camp de Tarragona, Tarragona, Spain.
Izarbe DelgadoHematology Department, Hospital Universitari Arnau de Vilanova de Lleida, Av. Rovira Roure, Lleida, 80 | 25198, Spain.
Laura Segura de la TorreHematology Department, Hospital Universitari Parc Taulí, Sabadell, Spain.
Marta SantaliestraHematology Department, Hospital Universitari Mútua Terrassa, Terrassa, Spain.
Marta Garcia-PintosHematology Department, Consorci Sanitari Terrassa, Terrassa, Spain.
Yolanda GonzalezHematology Department, Hospital Universitari Josep Trueta-ICO Girona, Girona, Spain.
Alicia SeninHematology Department, Hospital Universitari Germans Trias I Pujol-ICO Can Ruti, Badalona, Spain.
Cristina MotllóHematology Department, Hospital Sant Joan de Déu - Fundació Althaia, Manresa, Spain.
Eugènia AbellaHematology Department, Hospital del Mar, Barcelona, Spain.
Elena CabezudoHematology Department, Hospital St Joan Despi-Moises Broggi-ICO-H, Sant Joan Despi, Spain.
Miquel GranellHematology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Esther SanchoHematology Department, Hospital General de Granollers, Granollers, Spain.
María José HerranzHematology Department, Hospital del Vendrell - Xarxa Santa Tecla, Tarragona, Spain.
Yasmina SeresHematology Department, Hospital Universitari Arnau de Vilanova de Lleida, Av. Rovira Roure, Lleida, 80 | 25198, Spain.
Mercedes GironellaHematology Department, Hospital Universitari Vall D'hebron, Barcelona, Spain.
Juan Alfons SolerHematology Department, Hospital Universitari Parc Taulí, Sabadell, Spain.
Josep Maria Marti-TutusausHematology Department, Hospital Universitari Mútua Terrassa, Terrassa, Spain.
Ran Ben AzaizHematology Department, Hospital del Mar, Barcelona, Spain.
Carlos Fernandez de LarreaHematology Department, Hospital Clínic and IDIBAPS, Universitat de Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carfilzomib, lenalidomide and dexamethasone (KRd) is still a widely used treatment option for patients with relapsed / refractory multiple myeloma (RRMM). However, there is limited real-world evidence. Here we evaluated the efficacy and safety of KRd in patients with RRMM treated following the standard clinical practice of the hospitals in the Catalan region. This was a retrospective, observational study. The objective response rate (ORR) according to IMWG criteria was the primary endpoint. Secondary endpoints included progression-free survival (PFS) and overall survival (OS). The study planned to include at least 100-150 patients. In total 194 patients were included. Median age was 64 years (range: 40-88) and 56% were male. All patients had received bortezomib. Additionally, 89 patients (46%) had received thalidomide and 29 (15%) lenalidomide. The ORR was 73% (95% CI: 66-79), with 72 patients (37%) having ≥ CR. The ORR was influenced by ISS score, number of previous treatments and exposure to lenalidomide. The median PFS was 26 months and 2-years OS rate 70%. The ISS stage and LDH levels were independent prognostic factors of survival. In conclusion, the KRd scheme led to a good effectiveness comparable safety profile to the phase III clinical trial in patients with RRMM.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDexamethasoneLenalidomideMultiple MyelomaAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedOligopeptidesProgression-Free SurvivalRecurrenceRetrospective StudiesSurvival RatecarfilzomibDexamethasoneLenalidomideOligopeptidesCarfilzomib, lenalidomide and dexamethasoneReal-worldRelapsed/refractory multiple myeloma

Identifiers

PMID39954075
PMCPMC11971156

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.