Evidence map›Paper›PMID 39988462›Full record

ArticleEuropean journal of haematology2025

Outcomes of Melflufen Treatment in Patients With Relapsed/Refractory Multiple Myeloma.

Shahrier Hossain, Clifton Mo, Sarah Patches, Houry Leblebjian, Kathryn Goodrich, Eileen Regan, Kathleen O'Neill, Kim Noonan, Paul G Richardson, Jacob Laubach

Abstract read
In one paragraph

Article in European journal of haematology, 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. Review
  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

10 authors.

Shahrier HossainDepartment of Pharmacy, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0004-6346-3376
Clifton MoDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Sarah PatchesDepartment of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Houry LeblebjianDepartment of Pharmacy, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kathryn GoodrichDepartment of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Eileen ReganDepartment of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kathleen O'NeillDepartment of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kim NoonanDepartment of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Paul G RichardsonDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7426-8865
Jacob LaubachDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.

Funding

Dana-Farber Cancer InstituteOncopeptides
6 · The paper itself

Abstract

objectiveMelphalan flufenamide (melflufen) plus dexamethasone is fully approved in Europe for patients with relapsed/refractory multiple myeloma (RRMM) with ≥ 3 prior lines of therapy. We analyzed the efficacy and safety of melflufen in the real-world setting.

methodsIn this retrospective analysis, we examined baseline features, efficacy, and safety outcomes with melflufen plus dexamethasone in a cohort of 12 patients with heavily pre-treated RRMM at the Dana-Farber Cancer Institute, USA.

resultsPatients had received a median of 5.5 prior lines of therapy. Three patients (25%) had extramedullary disease, three (25%) cytogenetically high-risk features, and five (42%) had received prior autologous stem cell transplantation. The overall response rate was 55% (complete response: three [27%], very good partial response: one [9%], partial response: two [18%] patients). Five patients (42%) had stable disease; one was non-evaluable. Adverse events (AEs) were mostly hematologic and proved manageable; two patients had Grade 2 infections. Reasons for melflufen discontinuation were progressive disease (42%), drug withdrawal from the United States market (33%), AEs (17%), and sudden death (8%) unrelated to treatment.

conclusionsConsistent with clinical trial data, melflufen had an expected safety profile with manageable toxicity and clinically meaningful efficacy in patients with RRMM treated in the real-world setting.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMelphalanMultiple MyelomaAdultAgedDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedPhenylalanineRecurrenceRetrospective StudiesTreatment OutcomemelflufenMelphalanPhenylalaninemelflufenmelphalan flufenamidereal worldrelapsed refractory multiple myeloma

Identifiers

PMID39988462
PMCPMC12053961

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LicenceCC BY-NC-ND
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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.