Evidence map›Paper›PMID 40155649›Full record

ArticleBlood cancer journal2025

Carfilzomib prescribing patterns and outcomes for relapsed or refractory multiple myeloma: a real-world analysis.

Sharlene Dong, Rahul Banerjee, Adeel M Khan, Mengru Wang, Xiaoliang Wang, Anosheh Afghahi, Aimaz Afrough, Murali Janakiram, Bo Wang, Andrew J Cowan and 4 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2025. 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. Review
  2. Article
  3. 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

14 authors.

Sharlene Dong *Harold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-6983-6012
Rahul Banerjee *Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID 0000-0003-3781-5441
Adeel M KhanHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-9462-6316
Mengru WangFlatiron Health, Inc, New York, NY, USA.
Xiaoliang WangFlatiron Health, Inc, New York, NY, USA.ORCID 0000-0001-5184-2935
Anosheh AfghahiFlatiron Health, Inc, New York, NY, USA.
Aimaz AfroughHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0003-2645-8557
Murali JanakiramCity of Hope Cancer Center, Duarte, CA, USA.
Bo WangWillamette Valley Cancer Institute, Eugene, OR, USA.
Andrew J CowanFred Hutchinson Cancer Center, Seattle, WA, USA.
Adam S SperlingDana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-9369-4413
Larry D AndersonHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-6531-9595
S Vincent RajkumarMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-5862-1833
Gurbakhash KaurHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA. gurbakhash.kaur@mssm.edu.ORCID 0000-0002-2510-6536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the widespread use of carfilzomib (K) in relapsed/refractory multiple myeloma (RRMM), there is no consensus on optimal K dose in milligrams per square meter (mg/m2) or dosing schedule. We assessed three modern K prescribing patterns in RRMM using a large United States electronic health record-derived database. Our final cohort (n = 486) included 136 patients (28.0%) who received K 56 mg/m2 once weekly (K56-1x), 86 (17.7%) who received 56 mg/m2 twice weekly (K56-2x), and 264 (54.3%) who received 70 mg/m2 once weekly (K70-1x). Between 2016 and 2023, once-weekly dosing became more common: K70-1x proportions changed from 21.1% in 2016 to 50.6% in 2023, K56-1x from 15.8% to 37.0%, and K56-2x from 63.2% to 12.3%. Median progression-free survival was 13.0 months [95% confidence interval (CI) 11.2-20.7] for K56-1x, 13.2 months (95% CI 9.0-28.1 months) for K56-2x, and 10.9 months (95% CI 9.9-15.3 months) for K70-1x; these differences were not statistically significant (log-rank p = 0.46). Rates of heart failure was comparable (<5% in all cohorts). In summary, our findings do not support improved outcomes with twice-weekly carfilzomib in RRMM. K56-1x may provide the best balance of efficacy, safety, and avoidance of time toxicity from frequent infusions.

Indexed as

Multiple MyelomaOligopeptidesPractice Patterns, Physicians'AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomecarfilzomibOligopeptides

Identifiers

PMID40155649
PMCPMC11953251

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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.