Evidence map›Paper›PMID 40207704›Full record

SynthesisHematological oncology2025

Daratumumab, Lenalidomide, and Dexamethasone Versus Bortezomib, Lenalidomide, and Dexamethasone in Transplant-Ineligible Newly Diagnosed Multiple Myeloma: A Systematic Literature Review and Meta-Analysis.

Lucio N Gordan, Rohan Medhekar, Alex Z Fu, Mostafa Shokoohi, Abril Oliva Ramirez, Nicolle Bonar, Bao-Ngoc Nguyen, Michaela Spence, Rebecca McTavish, Tim Disher and 4 more

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Hematological oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Lucio N GordanFlorida Cancer Specialists & Research Institute, Gainesville, Florida, USA.
Rohan MedhekarReal World Value and Evidence Oncology, Janssen Scientific Affairs LLC, Horsham, Pennsylvania, USA.ORCID https://orcid.org/0009-0004-6422-2080
Alex Z FuReal World Analytics, Janssen Scientific Affairs LLC, Titusville, New Jersey, USA.
Mostafa ShokoohiValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Abril Oliva RamirezValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Nicolle BonarValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Bao-Ngoc NguyenValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.ORCID https://orcid.org/0000-0001-6026-2270
Michaela SpenceValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Rebecca McTavishValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Tim DisherValue & Evidence Division, Marketing and Market Access, EVERSANA, Burlington, Canada.
Santosh GautamReal World Value and Evidence Oncology, Janssen Scientific Affairs LLC, Horsham, Pennsylvania, USA.
Niodita Gupta-WernerReal World Value and Evidence Oncology, Janssen Scientific Affairs LLC, Horsham, Pennsylvania, USA.
Shuchita KailaReal World Value and Evidence Oncology, Janssen Scientific Affairs LLC, Horsham, Pennsylvania, USA.
Anjan J PatelFlorida Cancer Specialists & Research Institute, Gainesville, Florida, USA.

Funding

Janssen Scientific Affairs LLC
6 · The paper itself

Abstract

Daratumumab in combination with lenalidomide and dexamethasone (DRd) and bortezomib in combination with lenalidomide and dexamethasone (VRd) are guideline-recommended preferred regimens for initial treatment of transplant-ineligible (TIE) patients with newly diagnosed multiple myeloma (NDMM). This study aimed to systematically identify evidence on the clinical effectiveness of DRd and VRd as first-line treatments for patients with TIE NDMM and to conduct a meta-analysis. Ovid MEDLINE, Embase, and Cochrane Library were searched from January 2019 to June 2023, along with key congresses from January 2018 to June 2023. Bibliographies of relevant systematic literature reviews (SLR) were hand-searched. Randomized controlled trials and appropriately adjusted non-randomized studies comparing DRd versus VRd as first-line treatment for TIE NDMM were included. Overall, five records from three unique studies were identified. The fixed-effects meta-analysis showed a lower risk of disease progression or death with DRd versus VRd using the naïve approach (hazard ratio [HR]: 0.60; 95% confidence interval [CI]: 0.46, 0.77) as well as with the adjusted approach, which accounted for both double counting (i.e., two studies shared one comparison) and variance inflation due to studies with moderate and high risk of bias (HR: 0.56; 95% CI: 0.39, 0.82). In the absence of clinical trials with head-to-head comparison of these treatment regimens, these results could help inform the selection of optimal first-line treatment for TIE NDMM patients.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMultiple MyelomaAntibodies, MonoclonalBortezomibDexamethasoneHumansLenalidomideAntibodies, MonoclonalBortezomibdaratumumabDexamethasoneLenalidomideDRdfirst‐line treatmentmeta‐analysismultiple myelomasystematic reviewtransplant ineligibleVRd

Identifiers

PMID40207704
PMCPMC11984075

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.