Evidence map›Paper›PMID 40220032›Full record

ArticleDiscover oncology2025

Efficacy of maintenance or consolidation therapy for multiple myeloma based on proteasome inhibitors: a meta-analysis.

Dan Wu, Feiqing Wang, Xu Yang, Bo Yang, Juan Chen, Jinyang Cheng, Bo Wei, Xiaoshuang Yuan, Tingting Tian, Zhenhua Liu and 3 more

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Dan WuClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Feiqing WangClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Xu YangClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Bo YangClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Juan ChenClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Jinyang ChengClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Bo WeiClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Xiaoshuang YuanDepartment of Hematology Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou Province, People's Republic of China.
Tingting TianClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China.
Zhenhua LiuDepartment of Hepatobiliary Surgery, Guizhou Provincial People's Hospital, Guiyang, Guizhou Province, People's Republic of China.
Zhixu HeKey Laboratory of Adult Stem Cell Translational Research, Chinese Academy of Medical Sciences, Guizhou Medical University, Guiyang, Guizhou Province, People's Republic of China.
Yang LiuClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, No. 71 Bao Shan North Road, Yunyan District, Guiyang, 550001, Guizhou Province, People's Republic of China. ly7878@163.com.
Yanju LiDepartment of Hematology Oncology, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou Province, People's Republic of China. lyj8181@163.com.

Funding

Natural Science Foundation of Guizhou Province QianKeHe Basics ZK [2023] 208Natural Science Foundation of Guizhou Province QianKeHe Basics ZK [2023] Key 042Natural Science Foundation of Guizhou Province Qiankehe Cooperation Platform talents [2021] Postdoctoral Station 007Research Project of Education Department of Guizhou Province QianJiaoJi [2023]037Science and Technology Innovation Talent Team Project GZYTD [2024] 003Subject Excellent Reserve Talent Project gyfyxkrc-2023-14
6 · The paper itself

Abstract

backgroundThis study assessed the efficacy of proteasome inhibitors (PIs) in both maintenance and consolidation therapies for MM patients.

methodsA comprehensive search across multiple databases was conducted, including PubMed, Science Direct, Google Scholar, CNKI, EMBASE, Web of Science, MEDLINE, Cochrane Library, and others, to identify randomized controlled trials published in both Chinese and English languages that examined the use of PIs in either consolidation or maintenance therapy for multiple myeloma. The effectiveness outcomes assessed included complete response (CR), very good partial response or better (≥ VGPR), partial response (PR), progression-free survival (PFS), and overall survival (OS).

resultsOur analysis comprised four (4) randomized controlled trials investigating maintenance therapy and six (6) randomized controlled trials assessing consolidation therapy, including data from 4711 patients. PIS-based treatments significantly improved PFS and OS compared to the control group. PI-based consolidation therapy significantly prolonged PFS. In maintenance therapy, both PIs improved PFS and OS relative to the observation group. PIs significantly improved the achievements of CR in patients compared to the control group. CR attainment in maintenance therapy appeared slightly less effective than in consolidation therapy. PIs significantly improved ≥ VGPR in patients compared to the control group. Consolidation therapy demonstrated a greater improvement in ≥ VGPR compared to maintenance therapy.

conclusionTreatment with PI-based maintenance or consolidation therapy showed improvements in CR,  ≥ VGPR, PFS, and OS in patients with MM. However, it is noteworthy that PIs-based maintenance and consolidation therapy were associated with an increased risk of  ≥ grade 3 adverse events.

Indexed as

Clinical cancer researchMultiple myelomaPrognostic factorProteasome inhibitorsRisk assessment

Identifiers

PMID40220032
PMCPMC11993517

What OpenQuestion holds

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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.