Evidence map›Paper›PMID 41824255›Full record

Trial reportJournal of patient-reported outcomes2026

Validation of the Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) in patients with multiple myeloma who were enrolled in the CARTITUDE-4 trial.

Roberto Mina, Anne K Mylin, Hisayuki Yokoyama, Hila Magen, Winfried Alsdorf, Leyla Shune, Iris Isufi, Simon J Harrison, Urvi A Shah, André De Champlain and 13 more

Registry-linked trialAbstract readClinical Trial, Phase IIIValidation Study
In one paragraph

Trial report in Journal of patient-reported outcomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04181827 (A Phase 3 Randomized Study Comparing JNJ-68284528, a Chimeric Antigen Receptor T Cell), which is not on this 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.

NCT04181827 phase3active not recruitingnot on this map

A Phase 3 Randomized Study Comparing JNJ-68284528, a Chimeric Antigen Receptor T Cell (CAR-T) Therapy Directed Against BCMA, Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) or Daratumumab, Pomalidomide and Dexamethasone (DPd) in Subjects With Relapsed and Lenalidomide-Refractory Multiple Myeloma

TypeinterventionalSponsorJanssen Research & Development, LLCRan2020 to 2027Enrolled419ConditionsMultiple MyelomaArmsCilta-cel, Pomalidomide, Bortezomib, Dexamethasone, Daratumumab
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

23 authors.

Roberto MinaDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, 1365 Clifton Rd N E, Atlanta, GA, 30322, USA. rmina2@emory.edu.
Anne K MylinDepartment of Hematology, Rigshospitalet, Copenhagen, Denmark.
Hisayuki YokoyamaTohoku University Graduate School of Medicine, Sendai, Japan.
Hila MagenRamat-Gan, Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Winfried AlsdorfUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Leyla ShuneThe University of Kansas Medical Center, Kansas City, KS, USA.
Iris IsufiDepartment of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT, USA.
Simon J HarrisonClinical Haematology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Melbourne, Australia.
Urvi A ShahMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY, USA.
André De ChamplainJohnson & Johnson, Horsham, PA, USA.
Eva G KatzJohnson & Johnson, Raritan, NJ, USA.
Katharine S GriesJohnson & Johnson, Raritan, NJ, USA.
Jordan M SchecterJohnson & Johnson, Raritan, NJ, USA.
Nikoletta LendvaiJohnson & Johnson, Raritan, NJ, USA.
Ana SlaughterCilag GmbH International, Zug, Switzerland.
Carolina LonardiJohnson & Johnson, Buenos Aires, Argentina.
William DeraedtJohnson & Johnson, Beerse, Belgium.
Octavio Costa FilhoLegend Biotech USA Inc., Somerset, NJ, USA.
Nitin PatelLegend Biotech USA Inc., Somerset, NJ, USA.
Erika FlorendoLegend Biotech USA Inc., Somerset, NJ, USA.
Kai Fai HoSTAT-TU Inc, Elora, ON, Canada.
Lionel KarlinCentre Hospitalier Lyon Sud, Pierre- Bénite, France.
Katja WeiselUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Johnson and Johnson Johnson and JohnsonLegend Biotech Legend BiotechNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe Multiple Myeloma Symptom and Impact Questionnaire (MySIm-Q) is a validated, disease-specific patient-reported outcome (PRO) instrument that measures symptoms and impacts experienced by patients with multiple myeloma (MM). We describe key measurement properties of the MySIm-Q instrument using CARTITUDE-4 data. METHODOLOGY: The phase 3 CARTITUDE-4 (NCT04181827) trial compares ciltacabtagene autoleucel with standard-of-care regimens in patients with lenalidomide-refractory MM after 1–3 lines of therapy. Following US Food and Drug Administration guidance on the use of PRO measures in clinical trials, the reliability, as well as aspects of construct validity, convergent and discriminant validity of the MySIm-Q symptom and impact scores (2 separate concepts) were assessed.

resultsIn total, 361 patients completed MySIm-Q assessments. Internal consistency results met the predefined threshold (McDonald’s ꞷ coefficient > 0.7; ꞷ=0.87 for total symptom scores, ꞷ=0.79 for total impact scores), while test-retest reliability was slightly below this threshold (intraclass correlation coefficient [ICC](2,1) > 0.70; ICC = 0.67 and 0.65, respectively). Known-groups validity of total symptom and total impact scores was established through multiple hypotheses. Factor scores estimated from the confirmatory factor analysis model were highly correlated with simple observed scores calculated in symptom and impact scores. Item-level convergent and discriminant validity was supported for all and nearly all items, respectively. Domain convergent and discriminant validity for total scores were largely met.

conclusionsThese results demonstrate that the MySIm-Q yields reliable and valid scores based on a number of evidentiary sources, supporting its use as a fit-for-purpose PRO instrument in clinical outcome assessments for patients with MM.

trial registrationCARTITUDE-4: ClinicalTrials.gov ID: NCT04181827. Date of registration: 27 November 2019. URL: https://www.clinicaltrials.gov/study/NCT04181827 .

Indexed as

Multiple MyelomaPatient Reported Outcome MeasuresAgedFemaleHumansMaleMiddle AgedPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesSymptom BurdenCiltacabtagene autoleucelMultiple myelomaMySIm-QPatient-reported outcome instrumentPsychometric measurement properties

Identifiers

PMID41824255
PMCPMC13100226

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Registered trials

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.