Evidence map›Paper›PMID 42146891›Full record

ArticleEJHaem2026

Triplet or Quadruplet Regimen Utilization and Overall Survival in Patients Diagnosed With Multiple Myeloma Between 2017 and 2023.

Emily R Wesley, Faiz Anwer, Michael B Rothberg, Jeffrey D Kovach, Nicholas J Casacchia, Brittany Peterre, Ming Wang, Shahzad Raza, Louis S Williams, Jason Valent and 1 more

Abstract read
In one paragraph

Article in EJHaem, 2026. 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

11 authors.

Emily R WesleyCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Faiz AnwerCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Michael B RothbergCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Jeffrey D KovachDepartment of Quantitative Health Sciences Lerner Research Institute Cleveland Clinic Cleveland Ohio USA.
Nicholas J CasacchiaCenter for Value-Based Care Research Department of Internal Medicine and Geriatrics Primary Care Institute Cleveland Clinic Cleveland Ohio USA.
Brittany PeterreDepartment of Hematology and Medical Oncology Taussig Cancer Center Cleveland Clinic Cleveland Ohio USA.
Ming WangDepartment of Population and Quantitative Health Sciences Case Western Reserve University School of Medicine Cleveland Ohio USA.
Shahzad RazaCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Louis S WilliamsCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Jason ValentCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.
Hamlet GasoyanCleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.ORCID https://orcid.org/0000-0002-1627-9777

Funding

Modifiable Determinants of Disparities in Multiple Myeloma Treatment PatternsR00CA277136 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI Hamlet Gasoyan · 2024 to 2026
$747k
NCI NIH HHS R00 CA277136
6 · The paper itself

Abstract

Introduction: Multiple myeloma treatment has rapidly evolved, but little is known about the uptake of guideline-recommended triplet or quadruplet therapy in clinical practice. Methods: This retrospective cohort study included adult patients newly diagnosed with multiple myeloma between January 1, 2017, and December 31, 2023, in one health system in Ohio and Florida. Receipt of triplet or quadruplet therapy within 1 year of diagnosis was quantified to investigate its association with sociodemographic and clinical factors, using a multivariable logistic regression model. We also captured patients' overall survival (OS) through September 30, 2025, using the Cleveland Clinic electronic health record, including linked state and federal death records. Results: We identified 1230 patients, with mean (SD) age at diagnosis of 67.2 (11.1), 54.1% male, 74.1% White, and 22.8% Black. Within 1 year of diagnosis, 707 (57.5%) patients received either triplet or quadruplet therapy. Utilization increased from 57.1% to 65.9% between 2017 and 2023. In a multivariable logistic regression model, patients who were older, resided in more disadvantaged neighborhoods, or were treated at a Florida regional hospital (vs. Taussig Cancer Center) had lower odds of triplet or quadruplet regimen within 1 year of diagnosis, while those diagnosed in 2023, treated at an Ohio regional hospital, having an eGFR < 60, or a Charlson Comorbidity Score of ≥ 3 had higher odds. The probability of 5-year OS in the cohort was 62.1% (95% CI, 59.0%-65.4%). Conclusion: Our real-world data demonstrate the association of sociodemographic and clinical factors with therapy selection and show improved 5-year OS in clinical practice compared to historical trends. Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.

Indexed as

multiple myelomanovel therapiestreatment utilizationtriplet or quadruplet therapy

Identifiers

PMID42146891
PMCPMC13173758

What OpenQuestion holds

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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.