Evidence map›Paper›PMID 37210456›Full record

ArticleNPJ precision oncology2023

ML-based sequential analysis to assist selection between VMP and RD for newly diagnosed multiple myeloma.

Sung-Soo Park, Jong Cheol Lee, Ja Min Byun, Gyucheol Choi, Kwan Hyun Kim, Sungwon Lim, David Dingli, Young-Woo Jeon, Seung-Ah Yahng, Seung-Hwan Shin and 2 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
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

11 citing papers in PubMed, 13 citations in OpenAlex.

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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

12 authors at 8 institutions in 3 countries.

Sung-Soo Park *Catholic Research Network for Multiple Myeloma, Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea.ORCID http://orcid.org/0000-0002-8826-4136
Jong Cheol Lee *Department of Otorhinolaryngology, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung-si, Gangwon-do, 25440, Republic of Korea.ORCID http://orcid.org/0000-0002-2809-5254
Ja Min Byun *Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Gyucheol ChoiImpriMedKorea, Inc., Seoul, 08507, Republic of Korea.
Kwan Hyun KimImpriMedKorea, Inc., Seoul, 08507, Republic of Korea.ORCID http://orcid.org/0000-0003-4975-2839
Sungwon LimImpriMedKorea, Inc., Seoul, 08507, Republic of Korea.
David DingliDivision of Hematology, Mayo Clinic, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0001-7477-3004
Young-Woo JeonCatholic Research Network for Multiple Myeloma, Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea.ORCID http://orcid.org/0000-0003-3362-8200
Seung-Ah YahngCatholic Research Network for Multiple Myeloma, Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea.
Seung-Hwan ShinCatholic Research Network for Multiple Myeloma, Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea.
Chang-Ki MinCatholic Research Network for Multiple Myeloma, Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, 06591, Republic of Korea. ckmin@catholic.ac.kr.
Jamin KooImpriMedKorea, Inc., Seoul, 08507, Republic of Korea. jaminkoo@alumni.stanford.edu.ORCID http://orcid.org/0000-0003-4299-1546
Palo Alto Institute · USThe Catholic University of Korea Seoul St. Mary's Hospital · KRMayo Clinic · USSeoul National University Hospital · KRSt. Mary's Hospital · USThe Catholic University of Korea Incheon St. Mary's Hospital · KRThe Catholic University of Korea Yeouido St. Mary's Hospital · KRUlsan College · KR

Funding

Ministry of Health and Welfare (Ministry of Health, Welfare and Family Affairs) HA21C0013National IT Industry Promotion Agency (National ICT Industry Promotion Agency) A1503211006National Research Foundation of Korea (NRF) NRF-2021H1D3A2A01098743
6 · The paper itself

Abstract

Optimal first-line treatment that enables deeper and longer remission is crucially important for newly diagnosed multiple myeloma (NDMM). In this study, we developed the machine learning (ML) models predicting overall survival (OS) or response of the transplant-ineligible NDMM patients when treated by one of the two regimens-bortezomib plus melphalan plus prednisone (VMP) or lenalidomide plus dexamethasone (RD). Demographic and clinical characteristics obtained during diagnosis were used to train the ML models, which enabled treatment-specific risk stratification. Survival was superior when the patients were treated with the regimen to which they were low risk. The largest difference in OS was observed in the VMP-low risk & RD-high risk group, who recorded a hazard ratio of 0.15 (95% CI: 0.04-0.55) when treated with VMP vs. RD regimen. Retrospective analysis showed that the use of the ML models might have helped to improve the survival and/or response of up to 202 (39%) patients among the entire cohort (N = 514). In this manner, we believe that the ML models trained on clinical data available at diagnosis can assist the individualized selection of optimal first-line treatment for transplant-ineligible NDMM patients.

Identifiers

PMID37210456
PMCPMC10199943
OpenAlexW4377137219

What Socratic holds

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LicenceCC BY
Read underepoch 390

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 Socratic graph.