Evidence map›Paper›PMID 38621239›Full record

ArticleBlood advances2024

Unscheduled health care interactions in patients with multiple myeloma receiving T-cell redirection therapies.

Anna J Howard, Isabel Concepcion, Alice X Wang, Issam S Hamadeh, Malin Hultcrantz, Sham Mailankody, Carlyn Tan, Neha Korde, Alexander M Lesokhin, Hani Hassoun and 11 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

21 authors at 1 institution in 1 country.

Anna J HowardDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Isabel ConcepcionDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Alice X WangDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Issam S HamadehDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Malin HultcrantzDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9045-6495
Sham MailankodyDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Carlyn TanDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-7922-2594
Neha KordeDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5538-4318
Alexander M LesokhinDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-9321-702X
Hani HassounDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Urvi A ShahDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-8419-1091
Kylee H MaclachlanDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-7873-4854
Sridevi RajeeveDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Heather J LandauDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-3152-1189
Michael ScordoDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Gunjan L ShahDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Oscar B LahoudDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-3291-286X
David J ChungDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Sergio GiraltDepartment of Medicine, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1944-5053
Saad Z UsmaniDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Ross S FirestoneDepartment of Medicine, Myeloma Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2945-9320
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

abstractOutcomes for patients with relapsed/refractory multiple myeloma (R/RMM) have dramatically improved after the development and now growing utilization of B-cell maturation antigen-targeted chimeric antigen receptor (CAR) T-cell therapy and bispecific antibody (BsAb) therapy. However, health care utilization as a quality-of-life metric in these growing populations has not been thoroughly evaluated. We performed a retrospective cohort study evaluating the frequency and cause of unscheduled health care interactions (UHIs) among patients with R/RMM responding to B-cell maturation antigen-targeted BsAb and CAR T-cell therapies (N = 46). This included the analysis of remote UHIs including calls to physicians' offices and messages sent through an online patient portal. Our results showed that nearly all patients with R/RMM (89%) receiving these therapies required a UHI during the first 125 days of treatment, with a mean of 3.7 UHIs per patient. Patients with R/RMM responding to BsAbs were significantly more likely to remotely contact their physicians' offices (1.8-fold increase; P = .038) or visit an urgent care center (more than threefold increase; P = .012) than patients with R/RMM responding to CAR T-cell therapies. This was largely due to increased reports of mild upper respiratory tract infections in BsAb patients. Our results underscore the need to develop preemptive management strategies for commonly reported symptoms that patients with R/RMM experience while receiving CAR T-cell or BsAb therapies. This preemptive management may significantly reduce unnecessary health care utilization in this vulnerable patient population.

Indexed as

Immunotherapy, AdoptiveMultiple MyelomaAdultAgedAntibodies, BispecificFemaleHumansMaleMiddle AgedQuality of LifeReceptors, Chimeric AntigenRetrospective StudiesAntibodies, BispecificReceptors, Chimeric Antigen

Identifiers

PMID38621239
PMCPMC11226971
OpenAlexW4394803360

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.