Review Article

Efficacy and Safety of Novel Agent-Based Therapies for Multiple Myeloma: A Meta-Analysis

Table 1

Characteristics of the included trials.

TrialAuthor and yearCountryNumberRegimensFollow-up (month)RandomizationBlindAllocation concealmentWithdrawal and dropoutITTJadad score

VISTA 
NCT00111319
San Miguel et al. 2008, 2010, 2013 [1012]Europe, America, Asia682E: VMP 9 cyc
C: MP 9 cyc
60YesNoUnclearYesYes3

IFM2005-01 
NCT00200681
Harousseau et al. 2010 [13]France, Belgium, Switzerland482E: VAD 4 cyc ± DCEP + ASCT
C: BD 4 cyc ± DCEP + ASCT
32.2YesNoUnclearYesYes3

MM-BO2005 
NCT01134484
Cavo et al. 2010, 2012 [14, 15]Italy474E: VTD 3 cyc + ASCT + VTD 3 cyc
C: TD 3 cyc + ASCT + TD 3 cyc
36YesNoYesYesYes4

PETHEMA/GEM 
NCT00461747
Rosiñol et al. 2012 [16]Spain257E: VTD 6 cyc + ASCT + T
C: TD 6 cyc + ASCT + T
56.2YesNoUnclearYesYes3

HOVON-65/GMMG-HD4 
ISRCTN:64455289
Sonneveld et al. 2012 [17]Germany, Netherlands, Belgium827E: PAD 3 cyc + ASCT + P
C: VAD 3 cyc + ASCT + T
41YesNoNoYesYes3

THAL-MM-003 
NCT00057564
Rajkumar et al. 2008 [18]Australia, Spain, America570E: TD
C: placebo + D
(until progression)
22.6YesYesYesYesYes5

IFM01/01 
NCT00644306
Hulin et al. 2009 [19]Belgium229E: MPT 12 cyc
C:   MP 12 cyc
47.5YesNoUnclearYesYes3

HOVON49 
ISRCTN:90692740
Wijermans et al. 2010 [20]Netherlands333E: MPT 8 cyc
C: MP 8 cyc
48YesNo UnclearYesYes3

GISMM2001-A 
NCT00232934
Palumbo et al. 2006, 2008 [21, 22]Italy255E: MP 6 cyc + T
C: MP 6 cyc
38.4YesNoYesYesYes5

IFM99-06 
NCT00367185
Facon et al. 2007 [23]France, Belgium, Switzerland321E: MPT 12 cyc
C: MP 12 cyc
51.5YesNoUnclearYesYes3

NMSG#12
NCT00218855
Waage et al. 2010 [24]Norway, Sweden, Denmark357 E:  MPT 
C:  MP 
(until plateau phase)
42YesYesUnclearYesYes5

UARK98-026 
NCT00083551
Barlogie et al. 2006, 2008 [25, 26]America668E: total therapy 2 + T
C: total therapy 2
96YesNoUnclearYesYes3

HOVON-5-/GMMG-HD3 
ISRCTN:06413384
Lokhorst et al. 2008, 2010 [27, 28]Netherlands, Germany, Belgium556E: VAD
C: TAD
52YesNoUnclearYesYes3

TMSG-2005-001 
NCT00934154
Beksac et al. 2011 [29]Turkey115E: MPT 8 cyc
C: MP 8 cyc
23YesNoUnclearNoYes2

MM03 
NCT01274403
Sacchi et al. 2011 [30]Italy118E: MPT 6–12 cyc
C: MP 6–12 cyc
30YesNoUnclearYesYes3

SO232 
NCT00064038
Zonder et al. 2010 [31]America192E: LEX + DEX
C: placebo + DEX
(until progression)
47.2YesYesUnclearYesYes5

MM-015
NCT00405756
Palumbo et al. 2012 [32]Europe, Australia, Israel306E: MPR 9 cyc + R
C: (placebo + MP) 9 cyc
30YesYesUnclearYesYes5

E: experiment arm; C: control arm; cyc: cycles; VMP: bortezomib, melphalan; MP: melphalan, prednisolone; VAD: vincristine, adriamycin, and dexamethasone; prednisolone; DCEP: dexamethasone, cyclophosphamide, etoposide, and cisplatin; BD: bortezomib, dexamethasone; VTD: bortezomib, thalidomide, and dexamethasone; TD: thalidomide, dexamethasone; PAD: bortezomib, adriamycin, and dexamethasone; MPT: melphalan, prednisolone, and thalidomide; R: lenalidomide.