Evidence map›Paper›PMID 18000504›Full record

Trial reportBritish journal of cancer2007

A Phase II study of trabectedin single agent in patients with recurrent ovarian cancer previously treated with platinum-based regimens.

C N Krasner, D S McMeekin, S Chan, P S Braly, F G Renshaw, S Kaye, D M Provencher, S Campos, M E Gore

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
12.0field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Overcoming platinum resistance in ovarian carcinoma.Expert opinion on investigational drugs · 2010
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. The Role of Trabectedin in Soft Tissue Sarcoma.Frontiers in pharmacology · 2022
    Review
  8. Article
  9. Review
  10. The Tumor Microenvironment in SCC: Mechanisms and Therapeutic Opportunities.Frontiers in cell and developmental biology · 2021
    Review
  11. Review
  12. Review
  13. Emesis and nausea related to single agent trabectedin in ovarian cancer patients: a sub-study of the MITO15 project.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  14. Article
  15. The value of trabectedin in the treatment of soft tissue sarcoma.Therapeutics and clinical risk management · 2016
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Estrogen biosynthesis and action in ovarian cancer.Frontiers in endocrinology · 2014
    Review
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

9 authors at 7 institutions in 3 countries.

C N KrasnerDepartment of Medical Oncology, Massachusetts General Hospital, Boston, MA, USA. cnkrasner@partners.org
D S McMeekin
S Chan
P S Braly
F G Renshaw
S Kaye
D M Provencher
S Campos
M E Gore
Nottingham City Hospital · GBRoyal Marsden NHS Foundation Trust · GBHarvard University · USHôpital Notre-Dame · CAJohnson & Johnson (United States) · USMassachusetts General Hospital · USMass General Brigham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to determine the objective response rate in patients with platinum-sensitive and platinum-resistant recurrent ovarian cancer to treatment with trabectedin (Yondelis) administered as a 3-h infusion weekly for 3 weeks of a 4-week cycle. We carried out a multicentre Phase II trial of trabectedin in patients with advanced recurrent ovarian cancer. Trabectedin (0.58 mg m(-2)) was administered via a central line, after premedication with dexamethasone, to 147 patients as a 3-h infusion weekly for 3 weeks followed by 1-week rest. Major eligibility criteria included measurable relapsed advanced ovarian cancer and not more than two prior platinum-containing regimens. Patients were stratified according to the treatment-free interval (TFI) between having either platinum-sensitive (>/=6 months TFI) or platinum-resistant disease (<6 months TFI)/platinum-refractory disease (progression during first line therapy). In the platinum-sensitive cohort, 62 evaluable patients with measurable disease had an overall response rate (ORR) of 29.0% (95% CI: 18.2-41.9%) and median progression-free survival (PFS) was 5.1 months (95% CI: 2.8-6.2). Four patients with measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) criteria had no follow-up scans at the end of treatment. In the platinum-resistant/refractory cohort, 79 patients were evaluable with an ORR of 6.3% (95% CI: 2.1-14.2%). Median PFS was 2.0 months (95% CI: 1.7-3.5 months). Two patients with measurable disease per RECIST criteria had no follow-up scans at the end of treatment. The most frequent (>/=2% of patients) drug-related treatment-emergent grade 3/4 adverse events were reversible liver alanine transferase elevation (10%), neutropaenia (8%), nausea, vomiting, and fatigue (5% each). Trabectedin is an active treatment, with documented responses in patients with platinum sensitive advanced relapsed ovarian cancer, and has a manageable toxicity profile.

Indexed as

AdolescentAdultDioxolesDisease-Free SurvivalDrug Resistance, NeoplasmFemaleHumansMiddle AgedNeoplasm Recurrence, LocalOrganoplatinum CompoundsOvarian NeoplasmsSurvival RateTetrahydroisoquinolinesTrabectedinDioxolesOrganoplatinum CompoundsTetrahydroisoquinolinesTrabectedin

Identifiers

PMID18000504
PMCPMC2360276
OpenAlexW2086055140

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.