Evidence map›Paper›PMID 19047293›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2009

Phase II trial of sorafenib in patients with metastatic breast cancer previously exposed to anthracyclines or taxanes: North Central Cancer Treatment Group and Mayo Clinic Trial N0336.

Alvaro Moreno-Aspitia, Roscoe F Morton, David W Hillman, Wilma L Lingle, Kendrith M Rowland, Martin Wiesenfeld, Patrick J Flynn, Tom R Fitch, Edith A Perez

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
7.0field-weighted citation impact, top 2% 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

57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 160 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

9 authors at 4 institutions in 1 country.

Alvaro Moreno-AspitiaDivision of Hematology/Oncology, Mayo Clinic and Mayo Foundation, Jacksonville, FL 32224, USA. morenoaspitia.alvaro@mayo.edu
Roscoe F Morton
David W Hillman
Wilma L Lingle
Kendrith M Rowland
Martin Wiesenfeld
Patrick J Flynn
Tom R Fitch
Edith A Perez
Metro-Minnesota Community Oncology Research Consortium · USMayo Clinic in Arizona · USMayo Clinic in Florida · USIllinois College · US

Funding

TRANSLATIONAL RESEARCHU10CA025224 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 1985 to 2013
$85.0M
SUPPLEMENTU10CA037404 · NCI · MAYO CLINIC ROCHESTER · PI LOPRINZI, CHARLES L · 1985 to 2014
$34.8M
UPSTATE CAROLINA COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035119 · NCI · SPARTANBURG REGIONAL MEDICAL CENTER · PI BEARDEN, JAMES D · 1985 to 2013
$21.5M
MICHIGAN CANCER RESEARCH CONSORTIUM CCOPU10CA063848 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI STELLA, PHILIP J · 1994 to 2014
$17.2M
COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035195 · NCI · CARLE FOUNDATION HOSPITAL (URBANA, IL) · PI ROWLAND, KENDRITH MARTIN · 1985 to 2014
$11.3M
Illinois Oncology Research Association Community Clinical Oncology ProgramU10CA035113 · NCI · ONCOLOGY-HEMATOLOGY ASSOC-CENTRAL ILL · PI LE-LINDQWISTER, NGUYET A. · 1985 to 2014
$10.8M
TOLEDO COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA035415 · NCI · TOLEDO COMMUNITY HOSPITAL ONCOLOGY PROG · PI MOWAT, REX BRADLEY · 1985 to 2014
$9.9M
ST LUKE'S HOSPITALS CCOPU10CA037417 · NCI · ST. LUKE'S HOSPITALS-MERITCARE · PI STEEN, PRESTON D · 1985 to 2014
$7.3M
GEISINGER CLINICAL ONCOLOGY PROGRAMU10CA035448 · NCI · WEIS CENTER FOR RESEARCH-GEISINGER CLINC · PI GORAK, EDWARD J. · 1985 to 2014
$6.9M
CEDARS RAPIDS ONCOLOGY PROJECTU10CA052352 · NCI · CEDAR RAPIDS ONCOLOGY PROJECT · PI WILBUR, DEBORAH WEIL · 1990 to 2012
$4.9M
SCOTTSDALE COMMUNITY CLINICAL PROGRAMU10CA060276 · NCI · MAYO CLINIC COLL OF MED, MAYO CLINIC AZ · PI FITCH, TOM R · 1993 to 2004
$2.4M
NCI NIH HHS CA-25224NCI NIH HHS CA-25267NCI NIH HHS CA-35113NCI NIH HHS CA-35119NCI NIH HHS CA-35195NCI NIH HHS CA-35415NCI NIH HHS CA-35448NCI NIH HHS CA-37404NCI NIH HHS CA-37417NCI NIH HHS CA-52352NCI NIH HHS CA-60276NCI NIH HHS CA-63848
6 · The paper itself

Abstract

purposeWe conducted a cooperative group phase II study to assess antitumor activity and toxicity of sorafenib in patients with metastatic breast cancer (MBC) who had received prior treatment for their disease. PATIENT AND

methodsPatients were eligible if they had measurable disease and had previously received an anthracycline and/or a taxane in the neoadjuvant, adjuvant, or metastatic setting. The primary end point of the study was tumor response per Response Evaluation Criteria in Solid Tumors (RECIST). The study was designed in two stages. Sorafenib was administered as 400 mg twice daily on days 1 through 28 of each 4-week cycle.

resultsTwenty-three patients were enrolled with a median age of 54 years (range, 37 to 70 years). Twenty-two (96%) had prior anthracycline treatment and 16 (70%) had prior taxane treatment. Patients received sorafenib for a median of two cycles (range, one to 15 cycles) with a median follow-up of 2.4 years (range, 2.2 to 2.6 years). There were no grade 4 toxicities and few grade 3 toxicities. Among the 20 patients eligible for efficacy analysis, no patients experienced a partial response or complete response per RECIST criteria. Thus, the trial stopped at the end of the first stage per study design. Two patients (10%; 90% CI, 1.8% to 28.3%) achieved stable disease lasting longer than 6 months.

conclusionSorafenib as a single agent, although well tolerated, did not exhibit activity when measured by tumor shrinkage in patients with MBC who had received prior treatment. Further research should focus on combinations with standard therapy and end points more sensitive to effects of targeted agents, such as disease stabilization.

Indexed as

AdultAgedAnthracyclinesAntineoplastic AgentsBenzenesulfonatesBreast NeoplasmsFemaleHumansMiddle AgedNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsPyridinesSorafenibTaxoidsAnthracyclinesAntineoplastic AgentsBenzenesulfonatesNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsPyridinesSorafenibTaxoids

Identifiers

PMID19047293
PMCPMC2645094
OpenAlexW2109800555

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.