Evidence map›Paper›PMID 21607771›Full record

Trial reportMedical oncology (Northwood, London, England)2012

Pioglitazone, etoricoxib, interferon-α, and metronomic capecitabine for metastatic renal cell carcinoma: final results of a prospective phase II trial.

B Walter, I Schrettenbrunner, M Vogelhuber, J Grassinger, K Bross, J Wilke, T Suedhoff, A Berand, W F Wieland, S Rogenhofer and 2 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Medical oncology (Northwood, London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Drug Repurposing by Tumor Tissue Editing.Frontiers in oncology · 2022
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Metronomics: towards personalized chemotherapy?Nature reviews. Clinical oncology · 2014
    Review
  11. Review
  12. 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

12 authors at 4 institutions in 1 country.

B WalterDepartment of Urology, University Hospital Erlangen, 91054 Erlangen, Germany. bernhard.walter@uk-erlangen.de
I Schrettenbrunner
M Vogelhuber
J Grassinger
K Bross
J Wilke
T Suedhoff
A Berand
W F Wieland
S Rogenhofer
R Andreesen
A Reichle
University Hospital Regensburg · DEKlinikum Passau · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We enrolled 45 patients with metastatic renal cell carcinoma (RCC) at a progressive disease between March 2003 and April 2008 to assess the impact of an anti-inflammatory treatment regime in combination with metronomic low-dose chemotherapy. 42% of the patients had been systemically pre-treated. Therapy consisted of etoricoxib 60 mg daily plus pioglitazone 60 mg daily, day 1+, low-dose interferon-α 4.5 MU sc three times a week, week 1+ and low-dose capecitabine 1 g/m(2) twice daily orally for 14 days, every 3 weeks, day 1+, until disease progression. Objective response was observed in 35% of the patients (PR 27, CR 9%), which was paralleled by strong CRP decline for all patients with initially elevated CRP levels (n = 32). CRP values decreased from mean 42.3 mg/L (range 9.1-236), to 11.1 mg/L, (range 1.1-35.6), P = 0.006. Median overall survival and progression-free survival for the total cohort were 26.9 and 7.2 months for patients with elevated CRP 24.4 and 11.3 months (95% CI, 22.8-31.0/5.7-16.9) and 13.8-2.6 months (95% CI, 6.5-21.1/0.4-4.8) for the non-elevated CRP group, respectively (P = 0.082/0.017). Median observation time: 26.1 months; Overall survival at 5 years: 18%. Toxicity>WHO grade 3 was reported: Hand-foot syndrome in 16 patients (36%), diarrhea in 4, and pneumonia in 2 patients. Our data allow us to conclude that the control of tumor-associated inflammation is an important therapeutic principle in patients with metastatic RCC.

Indexed as

AgedAntimetabolites, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsAntiviral AgentsCapecitabineCarcinoma, Renal CellCyclooxygenase 2 InhibitorsDeoxycytidineEtoricoxibFemaleFluorouracilFollow-Up StudiesHumansHypoglycemic AgentsInterferon-alphaKidney NeoplasmsAntimetabolites, AntineoplasticAntiviral AgentsCapecitabineCyclooxygenase 2 InhibitorsDeoxycytidineEtoricoxibFluorouracilHypoglycemic AgentsInterferon-alphaPioglitazonePyridinesSulfonesThiazolidinediones

Identifiers

PMID21607771
OpenAlexW2025488184

What OpenQuestion holds

Textmetadata
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.