Evidence map›Paper›PMID 21739119›Full record

ArticleCancer chemotherapy and pharmacology2012

Effect of trabectedin on the QT interval in patients with advanced solid tumor malignancies.

R Thertulien, G M Manikhas, L Y Dirix, J B Vermorken, K Park, M M Jain, J J Jiao, J Natarajan, T Parekh, P Zannikos and 1 more

Open access · hybridAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Observational
  4. 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

11 authors at 8 institutions in 5 countries.

R ThertulienCancer Centers of North Carolina-Asheville, 20 Medical Park Drive, Asheville, NC 28803, USA. raymond.thertulien@usoncology.com
G M Manikhas
L Y Dirix
J B Vermorken
K Park
M M Jain
J J Jiao
J Natarajan
T Parekh
P Zannikos
A P Staddon
Johnson & Johnson (United States) · USAntwerp University Hospital · BECancer Care of Western North Carolina · USCity Clinical Oncology Center · RUGZA Ziekenhuizen Campus Sint-Augustinus · BEHematology Oncology Associates · USRuby Hall Clinic · INSungkyunkwan University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary objective of this study was to access the potential effects of trabectedin on the QT/QTc interval in patients with locally advanced or metastatic solid tumors.

methodsPatients (n = 75) who had received ≤3 previous lines of chemotherapy and had either relapsed or had progressive disease were enrolled. Patients were administered 3-h intravenous infusions of placebo (saline) on day 1 and trabectedin (1.3 mg/m(2)) on day 2. Time-matched serial triplicate ECG recordings and pharmacokinetic blood samples were collected over 24 h on both days. Heart rate corrected mean QT intervals and changes from predose baseline in QTc (ΔQTc) were assessed. The difference in ΔQTc between trabectedin and placebo was calculated at each time point (ΔΔQTc).

resultsThe upper limits of the 90% confidence interval for ΔΔQTcF and ΔΔQTcB at all time points were less than the prespecified noninferiority margin of 10 ms (≤6.65 ms). No patient had a QTc > 500 ms or a time-matched increase from baseline in QTc > 60 ms at any time point. Regression analyses indicated ΔΔQTc was poorly correlated with trabectedin concentration. No adverse events suggestive of proarrhythmic potential were reported.

conclusionTrabectedin did not prolong the QTc interval. Safety and pharmacokinetic profiles of trabectedin were similar to that observed in other ovarian and breast cancer studies.

Indexed as

AdolescentAdultAgedAntineoplastic Agents, AlkylatingAstheniaDioxolesElectrocardiographyFemaleHeart RateHumansInfusions, IntravenousMaleMetabolic Clearance RateMiddle AgedNauseaNeoplasmsAntineoplastic Agents, AlkylatingDioxolesTetrahydroisoquinolinesTrabectedin

Identifiers

PMID21739119
PMCPMC3265736
OpenAlexW2080215255

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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.