Evidence map›Paper›PMID 22761653›Full record

Trial reportPloS one2012

Phase II trial of concurrent sunitinib and image-guided radiotherapy for oligometastases.

Charles C L Tong, Eric C Ko, Max W Sung, Jamie A Cesaretti, Richard G Stock, Stuart H Packer, Kevin Forsythe, Eric M Genden, Myron Schwartz, K H Vincent Lau and 4 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00463060 (Phase I/II Study of Stereotactic Radiation Therapy and Concurrent and Adjuvant Sutent), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00463060 phase1 / phase2completednot on this map

Phase I/II Study of Stereotactic Radiation Therapy and Concurrent and Adjuvant Sutent (SU11248) as Treatment for Oligometastatic Disease

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2007 to 2014Enrolled47ConditionsCancerArmssunitinib malate (Sutent), radiotherapy
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Myeloid-Derived Suppressor Cells as an Immune Parameter in Patients with Concurrent Sunitinib and Stereotactic Body Radiotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
    Trial
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  4. Drug repurposing for cancer therapy.Signal transduction and targeted therapy · 2024
    Review
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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

14 authors.

Charles C L TongDepartment of Radiation Oncology, Mount Sinai Medical Center, New York, New York, United States of America.
Eric C Ko
Max W Sung
Jamie A Cesaretti
Richard G Stock
Stuart H Packer
Kevin Forsythe
Eric M Genden
Myron Schwartz
K H Vincent Lau
Matthew Galsky
Junko Ozao-Choy
Shu-Hsia Chen
Johnny Kao

Funding

Myeloid Suppressor Cell-Mediated Immune Suppression of Tumor Specific T CellsR01CA109322 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHEN, SHU-HSIA · 2006 to 2015
$3.2M
NCI NIH HHS R01 CA109322
6 · The paper itself

Abstract

backgroundPreclinical data suggest that sunitinib enhances the efficacy of radiotherapy. We tested the combination of sunitinib and hypofractionated image-guided radiotherapy (IGRT) in a cohort of patients with historically incurable distant metastases.

methodsTwenty five patients with oligometastases, defined as 1-5 sites of active disease on whole body imaging, were enrolled in a phase II trial from 2/08 to 9/10. The most common tumor types treated were head and neck, liver, lung, kidney and prostate cancers. Patients were treated with the recommended phase II dose of 37.5 mg daily sunitinib (days 1-28) and IGRT 50 Gy (days 8-12 and 15-19). Maintenance sunitinib was used in 33% of patients. Median follow up was 17.5 months (range, 0.7 to 37.4 months).

resultsThe 18-month local control, distant control, progression-free survival (PFS) and overall survival (OS) were 75%, 52%, 56% and 71%, respectively. At last follow-up, 11 (44%) patients were alive without evidence of disease, 7 (28%) were alive with distant metastases, 3 (12%) were dead from distant metastases, 3 (12%) were dead from comorbid illness, and 1 (4%) was dead from treatment-related toxicities. The incidence of acute grade ≥ 3 toxicities was 28%, most commonly myelosuppression, bleeding and abnormal liver function tests.

conclusionsConcurrent sunitinib and IGRT achieves major clinical responses in a subset of patients with oligometastases.

trial registrationClinicalTrials.gov NCT00463060.

Indexed as

ChemoradiotherapyRadiotherapy, Image-GuidedAgedAged, 80 and overAntineoplastic AgentsDose Fractionation, RadiationFemaleFollow-Up StudiesHumansIndolesMaleMiddle AgedNeoplasm MetastasisNeoplasmsPrognosisPyrrolesAntineoplastic AgentsIndolesPyrrolesSunitinib

Identifiers

PMID22761653
PMCPMC3384658

What OpenQuestion holds

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Registered trials

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.