Evidence map›Paper›PMID 24022187›Full record

Trial reportBritish journal of cancer2013

Trabectedin is a feasible treatment for soft tissue sarcoma patients regardless of patient age: a retrospective pooled analysis of five phase II trials.

A L Cesne, I Judson, R Maki, F Grosso, S Schuetze, M V Mehren, S P Chawla, G D Demetri, A Nieto, A Tanovic and 1 more

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

Trial report in British journal of cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2022
    Guideline
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. The Role of Trabectedin in Soft Tissue Sarcoma.Frontiers in pharmacology · 2022
    Review
  10. Article
  11. Article
  12. Uterine sarcoma - current perspectives.International journal of women's health · 2017
    Review
  13. Targeted therapy for soft tissue sarcomas in adolescents and young adults.Adolescent health, medicine and therapeutics · 2017
    Review
  14. Article
  15. Article
  16. The value of trabectedin in the treatment of soft tissue sarcoma.Therapeutics and clinical risk management · 2016
    Review
  17. Article
  18. Review
  19. Article
  20. Trabectedin for advanced soft tissue sarcomas: optimizing use.Therapeutics and clinical risk management · 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

11 authors at 9 institutions in 6 countries.

A L CesneDepartment of Medicine, Institut Gustave Roussy, 39/53 rue Camille Desmoulins, FR-94805 Villejuif Cedex, France.
I Judson
R Maki
F Grosso
S Schuetze
M V Mehren
S P Chawla
G D Demetri
A Nieto
A Tanovic
J-Y Blay
PharmaMar (Spain) · ESCancer Clinic · USCentre Léon Bérard · FRDana-Farber Cancer Institute · USFox Chase Cancer Center · USMichigan Center for Translational Pathology · USMount Sinai Hospital · USRoyal Marsden NHS Foundation Trust · GBSarcoma Oncology Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective pooled analysis assessed the effect of age on the efficacy and safety of trabectedin in young and elderly patients with recurrent advanced soft tissue sarcoma (STS).

methodsData from 350 adults with STS treated in five phase II trials with trabectedin were divided in the younger (<60 years; n=267) and the older cohort (≥60 years; n=83).

resultsThe response rate did not differ with age (younger: 10.1% vs elderly 9.6%). No significant differences were found in median progression-free survival (PFS) in younger (2.5 months) and older (3.7 months) cohort with a comparable PFS rates at 3 (45.1% vs 55.1%) and 6 months (29.5% vs 36.4%). Similar median overall survival was observed in both cohorts (13.0 vs 14.0 months). Reversible neutropenia and aspartate aminotransferase/alanine aminotransferase elevation were the most common abnormalities. A higher incidence of grade 3/4 neutropenia (43.6% vs 60.2%) and fatigue (6.3% vs 14.4%) was observed in older patients. In 24 patients aged ≥70 years, no significant differences in efficacy or safety outcomes were found.

conclusionThis analysis demonstrated that trabectedin is a feasible treatment in young and elderly patients with STS, with meaningful clinical benefits and an acceptable safety profile, essential in palliative treatment of elderly patients.

Indexed as

AdultAgedAged, 80 and overAge FactorsAntineoplastic Agents, AlkylatingDioxolesDisease-Free SurvivalFemaleHumansMaleMiddle AgedRetrospective StudiesSarcomaTetrahydroisoquinolinesTrabectedinTreatment OutcomeAntineoplastic Agents, AlkylatingDioxolesTetrahydroisoquinolinesTrabectedin

Identifiers

PMID24022187
PMCPMC3790176
OpenAlexW1973742087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.