Evidence map›Paper›PMID 24361229›Full record

Trial reportEuropean journal of cancer (Oxford, England : 1990)2014

Early response as assessed by anatomic imaging does not predict failure-free survival among patients with Group III rhabdomyosarcoma: a report from the Children's Oncology Group.

Abby R Rosenberg, James R Anderson, Elizabeth Lyden, David A Rodeberg, Suzanne L Wolden, Simon C Kao, David M Parham, Carola Arndt, Douglas S Hawkins

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of cancer (Oxford, England : 1990), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Guideline
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  18. GEIS-SEHOP clinical practice guidelines for the treatment of rhabdomyosarcoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  19. Article
  20. Article
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 7 institutions in 1 country.

Abby R RosenbergSeattle Children's Hospital, Seattle, WA, United States; Fred Hutchinson Cancer Research Center, Seattle, WA, United States; University of Washington, Seattle, WA, United States. Electronic address: abby.rosenberg@seattlechildrens.org.
James R AndersonUniversity of Nebraska Medical Center, Omaha, NE, United States.
Elizabeth LydenUniversity of Nebraska Medical Center, Omaha, NE, United States.
David A RodebergEast Carolina University, Greenville, NC, United States.
Suzanne L WoldenMemorial Sloan Kettering Cancer Center, New York, NY, United States.
Simon C KaoThe University of Iowa College of Medicine, Iowa City, IA, United States.
David M ParhamUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.
Carola ArndtMayo Clinic, Rochester, MN, United States.
Douglas S HawkinsSeattle Children's Hospital, Seattle, WA, United States; Fred Hutchinson Cancer Research Center, Seattle, WA, United States; University of Washington, Seattle, WA, United States.
Fred Hutch Cancer Center · USUniversity of Nebraska Medical Center · USEast Carolina University · USMayo Clinic in Arizona · USMemorial Sloan Kettering Cancer Center · USUniversity of Iowa · USUniversity of Oklahoma Health Sciences Center · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
NCI NIH HHS L40 CA170049NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U10 CA98413NCI NIH HHS U10CA98543
6 · The paper itself

Abstract

backgroundThe prognostic significance of response to induction therapy for rhabdomyosarcoma (RMS) by anatomic imaging [computerised tomographic (CT) or magnetic resonance imaging (MRI) scan] is controversial. We previously reported no relationship between early response and failure-free survival (FFS) on Intergroup Rhabdomyosarcoma Study (IRS)-IV. We repeated the same analysis using a more recent clinical trial as an independent cohort of patients with non-metastatic, initially unresected RMS.

methodsA total of 338 patients enrolled in Children's Oncology Group (COG) study D9803 met the inclusion criteria for this analysis: (1) non-metastatic, initially unresected (Group III); (2) embryonal (ERMS) or alveolar (ARMS) histology; (3) documented protocol week 12 response to induction chemotherapy (excluding progressive disease) based on anatomic imaging (CT/MRI) and (4) documented protocol therapy beyond week 12. Response at week 12 was determined by the treating institution as complete response (CR), partial response (PR) or no response (NR). FFS was estimated using the Kaplan-Meier method and comparisons between patient subsets were made using the log-rank test.

resultsOverall objective response rate (CR+PR) at week 12 of therapy was 85% and was similar between ERMS and ARMS. FFS was similar among all patients with CR, PR or NR (p=0.49). Restricting the analysis to either ERMS or ARMS, there was no difference in FFS by response within either histology subset (p=0.89 and p=0.08, respectively).

conclusionsThese findings provide additional evidence that anatomic imaging to assess early response to therapy among patients with RMS does not predict outcome and has questionable use in tailoring subsequent therapy.

Indexed as

Induction ChemotherapyAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolDisease-Free SurvivalEarly Detection of CancerFemaleHumansInfantMagnetic Resonance ImagingMalePrognosisRhabdomyosarcomaTomography, X-Ray ComputedTreatment OutcomePaediatric cancerRhabdomyosarcomaSarcomaSurvival outcomes

Identifiers

PMID24361229
PMCPMC3944684
OpenAlexW1972830050

What OpenQuestion holds

Textmetadata
LicenceTDM
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.