Evidence map›Paper›PMID 25420707›Full record

Trial reportBMC cancer2014

The off-label use of targeted therapies in sarcomas: the OUTC'S program.

Lauriane Eberst, Claire Cropet, Axel Le Cesne, Patricia Pautier, Nicolas Penel, Antoine Adenis, Christine Chevreau, Jacques-Olivier Bay, Olivier Collard, Didier Cupissol and 11 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.6field-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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Off-label use of targeted therapies in oncology.World journal of clinical oncology · 2016
    Review
  7. Observational
  8. 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

21 authors at 13 institutions in 1 country.

Lauriane Eberst
Claire Cropet
Axel Le Cesne
Patricia Pautier
Nicolas Penel
Antoine Adenis
Christine Chevreau
Jacques-Olivier Bay
Olivier Collard
Didier Cupissol
Florence Duffaud
Jean-Claude Gentet
Sophie Piperno-Neumann
Perrine Marec-Berard
Emmanuelle Bompas
Antoine Thyss
Loic Chaigneau
Philippe Cassier
François Bertucci
Jean-Yves Blay
Isabelle Ray-CoquardCentre Léon Bérard, 28 rue Laennec 69 373, LYON CEDEX 08, France. isabelle.ray-coquard@lyon.unicancer.fr.
Centre Léon Bérard · FRUniversité Claude Bernard Lyon 1 · FRCentre Oscar Lambret · FRHôpital de la Timone · FRInstitut Gustave Roussy · FRCentre Antoine Lacassagne · FRCentre Hospitalier Universitaire de Besançon · FRCentre Jean Perrin · FRInstitut Claudius Regaud · FRInstitut Curie · FRInstitut de Recherche en Cancérologie de Montpellier · FRInstitute Cancer De La Loire Lucien Neuwirth · FRInstitut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew targeted therapies (TTs) are registered for sarcoma treatment despite numerous phase II studies and yet there are potential treatment options for patients after standard treatment escape. The French Sarcoma Group - Bone Tumor Study Group (GSF-GETO) created a national registry to evaluate the outcome of patients treated with off-label TTs.

methodsEvery consecutive sarcoma-patient receiving an off-label TT outside a clinical trial was included. The objective was to describe this patient efficacy and safety data in routine practice.

resultsFrom October 2008 to October 2011, 249 patients in 24 centers received 278 treatment lines with TTs. Twenty-five histological subtypes were included: most frequent were leiomyosarcoma (n=48, receiving sorafenib in 63%, and sunitinib in 27%), GIST (n=39, receiving sorafenib in 79%), and angiosarcoma (n=18, receiving sorafenib in 78%). The overall response rate to TTs was 15% (95% CI [10,6-20,2]), the disease control rate at 2 months was 59%. The median progression-free survival was 4,1 months (IC 95% [3,2-4,8]). Three complete responses were observed. No toxic death occurred, grade 3 and 4 toxicities were reported in 74 (27%) and 14 patients (5%) respectively.

conclusionOff-label TTs can be used for sarcoma patients in routine practice with an acceptable toxicity profile and efficacy similar to that reported in non-randomized clinical trials.

Indexed as

Off-Label UseAdolescentAdultAgedAntineoplastic AgentsCyclophosphamideDisease-Free SurvivalDrug Delivery SystemsFemaleHumansIndolesMaleMiddle AgedNiacinamidePhenylurea CompoundsPyrrolesAntineoplastic AgentsCyclophosphamideIndolesNiacinamidePhenylurea CompoundsPyrrolesSirolimusSorafenibSunitinib

Identifiers

PMID25420707
PMCPMC4289372
OpenAlexW2117981962

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.