Evidence map›Paper›PMID 25422908›Full record

ArticleBritish journal of cancer2015

Effects of preset sequential administrations of sunitinib and everolimus on tumour differentiation in Caki-1 renal cell carcinoma.

C Dos Santos, A Tijeras-Raballand, M Serova, S Sebbagh, K Slimane, S Faivre, A de Gramont, E Raymond

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

C Dos Santos1] AAREC Filia Research, 1 place Paul Verlaine, 92100 Boulogne Billancourt, France [2] Inserm U728, Department of Medical Oncology, Beaujon University Hospital, 100 Boulevard du general Leclerc, 92110 Clichy, France.
A Tijeras-Raballand1] AAREC Filia Research, 1 place Paul Verlaine, 92100 Boulogne Billancourt, France [2] Inserm U728, Department of Medical Oncology, Beaujon University Hospital, 100 Boulevard du general Leclerc, 92110 Clichy, France.
M Serova1] AAREC Filia Research, 1 place Paul Verlaine, 92100 Boulogne Billancourt, France [2] Inserm U728, Department of Medical Oncology, Beaujon University Hospital, 100 Boulevard du general Leclerc, 92110 Clichy, France.
S SebbaghInserm U728, Department of Medical Oncology, Beaujon University Hospital, 100 Boulevard du general Leclerc, 92110 Clichy, France.
K SlimaneNovartis Pharma SAS, 2 et 4 rue Lionel Terray, 92506 Rueil Malmaison, France.
S FaivreNew drugs Evaluation Laboratory, Center of Experimental Therapeutics and Medical Oncology, Oncology Department, CHUV, Lausanne Switzerland.
A de Gramont1] AAREC Filia Research, 1 place Paul Verlaine, 92100 Boulogne Billancourt, France [2] New drugs Evaluation Laboratory, Center of Experimental Therapeutics and Medical Oncology, Oncology Department, CHUV, Lausanne Switzerland.
E RaymondInserm U728, Department of Medical Oncology, Beaujon University Hospital, 100 Boulevard du general Leclerc, 92110 Clichy, France.
Fidal · FRUniversity Hospital of Lausanne · CHHôpital Beaujon · FRInserm · FRNovartis (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSunitinib (VEGFR/PDGFR inhibitor) and everolimus (mTOR inhibitor) are both approved for advanced renal cell carcinoma (RCC) as first-line and second-line therapy, respectively. In the clinics, sunitinib treatment is limited by the emergence of acquired resistance, leading to a switch to second-line treatment at progression, often based on everolimus. No data have been yet generated on programmed alternating sequential strategies combining alternative use of sunitinib and everolimus before progression. Such strategy is expected to delay the emergence of acquired resistance and improve tumour control. The aim of our study was to assess the changes in tumours induced by three different sequences administration of sunitinib and everolimus.

methodsIn human Caki-1 RCC xenograft model, sunitinib was alternated with everolimus every week, every 2 weeks, or every 3 weeks. Effects on necrosis, hypoxia, angiogenesis, and EMT status were assessed by immunohisochemistry and immunofluorescence.

resultsSunitinib and everolimus programmed sequential regimens before progression yielded longer median time to tumour progression than sunitinib and everolimus monotherapies. In each group of treatment, tumour growth control was associated with inhibition of mTOR pathway and changes from a mesenchymal towards an epithelial phenotype, with a decrease in vimentin and an increase in E-cadherin expression. The sequential combinations of these two agents in a RCC mouse clinical trial induced antiangiogenic effects, leading to tumour necrosis.

conclusionsIn summary, our study showed that alternate sequence of sunitinib and everolimus mitigated the development of mesenchymal phenotype compared with sunitinib as single agent.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Renal CellCell DifferentiationDrug Administration ScheduleEverolimusFemaleHumansIndolesKidney NeoplasmsMiceMice, NudeNeovascularization, PathologicPyrrolesSirolimusSunitinibEverolimusIndolesPyrrolesSirolimusSunitinib

Identifiers

PMID25422908
PMCPMC4453618
OpenAlexW1975744019

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.