Evidence map›Paper›PMID 26294908›Full record

ArticleInternational journal of endocrinology2015

Beneficial Effects of the mTOR Inhibitor Everolimus in Patients with Advanced Medullary Thyroid Carcinoma: Subgroup Results of a Phase II Trial.

T C Schneider, D de Wit, T P Links, N P van Erp, J J M van der Hoeven, H Gelderblom, T van Wezel, R van Eijk, H Morreau, H J Guchelaar and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of endocrinology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Systemic Therapy in Thyroid Cancer.Indian journal of surgical oncology · 2022
    Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Contemporary Management of Anaplastic Thyroid Cancer.Current treatment options in oncology · 2020
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Local ablative therapy of oligoprogressive TKI-treated thyroid cancer.Journal of endocrinological investigation · 2019
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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 3 institutions in 1 country.

T C SchneiderDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands ; Department of Pathology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
D de WitDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
T P LinksDepartment of Endocrinology, University Medical Center Groningen, 9700 RB Groningen, Netherlands.
N P van ErpDepartment of Clinical Pharmacy, Radboud University Nijmegen Medical Center, 6525 GA Nijmegen, Netherlands.
J J M van der HoevenDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
H GelderblomDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
T van WezelDepartment of Pathology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
R van EijkDepartment of Pathology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
H MorreauDepartment of Pathology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
H J GuchelaarDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
E KapiteijnDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands.
Leiden University Medical Center · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. Until recently, advanced medullary thyroid cancer (MTC) had few treatment options except surgery. The mTOR inhibitor everolimus has shown encouraging results in neuroendocrine tumors. As part of a prospective phase II study, we analyzed the safety and efficacy of everolimus in advanced MTC. Methods. Seven patients with per RECIST 1.1 documented advanced MTC were included and received everolimus 10 mg daily. The primary objective was determining treatment efficacy. Secondary endpoints included progression-free survival (PFS), overall survival (OS), toxicity, and pharmacokinetics (PK). Results. Median follow-up duration was 28 weeks (17-147). Five patients (71%) showed SD, of which 4 (57%) showed SD >24 weeks. Median PFS and OS were 33 (95%CI: 8-56) and 30 (95%CI: 15-45) weeks, respectively. Toxicity was predominantly grade 1/2 and included mucositis (43%), fatigue (43%), and hypertriglyceridemia (43%). Four MTCs harbored the somatic RET mutation c.2753T>C, p.Met918Thr. The best clinical response was seen in a MEN2A patient. PK characteristics were consistent with phase I data. One patient exhibited extensive toxicity accompanying elevated everolimus plasma concentrations. Conclusions. This study suggests that everolimus exerts clinically relevant antitumor activity in patients with advanced MTC. Given the high level of clinical benefit and the relatively low toxicity profile, further investigation of everolimus in these patients is warranted.

Identifiers

PMID26294908
PMCPMC4532868
OpenAlexW1542471394

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.