Evidence map›Paper›PMID 26334693›Full record

ArticleOncotarget2015

Prognostic clinical factors in pretreated colorectal cancer patients receiving regorafenib: implications for clinical management.

Michela Del Prete, Riccardo Giampieri, Fotios Loupakis, Tiziana Prochilo, Lisa Salvatore, Luca Faloppi, Maristella Bianconi, Alessandro Bittoni, Giuseppe Aprile, Alberto Zaniboni and 3 more

Abstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
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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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

13 authors.

Michela Del PreteMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.
Riccardo GiampieriMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.
Fotios LoupakisMedical Oncology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Tiziana ProchiloMedical Oncology, Fondazione Poliambulanza, Brescia, Italy.
Lisa SalvatoreMedical Oncology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Luca FaloppiMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.
Maristella BianconiMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.
Alessandro BittoniMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.
Giuseppe AprileMedical Oncology, Azienda Ospedaliero-Universitaria "S. Maria della Misericordia", Udine, Italy.
Alberto ZaniboniMedical Oncology, Fondazione Poliambulanza, Brescia, Italy.
Alfredo FalconeMedical Oncology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Mario ScartozziMedical Oncology, Azienda Ospedaliero-Universitaria di Cagliari, Monserrato, Cagliari, Italy.
Stefano CascinuMedical Oncology, AO Ospedali Riuniti-Università Politecnica delle Marche, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the impact on survival of angiogenesis and inflammation-related factors, particularly LDH serum levels, platelet, neutrophil and lymphocyte counts, and neutrophil-to-lymphocyte ratio (NLR), in metastatic colorectal cancer patients receiving regorafenib monotherapy.

methodsLDH serum levels, neutrophil, lymphocyte and platelet counts were collected at the start of regorafenib monotherapy. Cut-off values were calculated by ROC curve analysis. Survival analyses were performed by Kaplan-Meier method, and multivariate analysis by Cox method.

resultsA total of 208 patients were eligible for analysis. Among factors who were related with worse overall survival and who maintained their role at the multivariate analysis, high platelet count (Exp(b):1.4963, 95% CI:1.0130-2.2103, p = 0.0439) and high neutrophil/lymphocyte ratio (Exp(b):1.6963, 95% CI:1.0757-2.6751, p = 0.0237) were those who more deeply were related to worse overall survival. High lymphocyte count (Exp(b):0.4527, 95% CI:0.2801-0.7316, p = 0.0013) was correlated with improved overall survival.

conclusionsHigh neutrophil, high platelet, low lymphocyte count and/or high NLR may represent negative prognostic factors in patients receiving regorafenib monotherapy. It is advisable that these factors are taken into account in the design of subsequent trials in colorectal cancer patients receiving this drug.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBlood PlateletsColorectal NeoplasmsFemaleHumansInflammationKaplan-Meier EstimateL-Lactate DehydrogenaseLymphocyte CountLymphocytesMaleMiddle AgedMultivariate AnalysisAntineoplastic AgentsL-Lactate DehydrogenasePhenylurea CompoundsPyridinesregorafenibcolorectal cancerLDHneutrophil/lymphocyte ratioprognostic factorsregorafenib

Identifiers

PMID26334693
PMCPMC4741819

What OpenQuestion holds

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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.