Evidence map›Paper›PMID 26452347›Full record

Trial reportBMC cancer2015

Phase II clinical trial of sorafenib plus interferon-alpha treatment for patients with metastatic renal cell carcinoma in Japan.

Masatoshi Eto, Yoshiaki Kawano, Yoshihiko Hirao, Koji Mita, Yoichi Arai, Taiji Tsukamoto, Katsuyoshi Hashine, Akio Matsubara, Tomoaki Fujioka, Go Kimura and 5 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 12 citations in OpenAlex.

  1. Trial
  2. Targeting inflammation as cancer therapy.Journal of hematology & oncology · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. The role of immunotherapy in advanced renal cell carcinoma: Review.International braz j urol : official journal of the Brazilian Society of Urology
    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

15 authors at 10 institutions in 1 country.

Masatoshi EtoDepartment of Urology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. etom@kumamoto-u.ac.jp.
Yoshiaki KawanoDepartment of Urology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. yoshiaki.kawano@gmail.com.
Yoshihiko HiraoDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8521, Japan. hiraoyos@gmail.com.
Koji MitaDepartment of Urology, Hiroshima City Asa Hospital, 2-1-1 Kabeminami, Asa, Kita-ku, Hiroshima, 731-0293, Japan. mita@plum.ocn.ne.jp.
Yoichi AraiDepartment of Urology, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan. yarai@uro.med.tohoku.ac.jp.
Taiji TsukamotoDepartment of Urology, Sapporo Medical University, S1 W17, Chuo-ku, Sapporo, 060-8556, Japan. taijit@sapmed.ac.jp.
Katsuyoshi HashineDepartment of Urology, National Hospital Organization Shikoku Cancer Center, 160 Kou, Minamiumemoto-chou, Matsuyama, 791-0280, Japan. khashine@shikoku-cc.go.jp.
Akio MatsubaraDepartment of Urology, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. matsua@hiroshima-u.ac.jp.
Tomoaki FujiokaDepartment of Urology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505, Japan. tomof@iwate-med.ac.jp.
Go KimuraDepartment of Urology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8602, Japan. gokimura@nms.ac.jp.
Nobuo ShinoharaDepartment of Urology, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan. nozomis@mbj.nifty.com.
Katsunori TatsugamiDepartment of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. ktatsu@uro.med.kyushu-u.ac.jp.
Shiro HinotsuDepartment of Phamacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Yoshida-Konoe-sho, Sakyo-ku, Kyoto, 606-8501, Japan. hinotsus@cc.okayama-u.ac.jp.
Seiji NaitoDepartment of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. naito@uro.med.kyushu-u.ac.jp.
Japan RCC Trialist Collaborative Group (JRTCG) investigators
Kyushu University · JPHiroshima University · JPSapporo Medical University · JPHiroshima City Asa Citizens Hospital · JPHokkaido University · JPIwate Medical University · JPKumamoto University · JPKumamoto University Hospital · JPNara Medical University · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo improve antitumor effects against metastatic renal cell carcinoma (mRCC), use of molecular target-based drugs in sequential or combination therapy has been advocated. In combination therapy, interferon (IFN)-α amplified the effect of sorafenib in our murine model (J Urol 184:2549, 2010), and cytokine-treated mRCC patients in Japan had good prognoses (Eur Urol 57:317, 2010). We thus conducted a phase II clinical trial of sorafenib plus IFN-α for untreated mRCC patients in Japan.

methodsIn this multicenter, prospective study, provisionally registered patients with histologically confirmed metastatic clear cell RCC received natural IFN-α (3 dosages of 3 million U per week) for 2 weeks. Only IFN-α-tolerant patients were registered to this trial, and treated additionally with oral sorafenib (400 mg, bid). The primary end point of the study was rate of response (CR + PR) to sorafenib plus IFN-α treatment assessed using RECIST v1.0. The secondary end points were disease control rate (CR + PR + SD), progression free survival (PFS), overall survival (OS), and safety of the combined treatment. PFS and OS curves were plotted using the Kaplan-Meier method.

resultsFrom July 2009 to July 2012, a total of 53 untreated patients were provisionally registered, and 51 patients were finally registered. Rate of Response to the combined therapy of sorafenib plus IFN-α was 26.2 % (11/42) (CR 1, PR 10). The median PFS was 10.1 months (95 % CI, 6.4 to 18.5 months), and the median OS has not been reached yet. The combined therapy increased neither the incidence of adverse effects (AE) nor the incidence of unexpected AE. A limitation was that a relatively high number of patients (9 patients) were excluded for eligibility criteria violations.

conclusionOur data have demonstrated that sorafenib plus IFN-α treatment is safe and effective for untreated mRCC patients.

trial registrationUMIN000002466 , 9(th) September, 2009.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Renal CellFemaleHumansInterferon-alphaJapanKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedNeoplasm MetastasisNiacinamidePhenylurea CompoundsSorafenibInterferon-alphaNiacinamidePhenylurea CompoundsSorafenib

Identifiers

PMID26452347
PMCPMC4600287
OpenAlexW1953996694

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.