Evidence map›Paper›PMID 26541413›Full record

ArticleBMC cancer2015

Off-label use of targeted therapies in osteosarcomas: data from the French registry OUTC'S (Observatoire de l'Utilisation des Thérapies Ciblées dans les Sarcomes).

Mathilde Penel-Page, Isabelle Ray-Coquard, Julie Larcade, Magali Girodet, Laure Bouclier, Muriel Rogasik, Nadège Corradini, Natacha Entz-Werle, Laurence Brugieres, Julien Domont and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.4field-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

24 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Review
  5. Review
  6. Activity of pazopanib inOncoscience · 2023
    Article
  7. Article
  8. Challenges of Systemic Therapy Investigations for Bone Sarcomas.International journal of molecular sciences · 2022
    Review
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  10. Article
  11. Review
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  18. Observational
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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

21 authors at 13 institutions in 1 country.

Mathilde Penel-PageDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. p.mathilde@free.fr.
Isabelle Ray-CoquardDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. isabelle.ray-coquard@lyon.unicancer.fr.
Julie LarcadeDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. julie.larcade@gmail.com.
Magali GirodetDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. magali.girodet@lyon.unicancer.fr.
Laure BouclierDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. laure.bouclier@lyon.unicancer.fr.
Muriel RogasikDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. muriel.rogasik@lyon.unicancer.fr.
Nadège CorradiniHôpital Mère-enfant, 7 quai Moncousu, Nantes, France. nadege.corradini@chu-nantes.fr.
Natacha Entz-WerleCHU Hautepierre, 1 avenue Molière, Strasbourg, France. natacha.entz-werle@chru-strasbourg.fr.
Laurence BrugieresInstitut Gustave Roussy, 114 Rue Edouard Vaillant, Villejuif, France. laurence.brugieres@igr.fr.
Julien DomontInstitut Gustave Roussy, 114 Rue Edouard Vaillant, Villejuif, France. julien.domont@gustaveroussy.fr.
Cyril LervatCentre Oscar Lambret, 3 rue Frédéric Combemale, Lille, France. c-lervat@o-lambret.fr.
Sophie Piperno-NeumannInstitut Curie, 26 rue d'Ulm, Paris, France. sophie.piperno-neumann@curie.fr.
Helène PacquementInstitut Curie, 26 rue d'Ulm, Paris, France. helene.pacquement@curie.fr.
Jacques-Olivier BayCentre Jean Perrin, 58 Rue Montalembert, Clermont-Ferrand, France. jobay@chu-clermontferrand.fr.
Jean-Claude GentetCHU La Timone, 264 rue Saint-Pierre, Marseille, France. jcgentet@ap-hm.fr.
Antoine ThyssCentre Antoine Lacassagne, 33 Avenue Valombrose, Nice, France. antoine.thyss@nice.unicancer.fr.
Loic ChaigneauCHU Jean Minjoz, 2 Bd Fleming, Besançon, France. chaigneau.loic@orange.fr.
Bérangère NarcisoCHU Bretonneau, 2 Bd Tonnellé, Tours, France. narciso@med.univ-tours.fr.
Helène CornilleCHU Raymond Poincaré, 104 Bd Raymond Poincaré, Garches, France. helene.cornille@rpc.aphp.fr.
Jean-Yves BlayDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. jean.yves-blay@lyon.unicancer.fr.
Perrine Marec-BérardDepartment of Pediatric Oncology, Léon Bérard Cancer Center, 28, rue Laennec, 69008, Lyon, France. perrine.marec-berard@ihope.fr.
Université Claude Bernard Lyon 1 · FRCentre Léon Bérard · FRInstitut Curie · FRInstitut Gustave Roussy · FRCentre Antoine Lacassagne · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Tours · FRCentre Jean Perrin · FRCentre Oscar Lambret · FRHôpital de la Timone · FRHôpital d'Hautepierre · FRHôpital Mère-Enfant · FRHôpital Raymond-Poincaré · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study is to explore the off-label use of targeted therapies (TTs) for patients with osteosarcoma registered within the French Sarcoma Group--Bone Tumor Study Group (GSF-GETO) national registry.

methodsAll patients with an osteosarcoma, registered between January 1, 2009 and July 15, 2013 were analyzed.

resultsTwenty-nine patients with refractory relapsed osteosarcomas received 33 treatment lines of TTs. The median age at the beginning of treatment was 19 years (range 9-72). The median number of previous lines of chemotherapy was 3 (range 1-8). Before inclusion, 3 patients were in second complete remission, 26 were in progression for metastatic relapse. Twenty-three patients received sirolimus (in combination with cyclophosphamide for 18); 5, sunitinib; 4, sorafenib; and one, pazopanib. Stable disease was observed for 45.5% of patients (95% Confidence Interval (CI) [20-52.8]). The median Progression-Free Survival (PFS) was 3 months (95% CI [2-5.4]) for patients treated by sirolimus and 1.8 months (95% CI [1.3-2.8]) for patients receiving multi-targeted tyrosine kinase inhibitors; 6-month PFS 15%. The median Overall Survival (OS) was 6.8 months (95% CI [4.7-12.1]), and one-year OS was 24%. In a multivariate analysis, PFS was superior for patients receiving sirolimus compared to other TTs (Hazard Ratio (HR) = 2.7, 95% CI [1.05-7.1]). No toxic death was reported. Grade 3 and 4 toxicities were observed in 27 and 6% of cases respectively.

conclusionOff-label TTs, especially sirolimus, reported benefit in the treatment of refractory osteosarcomas with an acceptable toxicity profile, including in pediatric population.

Indexed as

Molecular Targeted TherapyOff-Label UseAdolescentAdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsChildFemaleFollow-Up StudiesFranceHumansMaleMiddle AgedNeoplasm GradingNeoplasm Recurrence, LocalAntineoplastic Agents

Identifiers

PMID26541413
PMCPMC4635968
OpenAlexW2125474267

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.