Evidence map›Paper›PMID 26908330›Full record

Trial reportBritish journal of cancer2016

Circulating biomarkers and outcome from a randomised phase II trial of sunitinib vs everolimus for patients with metastatic renal cell carcinoma.

Martin H Voss, David Chen, Mahtab Marker, A Ari Hakimi, Chung-Han Lee, James J Hsieh, Jennifer J Knox, Maurizio Voi, Robert J Motzer

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.9field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. A framework for target discovery in rare cancers.bioRxiv : the preprint server for biology · 2024
    Article
  4. Review
  5. Article
  6. Review
  7. Tissue based biomarkers in non-clear cell RCC: Correlative analysis from the ASPEN clinical trial.Kidney cancer journal : official journal of the Kidney Cancer Association · 2021
    Article
  8. Review
  9. Article
  10. Review
  11. Novel emerging biomarkers to immunotherapy in kidney cancer.Therapeutic advances in medical oncology · 2021
    Review
  12. Article
  13. Angiogenic Factor and Cytokine Analysis among Patients Treated with Adjuvant VEGFR TKIs in Resected Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
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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

9 authors at 4 institutions in 3 countries.

Martin H VossMemorial Sloan Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA.
David ChenNovartis Oncology, One Health Plaza, East Hanover, NJ 07936-1080, USA.
Mahtab MarkerNovartis Oncology, One Health Plaza, East Hanover, NJ 07936-1080, USA.
A Ari HakimiMemorial Sloan Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA.
Chung-Han LeeMemorial Sloan Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA.
James J HsiehMemorial Sloan Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA.
Jennifer J KnoxPrincess Margaret Cancer Center, University of Toronto, 5-210, 610 University Avenue, Toronto, Ontario M5G-2M9, Canada.
Maurizio VoiNovartis Oncology, One Health Plaza, East Hanover, NJ 07936-1080, USA.
Robert J MotzerMemorial Sloan Kettering Cancer Center, 353 East 68th Street, New York, NY 10065, USA.
Memorial Sloan Kettering Cancer Center · USNovartis (United States) · USNovartis (Switzerland) · CHUniversity of Toronto · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundRECORD-3 assessed non-inferiority of progression-free survival (PFS) with everolimus vs sunitinib in previously untreated patients with metastatic renal cell carcinoma. Baseline plasma sample collection and randomised design enabled correlation of circulating biomarkers with efficacy.

methodsSamples were analysed for 121 cancer-related biomarkers. Analyses of biomarkers categorised patients as high or low (vs median) to assess association with first-line PFS (PFS1L) for each treatment arm. A composite biomarker score (CBS) incorporated biomarkers potentially predictive of PFS1L with everolimus.

resultsPlasma samples from 442 of the 471 randomised patients were analysed. Biomarkers were associated with PFS1L for everolimus alone (29), sunitinib alone (9) or both (12). Everolimus-specific biomarkers (CSF1, ICAM1, IL-18BP, KIM1, TNFRII) with hazard ratio ⩾ 1.8 were integrated into a CBS (range 0-5). For CBS low (0-3, n = 291) vs high (4-5, n = 151), PFS1L differed significantly for everolimus but not for sunitinib. There was no significant difference in PFS1L between everolimus and sunitinib in the high CBS patient cohort.

conclusionsBaseline levels of multiple soluble biomarkers correlated with benefit from everolimus and/or sunitinib, independent of clinical risk factors. A similar PFS1L was observed for both treatments among patients with high CBS score.

Indexed as

Antineoplastic AgentsBiomarkers, TumorCarcinoma, Renal CellCytokinesEverolimusHumansIndolesKaplan-Meier EstimateKidney NeoplasmsNeoplasm MetastasisPyrrolesSunitinibAntineoplastic AgentsBiomarkers, TumorCytokinesEverolimusIndolesPyrrolesSunitinib

Identifiers

PMID26908330
PMCPMC4800293
OpenAlexW2284575850

What OpenQuestion holds

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LicenceCC BY
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.