Evidence map›Paper›PMID 26975779›Full record

ArticleBMC cancer2016

Efficacy and safety of Vinflunine for advanced or metastatic urothelial carcinoma in routine practice based on the French multi-centre CURVE study.

Jacques Médioni, Mario Di Palma, Aline Guillot, Dominique Spaeth, Christine Théodore

Open access · goldAbstract readClinical StudyMulticenter Study
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Jacques MédioniMedical Oncology Department, Hôpital Européen Georges Pompidou, 20, rue Leblanc, 75015, Paris, France. jacquesmedioni@gmail.com.
Mario Di PalmaDepartment of Medicine, Gustave Roussy Institute, 114 Rue Édouard Vaillant, 94805, Villejuif, France.
Aline GuillotLucien Neuwirth Institute of Cancerology, 108 B Avenue Albert Raimond, 42270, Saint-Priest-en-Jarez, France.
Dominique SpaethGentilly Oncology Centre, 2 rue Marie Marvingt, 54100, Nancy, France.
Christine ThéodoreDepartment of Oncology, Hôpital Foch, 92151, Suresnes, France.
Hôpital Européen · FRHôpital Foch · FRInstitute Cancer De La Loire Lucien Neuwirth · FRInstitut Gustave Roussy · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo retrospectively assess the efficacy and safety of Vinflunine (VFL) under routine conditions and identify overall survival (OS) prognostic factors.

methodsTwenty centres participated in the retrospective study (minimum 4 patients undergoing VFL treatment for advanced/metastatic UC after platinum-based regimen progression. Primary endpoint was OS. Secondary endpoints: progression-free survival (PFS), radiological response rate (RR) RECIST criteria and toxicity (CTC NCI v3).

resultsThese centres enrolled 134 patients. Prior chemotherapy (CT) lines (≥ 1 palliative): 1 and ≥ 2 in 69% and 26% of patients, respectively. Performance status (PS): 0, 1, 2 in 25%, 46% and 23% of patients. Median OS = 8.2 months [6.5-9.4], PFS = 4.2 months and RR 22%, median number of 5 cycles. In risk groups based on 0-3 presence of adverse prognostic factors (PS ≥ 1, haemoglobin ≤ 10 g/dl and liver metastasis), median OS: 13.2, 9.9, 3.6, and 2.4 months (P < .0001), respectively; 3.3 months (1.9-5.6) in PS ≥ 2 subgroup.

conclusionThis study reflects routine UC management and confirmed VFL patient efficacy. The drug is safe with gastro-intestinal and haematological prophylaxis. Analysis of prognostic factors for OS is consistent with pivotal trials.

Indexed as

AdultAgedAged, 80 and overCarcinomaDisease-Free SurvivalDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedNeoplasm MetastasisPlatinumRetrospective StudiesUrologic NeoplasmsUrotheliumVinblastinePlatinumVinblastinevinflunineChemotherapyCURVE (urothelial carcinoma patients treated by VinfluninE study-in French)MetastaticPlatinum pre-treatedRoutineUrothelial carcinomaVinflunine

Identifiers

PMID26975779
PMCPMC4792100
OpenAlexW2301470659

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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.