Evidence map›Paper›PMID 27822939›Full record

Trial reportJournal of Korean medical science2016

A Prospective Multicenter Trial of the Efficacy and Tolerability of Neoadjuvant Sunitinib for Inoperable Metastatic Renal Cell Carcinoma.

Sung Han Kim, Seong Il Seo, Hyun Moo Lee, Han Yong Choi, Seung Hyun Jeon, Hyung Lae Lee, Tae Gyun Kwon, Yong June Kim, Wun Jae Kim, Jinsoo Chung

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of Korean medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

10 authors at 5 institutions in 1 country.

Sung Han KimDepartment of Urology, Center for Prostate Cancer, Research Institute and Hospital of National Cancer Center, Goyang, Korea.ORCID http://orcid.org/0000-0002-1689-5203
Seong Il SeoDepartment of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-9792-7798
Hyun Moo LeeDepartment of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0003-3969-4540
Han Yong ChoiDepartment of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-1980-4899
Seung Hyun JeonDepartment of Urology, Kyung Hee University Hospital, Seoul, Korea.ORCID http://orcid.org/0000-0003-0915-8106
Hyung Lae LeeDepartment of Urology, Kyung Hee University Hospital, Seoul, Korea.ORCID http://orcid.org/0000-0002-4338-7423
Tae Gyun KwonDepartment of Urology, Kyungpook National University Hospital, Deagu, Korea.ORCID http://orcid.org/0000-0002-4390-0952
Yong June KimDepartment of Urology, Chungbuk National University Hospital, Cheongju, Korea.ORCID http://orcid.org/0000-0002-7021-2450
Wun Jae KimDepartment of Urology, Chungbuk National University Hospital, Cheongju, Korea.ORCID http://orcid.org/0000-0002-8060-8926
Jinsoo ChungDepartment of Urology, Center for Prostate Cancer, Research Institute and Hospital of National Cancer Center, Goyang, Korea. cjs5225@ncc.re.kr.ORCID http://orcid.org/0000-0003-2251-5331
Samsung Medical Center · KRChungbuk National University Hospital · KRNational Cancer Center · KRKyung Hee University · KRKyungpook National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the efficacy, safety, and tolerability of 2-cycled neoadjuvant sunitinib therapy (NST) in patients with inoperable metastatic renal cell carcinoma (mRCC). Between 2009 and 2012, 14 patients with inoperable mRCC from 5 Korean academic centers were prospectively enrolled after collecting their clinicopathological data and completing health-related questionnaires. The best overall response (BOR), safety profile, and changes in quality of life during NST were assessed using the RECIST criteria (version 1.0), CTCAE criteria (version 4.0), and the Cancer Quality of Life Questionnaire (QLQ-C30). Among the 14 patients, 9 patients (64.3%) experienced partial response or stable disease state, and 5 patients (35.7%) did not complete treatment, with 1 case of disease progression (7.1%), 3 grade 3 adverse events (21.4%), and 1 voluntary withdrawal (7.1%). Four patients (28.6%) were successfully converted to an operable state and underwent surgery after NST. The BOR for the primary renal lesions was 22.2%, with a median 1.3-cm diameter reduction (range: 0-2.8 cm) from a baseline diameter of 10.3 cm (range: 6.6-15.8 cm). The other 18 measurable metastatic lesions exhibited a BOR of 55.6%. The QLQ-C30 questionnaire results revealed significant improvements in the quality of life domain, although we observed significant increases in the scores for fatigue, nausea and vomiting, and the financial effects of NST (P < 0.05). Two-cycle NST provided limited efficacy for resectability of inoperable mRCC, despite mild improvements in the BOR of the primary lesion and quality of life (Clinical Trial Registry 1041140-1).

Indexed as

AgedAntineoplastic AgentsCarcinoma, Renal CellFatigueFemaleHumansIndolesKidney NeoplasmsMaleMiddle AgedNauseaNeoadjuvant TherapyProspective StudiesPyrrolesQuality of LifeSunitinibAntineoplastic AgentsIndolesPyrrolesSunitinibCarcinoma, Renal CellMetastasisNeoadjuvant TherapyNeoplasmTargeted Molecular Therapy

Identifiers

PMID27822939
PMCPMC5102864
OpenAlexW2539641070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.