Evidence map›Paper›PMID 28019092›Full record

Trial reportPediatric blood & cancer2017

Systemic neoadjuvant chemotherapy for Group B intraocular retinoblastoma (ARET0331): A report from the Children's Oncology Group.

Debra L Friedman, Mark Krailo, Doojduen Villaluna, Dan Gombos, Bryan Langholz, Rima Jubran, Carol Shields, Linn Murphree, Joan O'Brien, Sandra Kessel and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Review
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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

13 authors at 11 institutions in 1 country.

Debra L FriedmanDivision of Pediatric Hematology/Oncology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Mark KrailoUniversity of Southern California, Los Angeles, California.
Doojduen VillalunaChildren's Oncology Group, Monrovia, California.
Dan GombosMD Anderson Cancer Center, Houston, Texas.
Bryan LangholzUniversity of Southern California, Los Angeles, California.
Rima JubranChildren's Hospital of Los Angeles, Los Angeles, California.
Carol ShieldsWills Eye Hospital, Philadelphia, Pennsylvania.
Linn MurphreeUniversity of Southern California, Los Angeles, California.
Joan O'BrienUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Sandra KesselImaging and Radiation Oncology Core, Lincoln, Rhode Island.
Carlos Rodriguez-GalindoSt. Jude Children's Research Hospital, Memphis, Tennessee.
Murali ChintagumpalaTexas Children's Hospital, Houston, Texas.
Anna T MeadowsThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Children's Hospital of Los Angeles · USChildren's Oncology Group · USBaylor School · USChildren's Hospital of Philadelphia · USCore Laboratories (United States) · USSt. Jude Children's Research Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity of Pennsylvania · USUniversity of Southern California · USVanderbilt-Ingram Cancer CenterWills Eye Hospital · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

purposeTo evaluate a chemoreduction regimen using systemic vincristine and carboplatin (VC) and local ophthalmic therapies to avoid external-beam radiotherapy (EBRT) or enucleation in patients with Group B intraocular retinoblastoma. PATIENTS AND

methodsTwenty-one patients (25 eyes) were treated with six cycles of VC, accompanied by local ophthalmic therapies after cycle 1. The primary study objective was to determine the 2-year event-free survival (EFS) where an event was defined as the use of systemic chemotherapy in addition to vincristine or carboplatin, EBRT, and/or enucleation.

resultsAll patients had tumor regression after the first cycle of VC and only two patients had progression during therapy. There were seven treatment failures within 2 years of study enrollment, resulting in 2-year EFS of 65% and early study closure in accordance with the statistical design. The 2-year cumulative incidence of enucleation was 15%; for external beam radiation therapy, it was 10%; and for chemotherapy to control progressive disease, it was 10%. All patients sustaining a treatment failure were salvaged with additional therapy.

conclusionsFor the majority of patients with Group B intraocular retinoblastoma, chemoreduction with VC, without etoposide, in conjunction with local therapy provides excellent opportunity for ocular salvage. Local therapy given with every chemotherapy cycle and incorporation of etoposide may provide improved ocular salvage rates. Central review of group at diagnosis is critical in assigning appropriate therapies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarboplatinChemotherapy, AdjuvantChild, PreschoolDisease-Free SurvivalFemaleHumansInfantMaleNeoadjuvant TherapyRetinal NeoplasmsRetinoblastomaVincristineCarboplatinVincristineARET0331Children's Oncology GroupGroup B intraocular retinoblastomaretinoblastomasystemic neoadjuvant chemotherapy

Identifiers

PMID28019092
PMCPMC5651987
OpenAlexW2561741688

What OpenQuestion holds

Textmetadata
LicenceTDM
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.