Evidence map›Paper›PMID 28029447›Full record

Trial reportGynecologic oncology2017

A phase II evaluation of ixabepilone in the treatment of recurrent/persistent carcinosarcoma of the uterus, an NRG Oncology/Gynecologic Oncology Group study.

Carolyn K McCourt, Wei Deng, Don S Dizon, Heather A Lankes, Michael J Birrer, Michele M Lomme, Matthew A Powell, James E Kendrick, Joel N Saltzman, David Warshal and 3 more

Open access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Uterine carcinosarcoma: Unraveling the role of epithelial-to-mesenchymal transition in progression and therapeutic potential.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Review
  3. Epothilones as Natural Compounds for Novel Anticancer Drugs Development.International journal of molecular sciences · 2023
    Review
  4. Update on Chemotherapy-Induced Peripheral Neuropathy.Current neurology and neuroscience reports · 2017
    Review
  5. New therapies for advanced, recurrent, and metastatic endometrial cancers.Gynecologic oncology research and practice · 2017
    Review
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 9 institutions in 1 country.

Carolyn K McCourtDept. of Gynecologic Oncology, Washington University School of Medicine, Saint Louis, MO 63110, United States. Electronic address: mccourtc@wudosis.wustl.edu.
Wei DengNRG Oncology Statistics & Data Management Center, Roswell Park Cancer Institute, Buffalo, NY 14263, United States. Electronic address: wdeng@gogstats.org.
Don S DizonDept. of Gynecologic Oncology, Massachusetts General Hospital Cancer Center, Boston, MA 02114, United States. Electronic address: ddizon@mgh.harvard.edu.
Heather A LankesNRG Oncology Statistics & Data Management Center, Roswell Park Cancer Institute, Buffalo, NY 14263, United States. Electronic address: hlankes@gogstats.org.
Michael J BirrerDept. of Gynecologic Oncology, Massachusetts General Hospital Cancer Center, Boston, MA 02114, United States. Electronic address: mbirrer@partners.org.
Michele M LommeDept. of Pathology, Women & Infants Hospital of Rhode Island, Providence, RI 02905, United States. Electronic address: mlomme@wihri.org.
Matthew A PowellDept. of Obstetrics & Gynecology, Washington University School of Medicine, Saint Louis, MO 63110, United States. Electronic address: mpowell@wustl.edu.
James E KendrickDept. of Gynecologic Oncology, Florida Hospital Cancer Institute CCOP, Orlando, FL 32804, United States. Electronic address: tkendrick2@gmail.com.
Joel N SaltzmanDept. of Oncology & Hematology, Lake University Ireland Cancer Center, Mentor, OH 44060, United States. Electronic address: Joel.Saltzman@uhhospitals.org.
David WarshalDept. of Gynecologic Oncology, Cooper Health, Camden, NJ 08103, United States. Electronic address: warshal-david@cooperhealth.edu.
Meaghan E TenneySection of Gynecologic Oncology, University of Chicago, Chicago, IL 60637, United States. Electronic address: meaghan.tenney@northside.com.
David M KushnerDept. of Gynecologic Oncology, University of Wisconsin-Madison, Madison, WI 53792, United States. Electronic address: dmkushner@wisc.edu.
Carol AghajanianDept. of Medical Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, United States. Electronic address: aghajanc@mskcc.org.
Massachusetts General Hospital · USNRG Oncology · USWashington University in St. Louis · USCooper University Health Care · USFlorida Hospital Cancer Institute · USMemorial Sloan Kettering Cancer Center · USUniversity of Chicago · USUniversity of Wisconsin–Madison · USWomen & Infants Hospital of Rhode Island · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam · 2014 to 2026
$146.4M
UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
Washington University/ Siteman Cancer Center Lead Academic SiteU10CA180833 · NCI · WASHINGTON UNIVERSITY · PI BARTLETT, NANCY L, KOZOWER, BENJAMIN D · 2014 to 2018
$7.6M
Gynecologic Oncology Group Specimen BankingU24CA114793 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 2005 to 2014
$7.0M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
National Clinical Trials Network Research at the University of WisconsinU10CA180799 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI ANDERSON, BETHANY M, KUSHNER, DAVID M · 2014 to 2018
$2.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014520NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180833NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA114793NCI NIH HHS U24 CA196067
6 · The paper itself

Abstract

backgroundThe primary objectives were to determine the objective response rate (ORR) and safety profile of ixabepilone in women with recurrent or persistent uterine carcinosarcoma (UCS). Secondary objectives included progression-free survival (PFS) and overall survival (OS). Exploratory translational objectives included characterization of class III beta tubulin expression and its association with response, PFS, and OS.

methodsPatients had measurable disease; up to two prior chemotherapeutic regimens were allowed, but must have included a taxane. Women received ixabepilone 40mg/m

resultsForty-two women were enrolled, with 34 eligible and evaluable. Median age was 68years. ECOG performance status was 0 in 56% of women, 38% had received radiation, and 15% had received 2 lines of chemotherapy. Overall ORR was 11.8% (4/34, 90% CI 4.2-25.1%); all were partial responses. Stable disease for at least 8weeks was achieved in 8 patients (23.5%). Median PFS and OS were 1.7mo and 7.7mo, respectively, with a median follow-up of 37mo. Six month PFS was 20.6%. Major grade≥3 toxicities were neutropenia (47%), fatigue (15%), dehydration (15%), hypertension (15%), and hyponatremia (15%); grade 2 peripheral neuropathy was reported in 18%. In this small sample size, class III beta tubulin expression in the primary tumor was not associated with the response to ixabepilone, PFS, or OS.

conclusionIn this cohort of women, single agent ixabepilone showed modest but insufficient clinical activity.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsCarcinosarcomaDisease-Free SurvivalDisease ProgressionEpothilonesFemaleHumansMiddle AgedNeoplasm Recurrence, LocalResponse Evaluation Criteria in Solid TumorsRetreatmentSurvival RateTubulinTubulin ModulatorsAntineoplastic AgentsEpothilonesixabepiloneTUBB3 protein, humanTubulinTubulin ModulatorsCarcinosarcomaIxabepilone

Identifiers

PMID28029447
PMCPMC5362250
OpenAlexW2541123149

What OpenQuestion holds

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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.