Evidence map›Paper›PMID 28078434›Full record

ArticleJournal of cancer research and clinical oncology2017

A retrospective open-label uncontrolled study of Epoetin zeta on the treatment of chemotherapy-induced anemia in solid tumors.

Constantinos E Alifieris, Kyriakos Orfanakos, Aristina Papanota, George P Stathopoulos, Nikolaos Sitaras, Dimitrios T Trafalis

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In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. 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 33% 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, 3 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

6 authors at 2 institutions in 1 country.

Constantinos E AlifierisDepartment of Pharmacology, Medical School, National and Kapodistrian University of Athens, 75 Μikras Asias (Building 16), Goudi,, 11527, Athens, Greece. kalifier@med.uoa.gr.
Kyriakos OrfanakosDepartment of Pharmacology, Medical School, National and Kapodistrian University of Athens, 75 Μikras Asias (Building 16), Goudi,, 11527, Athens, Greece.
Aristina PapanotaDepartment of Pharmacology, Medical School, National and Kapodistrian University of Athens, 75 Μikras Asias (Building 16), Goudi,, 11527, Athens, Greece.
George P StathopoulosDepartment of Medical Oncology, "Henry Dunant" Hospital Center, Athens, Greece.
Nikolaos SitarasDepartment of Pharmacology, Medical School, National and Kapodistrian University of Athens, 75 Μikras Asias (Building 16), Goudi,, 11527, Athens, Greece.
Dimitrios T TrafalisDepartment of Pharmacology, Medical School, National and Kapodistrian University of Athens, 75 Μikras Asias (Building 16), Goudi,, 11527, Athens, Greece.
National and Kapodistrian University of Athens · GRHenry Dunant Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis is a single-center uncontrolled retrospective study to evaluate the efficacy and safety of the biosimilar epoetin zeta after approval in chemotherapy-induced anemia (CIA).

methodsPatients screened were >18 years old suffering from solid malignancies and CIA with Hg ≤10 or <11 g/dl if symptomatic anemia. Patients had measurable disease by TNM and Eastern Cooperative Oncology Group (ECOG). Patients were treated for at least 12 weeks and the primary endpoint was to determine the incidence of blood transfusions, and secondarily, the overall safety and efficacy defined as ≥1 g/dl rise in Hb concentration or ≥40,000 cells/μl rise in reticulocyte count. Quality of life was assessed with ECOG performance status (PS) and functional assessment of cancer therapy-anemia (FACT-An) score.

results1287 patients with median Hb 9.3 g/dl (range 8.3-10.6) were enrolled and included in the evaluation. Median age was 63 years (range 33-78). 74% of patients were stage III/IV. Patients received epoetin zeta subcutaneously at fixed 40,000-IU once weekly. Blood transfusions were given in 178 patients (13.8%; 95% CI 11.9-15.6%). Appropriate response was observed in 79% patients by week 4, 87% by week 8, and 91% by week 12. A mean Hb increase of 2.5 g/dl was observed by week 12 which correlated with an improvement in PS and Fact-An score. Thrombotic events occurred in 5.2% (95% CI 3.4-7.1%) of patients.

conclusionsEpoetin zeta is effective in palliation and treatment of CIA in patients with solid tumors. Overall, it is well tolerated and safe even in patients with increased disease burden.

Indexed as

AdultAgedAnemiaAntineoplastic AgentsErythropoietinFemaleHumansMaleMiddle AgedNeoplasmsRecombinant ProteinsRetrospective StudiesAntineoplastic Agentsepoetin zetaErythropoietinRecombinant ProteinsAnemiaBiosimilarChemotherapyEpoetin zetaErythropoietinQuality of life

Identifiers

PMID28078434
PMCPMC11819076
OpenAlexW2572590047

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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.