Evidence map›Paper›PMID 28378839›Full record

ArticleScientific reports2017

Off-target effects and clinical outcome in metastatic colorectal cancer patients receiving regorafenib: The TRIBUTE analysis.

Riccardo Giampieri, Michela Del Prete, Tiziana Prochilo, Marco Puzzoni, Valeria Pusceddu, Fabiana Pani, Elena Maccaroni, Roberta Mascia, Maria Giuditta Baleani, Tania Meletani and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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. Avapritinib Versus Regorafenib in Locally Advanced Unresectable or Metastatic GI Stromal Tumor: A Randomized, Open-Label Phase III Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
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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

16 authors.

Riccardo GiampieriMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Michela Del PreteMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Tiziana ProchiloFondazione Poliambulanza Hospital, Brescia, Italy.
Marco PuzzoniMedical Oncology, University Hospital and University of Cagliari, Cagliari, Italy.
Valeria PuscedduMedical Oncology, University Hospital and University of Cagliari, Cagliari, Italy.
Fabiana PaniEndocrinology Unit, University Hospital and University of Cagliari, Cagliari, Italy.
Elena MaccaroniMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Roberta MasciaMedical Oncology, University Hospital and University of Cagliari, Cagliari, Italy.
Maria Giuditta BaleaniMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Tania MeletaniMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Rossana BerardiMedical Oncology, University Hospital and Polytechnic University of the Marche, Ancona Italy.
Anna Maria LanzilloMedical Oncology, Azienda Ospedaliera "Brotzu" Cagliari, Italy.
Stefano MariottiEndocrinology Unit, University Hospital and University of Cagliari, Cagliari, Italy.
Alberto ZaniboniFondazione Poliambulanza Hospital, Brescia, Italy.
Stefano CascinuMedical Oncology, University Hospital and University of Modena and Reggio Emilia, Modena, Italy.
Mario ScartozziMedical Oncology, University Hospital and University of Cagliari, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Regorafenib is an orally administered multikinase inhibitor indicated for the treatment of heavily pretreated metastatic colorectal cancer patients with good performance status, albeit less than 50% treated patients achieve disease stabilisation or better at the first radiological evaluation. In addition to that a particularly broad spectrum of toxicities (experienced as G3 or more NCI CTCAE graded by 50% of patients treated) have led to reconsider its widespread use in the majority of patients. We retrospectively collected data about the magnitude of off-target effects experienced during the first 8-weeks of regorafenib monotherapy and analysed their correlation with overall survival, progression free survival and disease control rate. Our findings suggest that skin rash (Exp (B): 0.52, p = 0.0133) or hypothyroidism (Exp (B): 0.11, p = 0.0349) were significantly correlated with improved overall survival at multivariate regression analysis. It was also demonstrated a statistically significant role of diarrhea as predictor of improved survival but its independent prognostic role was lost at multivariate analysis (Exp (B): 0.63, p = 0.162). This is the first analysis showing a potential correlation between the onset of these forms of side effects and regorafenib efficacy, however sample size limitations and the retrospective nature of our analysis prevent us from drawing definitive conclusions.

Indexed as

AgedAntineoplastic AgentsColorectal NeoplasmsDiarrheaDrug-Related Side Effects and Adverse ReactionsExanthemaFemaleHumansHypothyroidismMalePhenylurea CompoundsPyridinesRetrospective StudiesSurvival AnalysisTreatment OutcomeAntineoplastic AgentsPhenylurea CompoundsPyridinesregorafenib

Identifiers

PMID28378839
PMCPMC5380985

What OpenQuestion holds

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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.