Evidence map›Paper›PMID 28424553›Full record

ArticleOncoTargets and therapy2017

The world of targeted therapies in kidney cancers: pitfalls, tips and tricks.

Alexis Vallard, Jane-Chloé Trone, Julien Langrand-Escure, Sophie Espenel, Jean-Baptiste Guy, Chloé Rancoule, Yaoxiong Xia, Anis El Meddeb Hamrouni, Majed Ben Mrad, Nicolas Magné

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Alexis VallardDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Jane-Chloé TroneDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Julien Langrand-EscureDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Sophie EspenelDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Jean-Baptiste GuyDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Chloé RancouleDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Yaoxiong XiaDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Anis El Meddeb HamrouniDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Majed Ben MradDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Nicolas MagnéDepartment of Radiation Oncology, Lucien Neuwirth Cancer Institute, Saint-Priest en Jarez, France.
Institute Cancer De La Loire Lucien Neuwirth · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past few years, metastatic renal cell carcinoma prognosis was improved by the development of molecular targeted therapies (TTs). At the metastatic stage, the tolerance to treatment is a major concern, not only because of the challenge of the efficacy/toxicity ratio improvement but also because of the importance of an optimal adherence to oral treatments. The present case series relates the issues of dealing with uncommon and sometimes never described side effects of sunitinib and sorafenib. The first case report deals with grade 3 vomiting during hemodialysis with concurrent administration of sunitinib. The second case is an iterative gout attack induced by sunitinib. The third case presents a grade 3 scalp dysesthesia with sorafenib. The fourth case includes an astonishing efficacy of metronomic (ie, low doses during a long period of time) bevacizumab in monotherapy. Multidisciplinary management and systematic reporting of unexpected efficacies and toxicities are needed to better understand TTs real therapeutic index. Although TTs revolutionized metastatic renal cell cancer prognosis, they also brought about previously unknown side effects. Identification and management of these off-target effects may be tricky, and therefore, comedication must be wisely chosen. As the physiopathology of these side effects is still unclear, multidisciplinary management and systematic reporting of toxicities are essential.

Indexed as

bevacizumabefficacyrenal cell carcinomasorafenibsunitinibtoxicity

Identifiers

PMID28424553
PMCPMC5344426
OpenAlexW2591619441

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.