Evidence map›Paper›PMID 28748602›Full record

Trial reportPediatric blood & cancer2018

VIncristine, irinotecan, and temozolomide in children and adolescents with relapsed rhabdomyosarcoma.

Bhuvana A Setty, Joseph R Stanek, Leo Mascarenhas, Alexandra Miller, Rochelle Bagatell, Fatih Okcu, Lauren Nicholls, David Lysecki, Abha A Gupta

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Pediatric blood & cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-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

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Rhabdomyosarcoma in Adults: Case Series and Literature Review.International journal of women's health · 2022
    Article
  11. Article
  12. Article
  13. Relapsed Rhabdomyosarcoma.Journal of clinical medicine · 2021
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Low-Grade Malignancy Glomus Tumor in a Setting of Multiple Glomus Tumors - Case Report.Open access Macedonian journal of medical sciences · 2019
    Article
  20. The anti-tumor growth effect of a novel agent DMAMCL in rhabdomyosarcoma in vitro and in vivo.Journal of experimental & clinical cancer research : CR · 2019
    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

9 authors at 6 institutions in 2 countries.

Bhuvana A SettyDivision of Hematology/Oncology/BMT, Nationwide Children's Hospital, Columbus, Ohio.ORCID http://orcid.org/0000-0002-6054-817X
Joseph R StanekDivision of Hematology/Oncology/BMT, Nationwide Children's Hospital, Columbus, Ohio.
Leo MascarenhasDivision of Hematology, Oncology and Blood and Marrow Transplantation, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.
Alexandra MillerDepartment of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Rochelle BagatellDepartment of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Fatih OkcuDivision of Pediatrics, University of Texas MD Anderson Cancer Center, Houston, Texas.
Lauren NichollsDivision of Pediatrics, University of Texas MD Anderson Cancer Center, Houston, Texas.
David LyseckiDivision of Pediatrics, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Abha A GuptaDepartment of Hematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-0825-5070
Children's Hospital of Philadelphia · USNationwide Children's Hospital · USThe University of Texas MD Anderson Cancer Center · USHospital for Sick Children · CAMcMaster Children's Hospital · CAUniversity of Southern California · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MYLES G COCKBURN · 1985 to 2026
$181.4M
NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

backgroundThe combination of vincristine, irinotecan, and temozolomide (VIT) is often used to treat children and adolescents with relapsed rhabdomyosarcoma (RMS); however, the outcome of these patients has not been previously described. PROCEDURES: We sought to determine the response rate (RR) and progression-free survival (PFS) for patients with relapsed RMS treated with VIT by retrospective review of patients treated at five tertiary care hospitals. Prior treatment with irinotecan was permitted.

resultsAmong 19 patients with a median age of 8 years (range 2-17 years), 12 (63%) were males and 12 (63%) had embryonal histology. Median time to relapse from initial diagnosis was 16 months (range 2.8-45 months). VIT was used as first, second, third, or fourth line of therapy in four (21%), seven (37%), six (32%), and two (10%) patients, respectively. Four patients received VIT as adjuvant therapy following radiation and/or surgery. Therefore, among 15 evaluable patients, the best response to VIT was 0 (complete response, CR), 0 (partial response, PR), 4 (stable disease, SD), and 11 (progressive disease, PD) for an overall clinical benefit rate (CR + PR + SD) of 26.7% (95% CI: 7.8-55.1%). After a median follow-up of 8 months, 2 (10%) patients were alive without disease, 3 (16%) were alive with disease, and 14 (74%) patients died of PD. PFS at 3 months was 23% (95% CI: 5.7-46.7%).

conclusionsVIT therapy in combination with adequate local control is associated with some disease control in patients with first relapse RMS and may be another reasonable option to offer patients as salvage therapy.

Indexed as

AdolescentAntineoplastic Combined Chemotherapy ProtocolsCamptothecinChildChild, PreschoolDacarbazineDisease-Free SurvivalFemaleFollow-Up StudiesHumansIrinotecanMaleNeoplasm Recurrence, LocalRhabdomyomaSurvival RateTemozolomideCamptothecinDacarbazineIrinotecanTemozolomideVinculinchemotherapyirinotecanpediatric soft tissue sarcomarelapserhabdomyosarcomatemozolomide

Identifiers

PMID28748602
PMCPMC7497851
OpenAlexW2740969352

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.