Evidence map›Paper›PMID 29149104›Full record

Trial reportBritish journal of cancer2018

Cumulative incidence rates for CNS and non-CNS progression in two phase II studies of alectinib in ALK-positive NSCLC.

Shirish Gadgeel, Alice T Shaw, Fabrice Barlesi, Lucio Crinò, James Chih-Hsin Yang, Anne-Marie C Dingemans, Dong-Wan Kim, Filippo de Marinis, Mathias Schulz, Shiyao Liu and 3 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Central Nervous System Disease in Patients With RET Fusion-Positive NSCLC Treated With Selpercatinib.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2023
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Spotlight on the treatment ofLung cancer management · 2017
    Article
  13. 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.

Shirish GadgeelDepartment of Internal Medicine, Division of Hematology and Oncology, The University of Michigan, 1500 E. Medical Center Drive, 7217CC, Ann Arbor, MI 48109, USA.
Alice T ShawDepartment of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Fabrice BarlesiMultidisciplinary Oncology and Therapeutic Innovations Department, Aix-Marseille University, Assistance Publique Hôpitaux de Marseille, 58 Boulevard Charles Livon, Marseille 13284, France.
Lucio CrinòDepartment of Oncology, Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori IRCCS Meldola, Meldola Province of Forlì-Cesena 47014, Italy.
James Chih-Hsin YangDepartment of Oncology, National Taiwan University Hospital and National Taiwan University Cancer Center, No. 7, Zhongshan South Road, Zhongzheng District, Taipei City, Taiwan.
Anne-Marie C DingemansDepartment of Pulmonology, Maastricht University Medical Center, PO Box 5800, Maastricht 6202 AZ, The Netherlands.
Dong-Wan KimDepartment of Internal Medicine, Seoul National University Hospital, 101, Daehak-ro Jongno-GU, Seoul 03080, South Korea.
Filippo de MarinisDivision of Thoracic Oncology, European Institute of Oncology, Via Ripamonti 435, Milan 20146, Italy.
Mathias SchulzGenentech Inc., DNA Way, South San Francisco, CA 94080, USA.
Shiyao LiuGenentech Inc., DNA Way, South San Francisco, CA 94080, USA.
Ravindra GuptaGenentech Inc., DNA Way, South San Francisco, CA 94080, USA.
Ahmed KotbF. Hoffmann-La Roche Ltd, Grenzacherstrasse 124, Basel 4070, Switzerland.
Sai-Hong Ignatius OuDepartment of Medicine, University of California Irvine School of Medicine, 1001 Health Sciences Road, Irvine, CA 92617, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the cumulative incidence rate (CIR) of central nervous system (CNS) and non-CNS progression in alectinib-treated patients with anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC) to determine the extent to which alectinib may treat or control CNS disease.

methodsPatients with crizotinib-pretreated locally advanced or metastatic disease received alectinib 600 mg orally twice daily in two phase II trials. All patients underwent baseline imaging and regular centrally reviewed scans.

resultsAt 24 months, the CIR for CNS progression was lower in patients without vs with baseline CNS metastases (8.0 vs 43.9%). Patients with baseline CNS disease and prior radiotherapy had a higher CIR of CNS progression than radiotherapy-naive patients (50.5 vs 27.4%) and a lower CIR of non-CNS progression (25.8 vs 42.5%). Adverse events leading to withdrawal occurred in 5.9% and 6.7% of patients with and without baseline CNS metastases, respectively.

conclusionsThis analysis indicates a potential role for alectinib in controlling and preventing CNS metastases.

Indexed as

Administration, OralAdultAgedAnaplastic Lymphoma KinaseCarbazolesCarcinoma, Non-Small-Cell LungCentral Nervous System NeoplasmsDisease ProgressionFemaleHumansIncidenceLung NeoplasmsMaleMiddle AgedPiperidinesProtein Kinase InhibitorsalectinibALK protein, humanAnaplastic Lymphoma KinaseCarbazolesPiperidinesProtein Kinase Inhibitors

Identifiers

PMID29149104
PMCPMC5765233

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.