Evidence map›Paper›PMID 29177953›Full record

Trial reportTargeted oncology2018

Phase II Study of Gemcitabine Plus Sirolimus in Previously Treated Patients with Advanced Soft-Tissue Sarcoma: a Spanish Group for Research on Sarcomas (GEIS) Study.

Juan Martin-Liberal, Antonio López-Pousa, Javier Martínez-Trufero, Javier Martín-Broto, Ricardo Cubedo, Javier Lavernia, Andrés Redondo, José Antonio López-Martín, Nùria Mulet-Margalef, Xavier Sanjuan and 2 more

Registry-linked trialAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Targeted oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01684449 (Phase 1/2, Randomized, Multicenter, Prospective Study of Gemcitabine and Rapamycin), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

NCT01684449 phase1 / phase2completednot on this map

Phase 1/2, Randomized, Multicenter, Prospective Study of Gemcitabine and Rapamycin (Sirolimus) Combination Versus Gemcitabine Only to Treat Advanced Soft Tissue Sarcoma

TypeinterventionalSponsorGrupo Espanol de Investigacion en SarcomasRan2010 to 2013Enrolled28ConditionsAdvanced Soft Tissue SarcomaArmsGemcitabine + Rapamycin
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Observational
  2. Article
  3. Efficacy of Eribulin Plus Gemcitabine Combination in L-Sarcomas.International journal of molecular sciences · 2022
    Article
  4. Article
  5. Review
  6. 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

12 authors at 11 institutions in 1 country.

Juan Martin-LiberalMedical Oncology Department, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, 08035, Barcelona, Spain.
Antonio López-PousaCancer Medicine Department, Hospital de la Santa Creu i Sant Pau, 08026, Barcelona, Spain.
Javier Martínez-TruferoMedical Oncology Department, Hospital Universitario Miguel Servet, 50009, Zaragoza, Spain.
Javier Martín-BrotoInstituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, 41013, Sevilla, Spain.
Ricardo CubedoMedical Oncology Department, Hospital Puerta de Hierro, 28222, Madrid, Spain.
Javier LaverniaMedical Oncology Department, Instituto Valenciano de Oncología, 46009, Valencia, Spain.
Andrés RedondoMedical Oncology Department, Hospital Universitario La Paz, 28046, Madrid, Spain.
José Antonio López-MartínMedical Oncology Department, Hospital 12 de Octubre, 28041, Madrid, Spain.
Nùria Mulet-MargalefMedical Oncology Department, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, 08035, Barcelona, Spain.
Xavier SanjuanPathology Department, Bellvitge University Hospital, 08907, Barcelona, Spain.
Òscar M TiradoInstitut d'Investigació Biomèdica de Bellvitge (IDIBELL), CIBERONC, Universitat de Barcelona, Avda Gran Via Km 2.7, 08907 L'Hospitalet, Barcelona, Spain.
Xavier Garcia-Del-MuroSarcoma, Melanoma and Genitourinary Tumors Unit, Institut Català d'Oncologia L'Hospitalet, Avda Gran Via Km 2.7, 08907 L'Hospitalet, Barcelona, Spain. garciadelmuro@iconcologia.net.
Institut d'Investigació Biomédica de Bellvitge · ESBellvitge University Hospital · ESFundación Instituto Valenciano de Oncología · ESHospital de Sant Pau · ESHospital Universitario La Paz · ESHospital Universitario Miguel Servet · ESHospital Universitario Puerta de Hierro Majadahonda · ESResearch Institute Hospital 12 de Octubre · ESUniversidad de Sevilla · ESVall d'Hebron Hospital Universitari · ESVall d'Hebron Institute of Oncology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGemcitabine plus sirolimus enhances apoptosis in vitro and increases anti-tumor efficacy in vivo in soft-tissue sarcoma (STS) models.

objectiveThe objective of this study was to evaluate the activity and toxicity of the combination of gemcitabine plus sirolimus in patients with STS after failure of standard chemotherapy. PATIENTS AND

methodsAdvanced STS patients, previously treated with doxorubicin and/or ifosfamide, were included in this single-arm phase II study. Patients received gemcitabine 800 mg/m

resultsFrom May 2012 to May 2013, 28 patients were enrolled at eight centers. PFR at 3 and 6 months was 44% and 20%, respectively, with 12 patients being free of progression at 3 months. Median progression-free survival (PFS) was 1.85 months (95% confidence interval [CI] 0.73-2.97) and median overall survival (OS) was 9.2 months (95% CI 5.8-12.5). No responses were observed. The most common grade 3-4 hematologic toxicities were neutropenia (48%) and leukopenia (41%) and the most frequent grade 3 non-hematologic toxicities were infection (18.5%), transaminitis (15%), fatigue (11%), and pneumonitis (11%). ERK1/2 expression was significantly correlated with PFS (p = 0.026).

conclusionsThe combination of gemcitabine and sirolimus is an active treatment in STS. Further investigation is warranted. ClinicalTrials.gov identifier: NCT01684449.

Indexed as

AdultAgedAntimetabolites, AntineoplasticDeoxycytidineFemaleGemcitabineHispanic or LatinoHumansMaleMiddle AgedResearch DesignSarcomaSirolimusYoung AdultAntimetabolites, AntineoplasticDeoxycytidineGemcitabineSirolimus

Identifiers

PMID29177953
OpenAlexW2770932905

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.