Evidence map›Paper›PMID 29788981›Full record

Trial reportJournal of hematology & oncology2018

Safety of pazopanib and sunitinib in treatment-naive patients with metastatic renal cell carcinoma: Asian versus non-Asian subgroup analysis of the COMPARZ trial.

Jun Guo, Jie Jin, Mototsugu Oya, Hirotsugu Uemura, Shunji Takahashi, Katsunori Tatsugami, Sun Young Rha, Jae-Lyun Lee, Jinsoo Chung, Ho Yeong Lim and 9 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of hematology & oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT00720941 phase3completednot on this map

Study VEG108844, A Study of Pazopanib Versus Sunitinib in the Treatment of Subjects With Locally Advanced and/or Metastatic Renal Cell Carcinoma

TypeinterventionalSponsorNovartis PharmaceuticalsRan2008 to 2021Enrolled1,110ConditionsCarcinoma, Renal CellArmsPazopanib, Sunitinib
NCT01147822 phase2completednot on this map

A Study to Evaluate Efficacy and Safety of Pazopanib Versus Sunitinib for the Treatment of Asian Subjects With Locally Advanced and/or Metastatic Renal Cell Carcinoma - A Substudy to VEG108844

TypeinterventionalSponsorNovartis PharmaceuticalsRan2010 to 2021Enrolled367ConditionsCarcinoma, Renal CellArmsPazopanib, Sunitinib
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  5. Clinicopathologic Significance ofInternational journal of molecular sciences · 2018
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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

19 authors at 16 institutions in 7 countries.

Jun GuoDepartment Urology and Melanoma, Peking University Cancer Hospital and Institute, 52 Fucheng Road, Hai-dian District, Beijing, 100142, China.
Jie JinDepartment of Urology, Peking University First Hospital, Beijing, China.
Mototsugu OyaDepartment of Urology, Keio University School of Medicine, Tokyo, Japan.
Hirotsugu UemuraDepartment of Urology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osakasayama, Osaka, 589-8511, Japan.
Shunji TakahashiDepartment of Medical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, 135-8550, Japan.
Katsunori TatsugamiDepartment of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.
Sun Young RhaYonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.
Jae-Lyun LeeDepartment of Oncology and Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 138-736, South Korea.
Jinsoo ChungDepartment of Urology, Center for Prostate Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, South Korea.
Ho Yeong LimDivision of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea.
Hsi Chin WuDepartment of Urology, China Medical University Hospital, Taichung, Taiwan.
Yen Hwa ChangDivision of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Arun AzadDepartment of Medicine, Monash University, 246 Clayton Road, Melbourne, VIC, 3168, Australia.
Ian D DavisMonash University, Eastern Health Clinical School, Level 2, 5 Arnold St, Box Hill, VIC, 3128, Australia.
Marlene J Carrasco-AlfonsoNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Bhupinder NanuaNovartis Pharmaceuticals Corporation, Basel, Switzerland.
Jackie HanNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Qasim AhmadNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Robert MotzerDepartment of Medicine, Genitourinary Oncology Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10021, USA. motzerr@MSKCC.ORG.ORCID 0000-0001-6925-2327
Novartis (United States) · USPeking University · CNChina Medical University · TWEastern Health · AUJapanese Foundation For Cancer Research · JPKeio University · JPKindai University · JPKyushu University · JPMemorial Sloan Kettering Cancer Center · USMonash University · AUNational Cancer Center · KRNovartis (Switzerland) · CHSamsung Medical Center · KRTaipei Veterans General Hospital · TWUlsan College · KRYonsei University · KR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe international, phase 3 COMPARZ study demonstrated that pazopanib and sunitinib have comparable efficacy as first-line therapy in patients with advanced renal cell carcinoma, but that safety and quality-of-life profiles favor pazopanib. Our report analyzed pazopanib and sunitinib safety in Asian and non-Asian subpopulations.

methodsPatients were randomized 1:1 to receive pazopanib 800 mg once daily (continuous dosing) or sunitinib 50 mg once daily in 6-week cycles (4 weeks on, 2 weeks off).

resultsSafety population was composed of 363 Asian patients and 703 non-Asian patients. Asian patients had similar duration of exposure to either drug compared with non-Asian patients, although Asian patients had a higher frequency of dose modifications. Overall, hematologic toxicities, cytopenias, increased AST/ALT, and palmar-plantar erythrodysesthesia (PPE) were more prevalent in Asian patients, whereas gastrointestinal toxicities were more prevalent in non-Asian patients. Among Asian patients, hematologic adverse events and most non-hematologic AEs were more common in sunitinib-treated versus pazopanib-treated patients. Among Asian patients, the most common grade 3/4 AEs with pazopanib were hypertension (grade 3, 22%) and alanine aminotransferase increased (grade 3, 12%; grade 4, 1%); the most common grade 3/4 AEs with sunitinib were thrombocytopenia/platelet count decreased (grade 3, 36%; grade 4, 10%), neutropenia/neutrophil count decreased (grade 3, 24%; grade 4, 3%) hypertension (grade 3, 20%), and PPE (grade 3, 15%).

conclusionsA distinct pattern and severity of adverse events was observed in Asians when compared with non-Asians with both pazopanib and sunitinib. However, the two drugs were well tolerated in both subpopulations.

trial registrationClinicalTrials.gov, NCT00720941 , Registered July 22, 2008 ClinicalTrials.gov, NCT01147822 , Registered June 22, 2010.

Indexed as

AdolescentAdultAgedAged, 80 and overAsian PeopleCarcinoma, Renal CellDrug-Related Side Effects and Adverse ReactionsFemaleHumansIndazolesKidney NeoplasmsMaleMiddle AgedNeoplasm MetastasisPyrimidinesSulfonamidesIndazolespazopanibPyrimidinesSulfonamidesSunitinibPazopanibRenal cell carcinomaSunitinib

Identifiers

PMID29788981
PMCPMC5964681
OpenAlexW2805366761

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.