Evidence map›Paper›PMID 29854281›Full record

ArticleOncotarget2018

Association between ramucirumab-related hypertension and response to treatment in patients with metastatic gastric cancer.

Giandomenico Roviello, Silvia Paola Corona, Andrea Giovanni Multari, Giovanni Paganini, Giorgio Chiriacò, Raffaele Conca, Roberto Petrioli, Daniele Generali, Pietro Rosellini, Michele Aieta

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Therapeutic Inhibition of VEGF Signaling and Associated Nephrotoxicities.Journal of the American Society of Nephrology : JASN · 2019
    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

10 authors at 8 institutions in 2 countries.

Giandomenico RovielloDivision of Medical Oncology, Department of Onco-Hematology, IRCCS-CROB, Referral Cancer Center of Basilicata, 85028 Rionero, Vulture (PZ), Italy.
Silvia Paola CoronaPeter MacCallum Cancer Centre, Radiation Oncology Department, Moorabbin Campus, East Bentleigh, Victoria 3165, Australia.
Andrea Giovanni MultariUnit of Medical Oncology, Department of Oncology, Ospedale San Donato, 52100, Arezzo, Italy.
Giovanni PaganiniUnit of general medicine, Azienda Ospedaliera "C. Poma" Presidio ospedaliero di Pieve di Coriano, ASST Mantova, Italy.
Giorgio ChiriacòMedical Oncology Unit, Department of Oncology, ASST del Garda, 25015 Desenzano del Garda (BS), Italy.
Raffaele ConcaDivision of Medical Oncology, Department of Onco-Hematology, IRCCS-CROB, Referral Cancer Center of Basilicata, 85028 Rionero, Vulture (PZ), Italy.
Roberto PetrioliDepartment of Medicine, Surgery and Neurosciences, Medical Oncology Unit, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy.
Daniele GeneraliDepartment of Medical, Surgery and Health Sciences, University of Trieste, 34129 Trieste, Italy.
Pietro RoselliniDepartment of Medicine, Surgery and Neurosciences, Medical Oncology Unit, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy.
Michele AietaDivision of Medical Oncology, Department of Onco-Hematology, IRCCS-CROB, Referral Cancer Center of Basilicata, 85028 Rionero, Vulture (PZ), Italy.
Centro di Riferimento Oncologico della Basilicata · ITUniversity of Siena · ITAzienda Socio Sanitaria Territoriale del GardaAzienda Socio Sanitaria Territoriale di CremonaIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale San Donato · ITPeter MacCallum Cancer Centre · AUPresidio Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHypertension (HTN) is frequently associated with the use of angiogenesis inhibitors targeting the vascular endothelial growth factor pathway, such as ramucirumab. The aim of this study was to retrospectively evaluate if occurrence of HTN is correlated with response to second line treatment with ramucirumab+paclitaxel for metastatic gastric cancer.

methodsTreatment consisted of ramucirumab 8 mg/kg intravenously (iv) on days 1 and 15, plus paclitaxel 80 mg/m

resultsThirty-four patients were retrospectively evaluated. Among these, 6 (17.6%) developed grade 3 ramucirumab-induced HTN. These patients had a better outcome than those with lesser grades events, with a progression-free survival (PFS) of 7.8 months (95% CI 4.4-not reached) versus 4.2 months (95% CI 3.1-5.2) (p=0.001). overall survival (OS) was 11.9 months (95% CI 9.3-not reached) in the grade 3 HTN group, versus 7.2 months (95% CI 5.9-10.1).

conclusionsDespite the small number of patients and the retrospective nature of the data, our analysis showed that occurrence of ramucirumab-related HTN, in particular G3 HTN, predicts response to treatment with ramucirumab+paclitaxel in patients with metastatic gastric cancer.

Indexed as

gastric cancerhypertensionramucirumab

Identifiers

PMID29854281
PMCPMC5976467
OpenAlexW2799576164

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.