Evidence map›Paper›PMID 29956056›Full record

Trial reportInvestigational new drugs2018

Oral Metronomic Vinorelbine (OMV) in elderly or pretreated patients with advanced non small cell lung cancer: outcome and pharmacokinetics in the real world.

Felice Pasini, Carmen Barile, Donatella Caruso, Yasmina Modena, Anna Paola Fraccon, Laura Bertolaso, Daniela Menon, Francesca La Russa, Giorgio Crepaldi, Antonio Bononi and 4 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Metronomic Chemotherapy in Elderly Patients.Current oncology reports · 2024
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. 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

14 authors at 5 institutions in 1 country.

Felice PasiniServizio di Oncologia, Ospedale Pederzoli, Peschiera del Garda, Verona, Italy.
Carmen BarileDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Donatella CarusoDipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milan, Italy.
Yasmina ModenaDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Anna Paola FracconServizio di Oncologia, Ospedale Pederzoli, Peschiera del Garda, Verona, Italy.
Laura BertolasoDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Daniela MenonDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Francesca La RussaDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Giorgio CrepaldiDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Antonio BononiDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy.
Roberto SpezzanoDipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milan, Italy.
Roberto PadriniServizio di Farmacologia Clinica, Dipartimento di Medicina, Università di Padova, Padua, Italy.
Giuseppe CoronaDipartimento di Ricerca Traslazionale, IRCCS Centro di Riferimento Oncologico, Aviano, Italy.
Milena GusellaDipartimento Oncologico, Ospedale Santa Maria della Misericordia, Viale Tre Martiri 140, 45100, Rovigo, Italy. milenagusella@libero.it.ORCID http://orcid.org/0000-0002-6257-0282
Ospedale Santa Maria · ITCasa di Cura Villa Garda · ITUniversity of Milan · ITCentro di Riferimento Oncologico · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Oral metronomic therapy (OMV) is particularly suitable for palliative care, and schedules adapted for unfit patients are advisable. This study investigated the effects of oral vinorelbine given every other day without interruption and its pharmacokinetic profile in patients with advanced lung cancer. Materials and Methods Ninety-two patients received OMV at doses of 20, 30 or 50 mg. Toxic events, clinical benefit and overall survival were analysed. Blood pharmacokinetics were evaluated in 82 patients. Results Median treatment duration and overall survival were 15 (range 1.3-144) and 32.3 weeks, respectively; fourty-eight (60%) patients experienced clinical benefit. Outcomes were unrelated to previous therapies, age, histology or comorbidities. Toxicity was associated with higher blood concentrations of the drug. Pharmacokinetics were stable for up to two years, and were not influenced by treatment line or age. Conclusions OMV produced non-negligible survival in patients and also showed stable long-term blood concentrations. The schedule of 20-30 mg every other day without interruption gave good tolerability and clinical benefit.

Indexed as

Administration, MetronomicAdministration, OralAgedAged, 80 and overAntineoplastic Agents, PhytogenicCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleTreatment OutcomeVinorelbineAntineoplastic Agents, PhytogenicVinorelbineClinical benefitNSCLCOral metronomic vinorelbineOverall survivalPharmacokineticsUnfit patients

Identifiers

PMID29956056
OpenAlexW2810273416

What OpenQuestion holds

Textmetadata
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.