Evidence map›Paper›PMID 30181783›Full record

ArticleTherapeutic advances in medical oncology2018

Imatinib rechallenge in patients with advanced gastrointestinal stromal tumors following progression with imatinib, sunitinib and regorafenib.

Bruno Vincenzi, Margherita Nannini, Giuseppe Badalamenti, Giovanni Grignani, Elena Fumagalli, Silvia Gasperoni, Lorenzo D'Ambrosio, Lorena Incorvaia, Marco Stellato, Mariella Spalato Ceruso and 7 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  10. [Gastrointestinal stromal tumors (GIST)].Wiener medizinische Wochenschrift (1946) · 2023
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  11. Current status of and future prospects for the treatment of unresectable or metastatic gastrointestinal stromal tumours.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2023
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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

17 authors at 7 institutions in 1 country.

Bruno VincenziAssociate Professor in Medical Oncology, University Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Margherita NanniniDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna.ORCID https://orcid.org/0000-0002-2103-1960
Giuseppe BadalamentiDepartment of Surgical, Oncological and Oral Science, Section of Medical Oncology, University of Palermo, Palermo, Italy.
Giovanni GrignaniCandiolo Cancer Institute, FPO - IRCCS, Candiolo, Turin, Italy.
Elena FumagalliFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Silvia GasperoniAzienda Ospedaliera Universitaria Careggi, Florence, Italy.
Lorenzo D'AmbrosioCandiolo Cancer Institute, FPO - IRCCS, Candiolo, Turin, Italy.
Lorena IncorvaiaDepartment of Surgical, Oncological and Oral Science, Section of Medical Oncology, University of Palermo, Palermo, Italy.
Marco StellatoMedical Oncology Department, University Campus Bio-Medico of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-0993-7540
Mariella Spalato CerusoMedical Oncology Department, University Campus Bio-Medico of Rome, Rome, Italy.
Andrea NapolitanoMedical Oncology Department, University Campus Bio-Medico of Rome, Rome, Italy.
Sergio ValeriDepartment of General Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
Daniele SantiniMedical Oncology Department, University Campus Bio-Medico of Rome, Rome, Italy.
Giuseppe ToniniMedical Oncology Department, University Campus Bio-Medico of Rome, Rome, Italy.
Paolo Giovanni CasaliFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Angelo Paolo Dei TosAzienda ULSS 9 Treviso, Treviso, Italy.
Maria Abbondanza PantaleoDepartment of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna.
Università Campus Bio-Medico · ITCandiolo Cancer Institute · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Palermo · ITAULSS 2 Marca Trevigiana · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRechallenge with imatinib is an option in advanced gastrointestinal stromal tumor (GIST) patients following progression with standard tyrosine-kinase inhibitors (TKIs), imatinib, sunitinib and regorafenib. We retrospectively collected data from metastatic Italian GIST patients treated with imatinib resumption after progression to conventional TKIs.

methodsA total of 104 eligible advanced GIST patients, previously treated with imatinib, sunitinib and regorafenib, were collected from six referral Italian institutions. Mutational analysis was recorded and correlated with survival and response according to RECIST 1.1 or CHOI criteria.

resultsOverall, 71 patients treated with imatinib 400 mg as rechallenge were included. Mutational status was available in all patients. The median follow up was 13 months. In patients who received a rechallenge therapy, the median time to progression (TTP) was 5.4 months [95% confidence interval (CI) 1.9-13.5] and overall survival (OS) was 10.6 months (95% CI 2.8-26.9). A correlation between mutational status, response rate, TTP and OS was not found but comparing deleted

conclusionsOur retrospective data confirm that imatinib rechallenge is a reasonable option in advanced GIST. The prognostic value of the specific

Indexed as

exon 11 KIT mutationGISTimatinibrechallengeTKI

Identifiers

PMID30181783
PMCPMC6116078
OpenAlexW2889088040

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.