Evidence map›Paper›PMID 30349653›Full record

ArticleOncotarget2018

Surrogate endpoints in advanced sarcoma trials: a meta-analysis.

Marion Savina, Saskia Litière, Antoine Italiano, Tomasz Burzykowski, Franck Bonnetain, Sophie Gourgou, Virginie Rondeau, Jean-Yves Blay, Sophie Cousin, Florence Duffaud and 10 more

Registry-linked trialAbstract 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. It is linked to trial NCT02873923 (Survival Endpoints in Randomized Clinical Trials in Sarcoma Patients), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02873923 completednot on this map

Survival Endpoints in Randomized Clinical Trials in Sarcoma Patients: Meta-analyses for the Assessment of the Impact Various Definitions on Trials' Results and of Surrogate Properties for OS

TypeobservationalSponsorInstitut BergoniéRan2012 to 2017Enrolled2,846ConditionsCancerArmsundefined
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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

20 authors.

Marion SavinaClinical and Epidemiological Research Unit, Institut Bergonié, Comprehensive Cancer Center, Bordeaux cedex 33076, France.
Saskia LitièreEuropean Organisation for Research and Treatment of Cancer (EORTC), Brussels 1200, Belgium.
Antoine ItalianoMedical Oncology Unit, Institut Bergonié, Comprehensive Cancer Center, Bordeaux cedex 33076, France.
Tomasz BurzykowskiInteruniversity Institute for Biostatistics and Statistical Bioinformatics (I-BioStat), Hasselt University, Hasselt 3500, Belgium.
Franck BonnetainMethodology and Quality of life in Oncology Unit, Besançon EA3181, France.
Sophie GourgouBiometrics Unit, Institut du Cancer de Montpellier, Univ. Montpellier, Montpellier 34298, France.
Virginie RondeauINSERM, ISPED, Centre INSERM U1219 Bordeaux Population Health Center, Epicene Team, Bordeaux 33000, France.
Jean-Yves BlayCentre Léon Bérard, Comprehensive Cancer Center, Lyon 69008, France.
Sophie CousinMedical Oncology Unit, Institut Bergonié, Comprehensive Cancer Center, Bordeaux cedex 33076, France.
Florence DuffaudMedical Oncology Unit, University Hospital La Timone and University of Aix-Marseille, Marseille 13005, France.
Hans GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden 2300RC, The Netherlands.
Alessandro GronchiSarcoma Service, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Ian JudsonInstitute of Cancer Research, Sutton, Surrey, United Kingdom.
Axel Le CesneMedicine Department, Institut Gustave Roussy, Comprehensive Cancer Center, Villejuif 94800, France.
Paul LoriganUniversity of Manchester and Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Joan MaurelDepartment of Medical Oncology, Hospital Clinic, CIBERehd, Translational Genomics and Targeted Therapeutics in Solid Tumors (IDIBAPS), Barcelona 08036, Spain.
Winette van der GraafThe Institute of Cancer Research, Sutton, London SM2 5NG, United Kingdom.
Jaap VerweijDepartment of Medical Oncology, Erasmus University Medical Center, CE Rotterdam 3015, The Netherlands.
Simone Mathoulin-PélissierClinical and Epidemiological Research Unit, Institut Bergonié, Comprehensive Cancer Center, Bordeaux cedex 33076, France.
Carine BelleraClinical and Epidemiological Research Unit, Institut Bergonié, Comprehensive Cancer Center, Bordeaux cedex 33076, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlternative endpoints to overall survival (OS) are frequently used to assess treatment efficacy in randomized controlled trials (RCT). Their properties in terms of surrogate outcomes for OS need to be assessed. We evaluated the surrogate properties of progression-free survival (PFS), time-to-progression (TTP) and time-to-treatment failure (TTF) in advanced soft tissue sarcomas (STS).

resultsA total of 21 trials originally met the selection criteria and 14 RCTs ( MATERIALS AND

methodsWe performed a meta-analysis using individual-patient data (IPD). Phase II/III RCTs evaluating therapies for adults with advanced STS were eligible. We estimated the individual- and the trial-level associations between then candidate surrogates and OS. Statistical methods included weighted linear regression and the two-stage model introduced by Buyse and Burzykowski. The strength of the trial-level association was ranked according to the German Institute for Quality and Efficiency in Health Care (IQWiG) guidelines.

conclusionsOur results do not support strong surrogate properties of PFS, TTP and TTF for OS in advanced STS.

Indexed as

meta-analysisrandomized trialsarcomasurrogate endpointssurvival

Identifiers

PMID30349653
PMCPMC6195375

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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.