Evidence map›Paper›PMID 30445951›Full record

ArticleBMC cancer2018

Safety profile of trifluridine/tipiracil monotherapy in clinical practice: results of the German compassionate-use program for patients with metastatic colorectal cancer.

Stefan Kasper, Jens Kisro, Martin Fuchs, Christian Müller, Armin Schulz-Abelius, Meinolf Karthaus, Mohammad-Reza Rafiyan, Alexander Stein

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

8 authors at 7 institutions in 1 country.

Stefan KasperWest German Cancer Center, Department of Medical Oncology, University Hospital Essen, Essen, Hufelandstrasse 55, 45147, Essen, Germany. stefan.kasper@uk-essen.de.ORCID http://orcid.org/0000-0002-5947-8733
Jens KisroCommunity Praxis, Lübeck, Germany.
Martin FuchsHospital Bogenhausen, Department of Gastroenterology, Hepatology and Gastrointestinal Oncology, Munich, Germany.
Christian MüllerKliniken Essen-Mitte, Department of Medical Oncology, Essen, Germany.
Armin Schulz-AbeliusHospital Altenburger Land, Department of Hematology and Oncology, Altenburg, Germany.
Meinolf KarthausStaedtisches Klinikum Neuperlach and Harlaching, Department for Hematology and Oncology, Munich, Germany.
Mohammad-Reza RafiyanDepartment of Hematology and Oncology, Hospital Nordwest, Frankfurt/Main, Germany.
Alexander SteinUniversity Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hubertus Wald Tumor Center, Hamburg, Germany.
Essen University Hospital · DEKliniken Essen-Mitte · DEKlinikum Altenburger Land · DEKrankenhaus Nordwest · DEMünchen Klinik Bogenhausen · DEMünchen Klinik Neuperlach · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrifluridine/tipiracil (TAS-102, Lonsurf®), a novel oral anti-tumor agent combining an anti-neoplastic thymidine-based nucleoside analogue (trifluridine, FTD) with a thymidine phosphorylase inhibitor (tipiracil hydrochloride, TPI) presents a new treatment option for metastatic colorectal cancer (mCRC) patients refractory or intolerant to standard therapies. FTD/TPI was approved in the European Union (EU) in April 2016 and launched on the German market in August 15, 2016.

methodsWe investigated the characteristics of patients (pts) with mCRC treated with FTD/TPI at 118 centers in Germany from January 12 to August 14, 2016 and analyzed the safety in a clinical real-world setting.

resultsIn Germany, a total of 226 mCRC patients were included into a compassionate-use-program (CUP) and received FTD/TPI. For 45.5% of patients (n = 101), 253 adverse events (AE) were documented, most of them drug-related (n = 135). From January 12 (2016) to March 2 (2017), 124 serious adverse events (SAE) were reported (74 drug related). The most common serious adverse drug reactions (SADR) were leukopenia (12 events), neutropenia (8 events), anemia (7 events), diarrhea and nausea (5 events each) (observation period January 12 2016 to October 7 2016). In total, 122 patients (54%) discontinued FTD/TPI treatment, mostly due to progression (n = 75) followed by AEs (n = 21), deaths (n = 16), and non-specified reasons (n = 16). Interestingly, 12 patients with ECOG PS ≥2 achieved up to 3 cycles of FTD/TPI and in this patient population only 3 treatment discontinuations due to AEs were documented and the safety profile was comparable to the entire population.

conclusionThe patient characteristics as well as the safety profile of FTD/TPI documented in the German CUP were consistent with those reported in the pivotal trial RECOURSE without unexpected safety signals.

Indexed as

AgedAntineoplastic AgentsColorectal NeoplasmsCompassionate Use TrialsDrug-Related Side Effects and Adverse ReactionsFemaleGermanyHumansMaleMiddle AgedProspective StudiesPyrrolidinesThymineTrifluridineAntineoplastic AgentsPyrrolidinesThyminetipiracilTrifluridineMetastatic colorectal carcinomaReal world oncologyTAS-102Trifluridine/tipiracil

Identifiers

PMID30445951
PMCPMC6240219
OpenAlexW2901136584

What OpenQuestion holds

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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.