Evidence map›Paper›PMID 30666799›Full record

Trial reportThoracic cancer2019

Management of anlotinib-related adverse events in patients with advanced non-small cell lung cancer: Experiences in ALTER-0303.

Xiaoyan Si, Li Zhang, Hanping Wang, Xiaotong Zhang, Mengzhao Wang, Baohui Han, Kai Li, Qiming Wang, Jianhua Shi, Zhehai Wang and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Thoracic cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06102928 (A Prospective, Multicenter, Single-arm Clinical Study of the Combination of Anlotinib and Aumolertinib in the First-line Treatment of Advanced Non-small Cell Lung Cancer With EGFR 21L858R Mutation), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT06102928 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective, Multicenter, Single-arm Clinical Study of the Combination of Anlotinib and Aumolertinib in the First-line Treatment of Advanced Non-small Cell Lung Cancer With EGFR 21L858R Mutation

TypeinterventionalSponsorKunming Medical UniversityRan2023 to 2026Enrolled30ConditionsNon-Small Cell Lung Cancer With Mutation in Epidermal Growth Factor ReceptorArmsCombined therapy of anlotinib and aumolertinib
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

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  19. Case report of severe pneumothorax due to lung cancer treated with anlotinib.The Journal of international medical research · 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 12 institutions in 1 country.

Xiaoyan SiRespiratory Medicine, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0003-2913-3045
Li ZhangRespiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Hanping WangRespiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Xiaotong ZhangRespiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Mengzhao WangRespiratory Medicine, Peking Union Medical College Hospital, Beijing, China.
Baohui HanDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai, China.
Kai LiDepartment of Thoracic Oncology, Tianjin Medical University Cancer Hospital, Tianjin, China.
Qiming WangDepartment of Internal Medicine, Henan Province Tumor Hospital, Zhengzhou, China.
Jianhua ShiDepartment of Oncology, Linyi City Tumor Hospital, Linyi, China.
Zhehai WangDepartment of Internal Medicine-Oncology, Shandong Province Tumor Hospital, Jinan, China.
Ying ChengDepartment of Thoracic Oncology, Jilin Province Tumor Hospital, Changchun, China.
Yuankai ShiDepartment of Medical Oncology, Chinese Academy of Medical Sciences Cancer Hospital, Beijing, China.ORCID 0000-0002-3342-4964
Weiqiang ChenDepartment of Pulmonary Medicine, Lanzhou Military General Hospital, Lanzhou, China.
Xiuwen WangDepartment of Chemotherapy, Qilu Hospital, Shandong University, Jinan, China.
Yi LuoDepartment of Medical Oncology, Hunan Province Tumor Hospital, Changsha, China.
Kejun NanDepartment of Oncology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Faguang JinDepartment of Respiratory Diseases, Tangdu Hospital, Xi'an, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNHenan Cancer Hospital · CNHunan Cancer Hospital · CNJilin Province Tumor Hospital · CNLanzhou Army General Hospital · CNLinyi People's Hospital · CNQilu Hospital of Shandong University · CNShandong Tumor Hospital · CNShanghai Chest Hospital · CNTang Du Hospital · CNTianjin Medical University Cancer Institute and Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnlotinib is an oral tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor, fibroblast growth factor receptor, platelet-derived growth factor receptor, and stem cell factor receptor (c-Kit). In the phase III ALTER-0303 trial (Clinical Trial Registry ID: NCT 02388919), anlotinib significantly improved overall survival versus placebo in advanced non-small cell lung cancer patients who had received at least two previous chemotherapy and epidermal growth factor receptor/anaplastic lymphoma kinase targeted therapy regimens. This study summarized adverse event management in this trial.

methodsPatients were randomized (2:1) to anlotinib or placebo up to progression or intolerable toxicity. Adverse events were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 and managed by investigators. Key strategies for preventing and managing the most common adverse events included patient education, supportive care, and dose modification.

resultsBetween February 2015 and August 2016, 294 patients received anlotinib. A total of 170 (57.8%) patients received antihypertensive medications for hypertension, 53 (18.0%) patients received levothyroxine for hypothyroidism, 24 (8.2%) patients received fibrates for hypertriglyceridemia, 11 (3.7%) patients took cortisone cream for hand-foot syndrome, and 38 (12.9%) patients received anti-diarrheal medications for diarrhea. Dose reduction and drug discontinuation were required in 24 (8.16%) and 31 (10.54%) patients in the anlotinib group, respectively.

conclusionAnlotinb-related adverse events could be controlled by patient education, prophylactic measures, early and active intervention, and dose modification.

Indexed as

AdultAgedAnaplastic Lymphoma KinaseCarcinoma, Non-Small-Cell LungDrug-Related Side Effects and Adverse ReactionsErbB ReceptorsFemaleHand-Foot SyndromeHumansHypertensionHypertriglyceridemiaHypothyroidismIndolesMaleMiddle AgedMolecular Targeted TherapyAnaplastic Lymphoma KinaseanlotinibErbB ReceptorsIndolesProtein Kinase InhibitorsQuinolinesThyroxineAdverse eventanlotinibmulti-target tyrosine kinase inhibitornon-small cell lung cancer

Identifiers

PMID30666799
PMCPMC6397894
OpenAlexW2914358135

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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.