Evidence map›Paper›PMID 30766754›Full record

ArticleCancer biology & medicine2018

Prognostic factors of refractory NSCLC patients receiving anlotinib hydrochloride as the third- or further-line treatment.

Jing Wang, Yizhuo Zhao, Qiming Wang, Li Zhang, Jianhua Shi, Zhehai Wang, Ying Cheng, Jianxing He, Yuankai Shi, Hao Yu and 11 more

Open access · goldAbstract read
In one paragraph

Article in Cancer biology & medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-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

18 citing papers in PubMed, 41 citations in OpenAlex.

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  17. Circulating DNA-Based Sequencing Guided Anlotinib Therapy in Non-Small Cell Lung Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2019
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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

21 authors at 14 institutions in 1 country.

Jing WangDepartment of Pulmonary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Yizhuo ZhaoDepartment of Respiratory Medicine, Shanghai Chest Hospital, Shanghai 230030, China.
Qiming WangDepartment of Medical Oncology, Henan Province Tumor Hospital, Zhengzhou 450008, China.
Li ZhangDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730 China.
Jianhua ShiDepartment of Medical Oncology, Linyi Cancer Hospital, Linyi 276001, China.
Zhehai WangDepartment of Internal Medicine, Shandong Cancer Hospital, Jinan 250117, China.
Ying ChengDepartment of Thoracic Oncology, Jilin Cancer Hospital, Changchun 130012, China.
Jianxing HeDepartment of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Yuankai ShiDepartment of Medical Oncology, Cancer Hospital Chinese Academy of Medical Sciences, Beijing 100021, China.
Hao YuDepartment of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 210029, China.
Yang ZhaoDepartment of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 210029, China.
Weiqiang ChenDepartment of Respiratory Medicine, Lanzhou Military General Hospital, Lanzhou 730050, China.
Yi LuoDepartment of Head and Neck Oncology, Hunan Cancer Hospital, Changsha 220633, China.
Xiuwen WangDepartment of Chemotherapy, Qilu Hospital of Shandong University, Jinan 250000, China.
Kejun NanDepartment of Medical Oncology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Faguang JinDepartment of Respiratory and Critical Diseases, Tang Du Hospital, Xi'an 710038, China.
Jian DongDepartment of Oncology, Yunnan Cancer Hospital, Kunming 650032, China.
Baolan LiGeneral Department, Capital Medical University Beijing Chest Hospital, Beijing 101149, China.
Zhujun LiuDepartment of Pulmonary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Baohui HanDepartment of Respiratory Medicine, Shanghai Chest Hospital, Shanghai 230030, China.
Kai LiDepartment of Pulmonary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Tianjin Medical University Cancer Institute and Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNNanjing Medical University · CNShanghai Chest Hospital · CNCapital Medical University · CNFirst Affiliated Hospital of Guangzhou Medical University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNHunan Cancer Hospital · CNJilin Province Tumor Hospital · CNLanzhou Army General Hospital · CNLinyi People's Hospital · CNQilu Hospital of Shandong University · CNShandong Tumor Hospital · CNTang Du Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnlotinib hydrochloride is a multitarget tyrosine kinase inhibitor that targets vascular endothelial growth factor receptor, fibroblast growth factor receptor, platelet-derived growth factor receptor, c-Kit, and c-MET; therefore, it exhibits both antitumor and anti-angiogenetic activities. A phase III trial has shown that anlotinib improved progression-free survival (PFS) and overall survival (OS) in patients with advanced non-small cell lung cancer (NSCLC), who presented with progressive disease or intolerance after standard chemotherapy. This study aimed to analyze the characteristics of patients receiving anlotinib treatment to determine the dominant populations who are fit for the treatment.

methodsData were collected from March 2015 to January 2017 from a randomized, double-blind, placebo-controlled, multicenter, phase III trial of anlotinib (ALTER0303). A total of 437 patients were enrolled and randomly allocated (2:1) to the anlotinib and placebo groups. Kaplan-Meier analysis and log-rank test were performed to compare PFS and OS. Cox proportional hazards model was adopted for multivariate prognostic analysis.

resultsMultivariate analysis indicated that high post-therapeutic peripheral blood granulocyte/lymphocyte ratio and elevated alkaline phosphatase levels were independent risk factors for PFS. Meanwhile, elevated thyroid-stimulating hormone, blood glucose, and triglyceride levels; hypertension; and hand-foot syndrome were independent protective factors of PFS. High post-therapeutic peripheral blood granulocyte/lymphocyte ratio, an Eastern Cooperative Oncology Group (ECOG) score ≥ 2, and the sum of the maximal target lesion length at baseline were independent risk factors of OS, and hypertriglyceridemia was an independent protective factor of OS.

conclusionsThis study preliminarily explored the possible factors that affected PFS and OS after anlotinib treatment in patients with advanced refractory NSCLC, and the baseline characteristics of the therapeutically dominant populations were then identified.

Indexed as

anlotinibNon-small cell lung cancerprognostic factor analysisthird- or further-line therapy

Identifiers

PMID30766754
PMCPMC6372914
OpenAlexW2903670823

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.