Evidence map›Paper›PMID 30820715›Full record

ArticleJournal of cancer research and clinical oncology2019

Regorafenib in patients with recurrent high-grade astrocytoma.

Sied Kebir, Laurel Rauschenbach, Alexander Radbruch, Lazaros Lazaridis, Teresa Schmidt, Ann-Kathrin Stoppek, Daniela Pierscianek, Martin Stuschke, Michael Forsting, Ulrich Sure and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 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

14 authors at 4 institutions in 1 country.

Sied KebirDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany.
Laurel RauschenbachGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, Essen, Germany.
Alexander RadbruchInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Lazaros LazaridisDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany.
Teresa SchmidtDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany.
Ann-Kathrin StoppekDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany.
Daniela PierscianekGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, Essen, Germany.
Martin StuschkeDepartment of Radiotherapy, University Hospital Essen, Essen, Germany.
Michael ForstingInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ulrich SureGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, Essen, Germany.
Kathy KeyvaniInstitute of Neuropathology, University of Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Björn SchefflerDKFZ-Division Translational Neurooncology at the West German Cancer Center (WTZ), University Hospital Essen, Essen, Germany.
Martin GlasDivision of Clinical Neurooncology, Department of Neurology, University Hospital Essen, University Duisburg-Essen, 45147, Essen, Germany. Martin.Glas@uk-essen.de.
Deutschen Konsortium für Translationale Krebsforschung · DEUniversity of Duisburg-Essen · DEEssen University Hospital · DEWest German Heart and Vascular Center Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAntiangiogenic treatment approaches have failed to improve outcome in randomized trials of high-grade astrocytoma. One key mechanism of resistance to antiangiogenic treatment may concern the upregulation of alternative pro-angiogenic pathways. Regorafenib is a potent multikinase inhibitor that may alter some of those pathways. In this retrospective study, we investigated efficacy and radiographic tumor growth patterns of regorafenib in recurrent high-grade astrocytoma.

methodsWe screened for patients with high-grade astrocytoma in whom regorafenib was administered for at least 4 weeks. We assessed treatment efficacy in terms of progression-free survival (PFS), overall survival, and adverse events defined by Common Toxicity Criteria (CTC). In addition, radiographic tumor growth patterns were determined at baseline and recurrence.

resultsA total of 6 patients met eligibility criteria. The number of recurrences prior to regorafenib varied between 2 and 6. Patients were on regorafenib treatment for at least 4 weeks and maximally 14 weeks. Median PFS was 3.5 months and ranged from 2.0 to 4.0 months. Radiographic response was progressive disease in all patients with an objective response rate of 0%. CTC°3 adverse events were observed in all but one patient. The most common radiographic growth pattern was local with no change in growth pattern at recurrence. An infiltrative tumor growth was not induced in any patient.

conclusionsThis retrospective study indicates a very poor performance of regorafenib in recurrent high-grade astrocytoma with a fairly high number of CTC°3 adverse events. In addition, regorafenib does not seem to bear a potential for infiltrative tumor growth promotion.

Indexed as

AdolescentAdultAgedAngiogenesis InhibitorsAstrocytomaBrain NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm GradingPhenylurea CompoundsProgression-Free SurvivalPyridinesRetrospective StudiesAngiogenesis InhibitorsPhenylurea CompoundsPyridinesregorafenibAstrocytomaGlioblastomaHigh-grade gliomaRegorafenib

Identifiers

PMID30820715
PMCPMC11810342
OpenAlexW2919457079

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.