Evidence map›Paper›PMID 31040253›Full record

Trial reportThe oncologist2019

Adjuvant Zoledronic Acid in High-Risk Giant Cell Tumor of Bone: A Multicenter Randomized Phase II Trial.

Astrid Lipplaa, Judith R Kroep, Lizz van der Heijden, Paul C Jutte, Pancras C W Hogendoorn, Sander Dijkstra, Hans Gelderblom

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Giant Cell Tumor of Soft Tissue: An Updated Review.Journal of clinical medicine · 2024
    Review
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  7. Review
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  11. Giant cell tumor of bones- An unsolved puzzle.Journal of clinical orthopaedics and trauma
    Article
  12. Review
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

7 authors at 2 institutions in 1 country.

Astrid LipplaaDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands a.lipplaa@lumc.nl.
Judith R KroepDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Lizz van der HeijdenDepartment of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Paul C JutteDepartment of Orthopedic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Pancras C W HogendoornDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Sander DijkstraDepartment of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Hans GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedAdjuvant treatment with zoledronic acid did not decrease the recurrence rate of giant cell tumor of bone (GCTB) in this study. The efficacy could not be determined because of the small sample size.GCTB recurrences, even in the denosumab era, are still an issue; therefore, a randomized study exploring the efficacy of zoledronic acid in the adjuvant setting in GCTB is still valid.

backgroundBisphosphonates are assumed to inhibit giant cell tumor of bone (GCTB)-associated osteoclast activity and have an apoptotic effect on the neoplastic mononuclear cell population. The primary objective of this study was to determine the 2-year recurrence rate of high-risk GCTB after adjuvant zoledronic acid versus standard care.

methodsIn this multicenter randomized open-label phase II trial, patients with high-risk GCTB were included (December 2008 to October 2013). Recruitment was stopped because of low accrual after the introduction of denosumab. In the intervention group, patients received adjuvant zoledronic acid (4 mg) intravenously at 1, 2, 3, 6, 9, and 12 months after surgery.

resultsFourteen patients were included (intervention

conclusionAdjuvant treatment with zoledronic acid did not decrease the recurrence rate of GCTB in this study. The efficacy could not be determined because of the small sample size. Because recurrences, even in the denosumab era, are still an issue, a randomized study exploring the efficacy of zoledronic acid in the adjuvant setting in GCTB is still valid.

Indexed as

AdultAgedBone Density Conservation AgentsBone NeoplasmsCase-Control StudiesFemaleFollow-Up StudiesGiant Cell Tumor of BoneHumansIncidenceMaleMiddle AgedNeoplasm Recurrence, LocalNetherlandsPrognosisRisk FactorsBone Density Conservation AgentsZoledronic Acid

Identifiers

PMID31040253
PMCPMC6656477
OpenAlexW2943499046

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.