Evidence map›Paper›PMID 31174237›Full record

Trial reportCancer2019

Phase 2 study of vascular endothelial growth factor trap for the treatment of metastatic thyroid cancer.

Eric J Sherman, Lara A Dunn, Heiko Schöder, Alan L Ho, Shrujal S Baxi, Ronald A Ghossein, Sofia S Haque, Cami Sima, Robert Michael Tuttle, David G Pfister

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
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

10 authors at 1 institution in 1 country.

Eric J ShermanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-4960-4783
Lara A DunnDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Heiko SchöderDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Alan L HoDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Shrujal S BaxiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Ronald A GhosseinDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Sofia S HaqueDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Cami SimaDepartment of Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Robert Michael TuttleDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
David G PfisterDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
SPORE in Thyroid CancerP50CA172012 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI FAGIN, JAMES A · 2014 to 2018
$10.3M
NCI NIH HHS N01 CM062206NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA172012
6 · The paper itself

Abstract

backgroundSeveral multitargeted tyrosine kinase inhibitors (TKIs) have demonstrated activity in patients with thyroid cancer that is refractory to radioactive iodine (RAI). The antitumor effect is attributed at least in part to the ability of these TKIs to inhibit angiogenesis in these vascular tumors. Vascular endothelial growth factor (VEGF) Trap (VT) is a recombinantly produced fusion protein consisting solely of human sequences for VEGF receptors 1 and 2 extracellular domains and human immunoglobulin 1. Evaluating VT in patients with thyroid cancer is reasonable considering the activity observed with TKIs targeting VEGF.

methodsThe current study was a single-institution, phase 2, Simon 2-stage design (21 to >41 patients) study based on the objective response rate and/or 6-month progression-free survival as the primary endpoints. Eligible patients were required to have progressive, RAI-refractory and/or [

resultsA total of 40 patients were included in the analysis. Of these patients, 24 had papillary thyroid cancer, 2 had follicular thyroid cancer, and 11 had Hurthle cell thyroid cancer. The final 3 tumors were classified as poorly differentiated. There were no complete and/or partial responses noted; 34 patients achieved stable disease and 6 patients experienced disease progression as their best response. Of the 34 patients with stable disease, 16 remained on the study for >6 months and 6 patients remained on the study for >12 months. The median duration on treatment was 4.1 months (range, 0.6-30.8 months).

conclusionsUnlike TKIs, which have shown responses in this setting, to the authors' knowledge there have been no responses observed with the use of single-agent VT to date. It does not appear to be a promising drug for the treatment of patients with thyroid cancer.

Indexed as

Adenocarcinoma, FollicularAdenoma, OxyphilicAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMolecular Targeted TherapyPositron-Emission TomographyReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsThyroglobulinThyroid Cancer, PapillaryThyroid NeoplasmsafliberceptReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsThyroglobulinphase 2radioactive iodine (RAI)-refractorythyroid cancervascular endothelial growth factor receptor (VEGF) Trap

Identifiers

PMID31174237
PMCPMC6773269
OpenAlexW2962036190

What OpenQuestion holds

Textmetadata
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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.