Evidence map›Paper›PMID 31523058›Full record

Trial reportBritish journal of cancer2019

Apatinib in patients with extensive-stage small-cell lung cancer after second-line or third-line chemotherapy: a phase II, single-arm, multicentre, prospective study.

Yanjun Xu, Zhiyu Huang, Hongyang Lu, Xinming Yu, Yuping Li, Wenfeng Li, Jun Chen, Ming Chen, Lei Gong, Kaiyan Chen and 10 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of 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 NCT02945852 (Phase II Study of Apatinib as Third- or Further-line Treatment for Patients With Extensive Stage Small Cell Lung Cancer), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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.

NCT02945852 phase2completednot on this map

Phase II Study of Apatinib as Third- or Further-line Treatment for Patients With Extensive Stage Small Cell Lung Cancer

TypeinterventionalSponsorFan Yun, MDRan2016 to 2019Enrolled40ConditionsSmall Cell Lung CancerArmsapatinib
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. Observational
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  18. Signal pathways and precision therapy of small-cell lung cancer.Signal transduction and targeted therapy · 2022
    Review
  19. Article
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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

20 authors at 2 institutions in 1 country.

Yanjun XuDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Zhiyu HuangDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Hongyang LuDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Xinming YuDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Yuping LiDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Wenfeng LiDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jun ChenDepartment of Radiotherapy and Chemotherapy, Yinzhou People's Hospital, Ningbo, China.
Ming ChenDepartment of Radiation Oncology, Zhejiang Cancer Hospital, Hangzhou, China.
Lei GongDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Kaiyan ChenDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Jin QinDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Xiaoling XuDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Ying JinDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Jun ZhaoDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Xun ShiDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Na HanDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Fajun XieDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Peng ZhangDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China.
Weizhen XuGood Clinical Practice Center of Zhejiang Cancer Hospital, Hangzhou, China.
Yun FanDepartment of Medical Thoracic Oncology, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Hangzhou, China. fanyun@zjcc.org.cn.
Zhejiang Cancer Hospital · CNFirst Affiliated Hospital of Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall-cell lung cancer (SCLC) remains an aggressive cancer with short-term survival due to limited therapeutic options. Apatinib is a small-molecule tyrosine kinase inhibitor that selectively inhibits vascular endothelial growth factor receptor-2. This study aimed to investigate the efficacy and safety of apatinib in patients with extensive-stage (EC) SCLC who had progressed after two or three previous therapies.

methodsEligible patients were histologically confirmed ES-SCLC after two or three previous treatments, including a platinum-based regimen. Patients received apatinib at an initial dose of 500 mg once daily. The primary endpoint was the objective response rate.

resultsForty patients were enrolled. At the data cut-off time (November 15, 2018), the median follow-up was 7.4 months; no patients remained on treatment, and five were still in follow-up. An objective response was achieved in 7 of 40 patients (17.5%) in the intention-to-treat population, and 7 of 38 patients (18.4%) in the per-protocol population. The median progression-free survival and overall survival were 3.0 months and 5·8 months, respectively. The most commonly observed grade 3 or greater treatment-related adverse events were hypertension, hand-foot syndrome, increased L-gamma-glutamyltransferase.

conclusionsApatinib exhibited efficacy and an acceptable safety profile in previously heavily-treated ES-SCLC patients. Further exploration of apatinib in phase III trials is warranted.

trial registrationNCT02945852.

Indexed as

AdultAgedAntineoplastic AgentsBrain NeoplasmsFemalegamma-GlutamyltransferaseHand-Foot SyndromeHumansHypertensionLiver NeoplasmsLung NeoplasmsMaleMiddle AgedPlatinum CompoundsProgression-Free SurvivalPyridinesAntineoplastic Agentsapatinibgamma-GlutamyltransferasePlatinum CompoundsPyridines

Identifiers

PMID31523058
PMCPMC6889407
OpenAlexW2973054798

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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.