Evidence map›Paper›PMID 31536651›Full record

ArticleCancer2020

Systemic treatments in MDM2 positive intimal sarcoma: A multicentre experience with anthracycline, gemcitabine, and pazopanib within the World Sarcoma Network.

Anna Maria Frezza, Tarek Assi, Salvatore Lo Vullo, Eytan Ben-Ami, Armelle Dufresne, Kan Yonemori, Emi Noguchi, Brittany Siontis, Richard Ferraro, Pawel Teterycz and 29 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  7. Aortic intimal sarcoma mimicking a mycotic pararenal abdominal aortic aneurysm.Journal of vascular surgery cases and innovative techniques · 2025
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  15. Clinical activity of pembrolizumab in refractoryTherapeutic advances in medical oncology · 2024
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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

39 authors at 20 institutions in 7 countries.

Anna Maria FrezzaDepartment of Medical Oncology, IRCCS Fondazione Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0003-2335-7224
Tarek AssiDepartment of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif, France.
Salvatore Lo VulloUnit of Clinical Epidemiology and Trial Organization, IRCCS Fondazione Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0002-4444-9526
Eytan Ben-AmiCenter for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-9121-2399
Armelle DufresneDepartment of Medical Oncology, Centre Léon Bérard & Université Claude Bernard Lyon I, Lyon, France.
Kan YonemoriDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, Japan.
Emi NoguchiDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, Japan.
Brittany SiontisDepartment of Medicine, University of Michigan, Ann Arbor, Michigan.
Richard FerraroDepartment of Medicine, Sarcoma Medical Oncology, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, New York.
Pawel TeteryczDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute-Oncology Center, Warsaw, Poland.
Florence DuffaudDepartment of Medical Oncology, La Timone University Hospital, Aix-Marseille Université, Marseille, France.
Vinod RaviDepartment of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Bruno VincenziDepartment of Medical Oncology, Università Campus Bio-Medico di Roma, Rome, Italy.
Hans GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, Netherlands.
Maria A PantaleoDepartment of Specialized, Experimental and Diagnostic Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Giacomo G BaldiDepartment of Medical Oncology, Nuovo Ospedale "S. Stefano,", Prato, Italy.
Ingrid DesarDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Alexander FedenkoDepartment of Medical Oncology, N. N. Blokhin Russian Cancer Research, Moscow, Russian Federation.
Robert G MakiMedical Oncology, Northwell Cancer Institute and Cold Spring Harbor Laboratory, Long Island, New York.
Robin L JonesSarcoma Unit, Royal Marsden NHS Foundation Trust/Institute of Cancer Research, London, United Kingdom.
Robert S BenjaminDepartment of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Jean Yves BlayDepartment of Medical Oncology, Centre Léon Bérard & Université Claude Bernard Lyon I, Lyon, France.ORCID 0000-0001-7190-120X
Akira KawaiDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0003-2116-586X
Mrinal GounderDepartment of Medicine, Sarcoma Medical Oncology, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, New York.
Alessandro GronchiSarcoma Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Axel Le CesneDepartment of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif, France.
Olivier MirDepartment of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif, France.
Anna M CzarneckaDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute-Oncology Center, Warsaw, Poland.
Scott SchuetzeDepartment of Medicine, University of Michigan, Ann Arbor, Michigan.
Andrew J WagnerCenter for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-4384-9448
Julien AdamDepartment of Pathology, Gustave Roussy Cancer Campus, Villejuif, France.
Marta BarisellaDepartment of Diagnostic Pathology and Laboratory Medicine, IRCCS Fondazione Istituto Nazionale dei Tumori, Milan, Italy.
Marta SbaragliaDepartment of Pathology, Treviso Regional Hospital, Italy.
Jason L HornickDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Alexandra MeurgeyDepartment of Biopathology, Centre Léon Bérard, Lyon, France.
Luigi MarianiUnit of Clinical Epidemiology and Trial Organization, IRCCS Fondazione Istituto Nazionale Tumori, Milan, Italy.
Paolo G CasaliDepartment of Medical Oncology, IRCCS Fondazione Istituto Nazionale Tumori, Milan, Italy.
Katherine ThorntonCenter for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Silvia StacchiottiDepartment of Medical Oncology, IRCCS Fondazione Istituto Nazionale Tumori, Milan, Italy.ORCID 0000-0002-1742-8666
Fondazione IRCCS Istituto Nazionale dei Tumori · ITInstitut Gustave Roussy · FRDana-Farber Cancer Institute · USMemorial Sloan Kettering Cancer Center · USThe Maria Sklodowska-Curie National Research Institute of Oncology · PLThe University of Texas MD Anderson Cancer Center · USUniversité Claude Bernard Lyon 1 · FRUniversity of Michigan · USAix-Marseille Université · FRBrigham and Women's Hospital · USCa' Foncello Hospital · ITCentre Léon Bérard · FRCold Spring Harbor Laboratory · USIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITLeiden University Medical Center · NLOspedale di Prato Santo Stefano · ITRadboud University Nijmegen · NLRoyal Marsden NHS Foundation Trust · GBRussian Cancer Research Center NN Blokhin · RUUniversità Campus Bio-Medico · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundIntimal sarcoma (InS) is an exceedingly rare neoplasm with an unfavorable prognosis, for which new potentially active treatments are under development. We report on the activity of anthracycline-based regimens, gemcitabine-based regimens, and pazopanib in patients with InS.

methodsSeventeen sarcoma reference centers in Europe, the United States, and Japan contributed data to this retrospective analysis. Patients with MDM2-positive InS who were treated with anthracycline-based regimens, gemcitabine-based regimens, or pazopanib between October 2001 and January 2018 were selected. Local pathological review was performed to confirm diagnosis. Response was assessed by RECIST1.1. Recurrence-free survival (RFS), progression-free survival (PFS) and overall survival were computed by Kaplan-Meier method.

resultsSeventy-two patients were included (66 anthracycline-based regimens; 26 gemcitabine-based regimens; 12 pazopanib). In the anthracycline-based group, 24 (36%) patients were treated for localized disease, and 42 (64%) patients were treated for advanced disease. The real-world overall response rate (rwORR) was 38%. For patients with localized disease, the median RFS was 14.6 months. For patients with advanced disease, the median PFS was 7.7 months. No anthracycline-related cardiac toxicity was reported in patients with cardiac InS (n = 26). For gemcitabine and pazopanib, the rwORR was 8%, and the median PFS was 3.2 and 3.7 months, respectively.

conclusionThis retrospective series shows the activity of anthracycline-based regimens in InS. Of note, anthracyclines were used in patients with cardiac InS with no significant cardiac toxicity. The prognosis in patients with InS remains poor, and new active drugs and treatment strategies are needed.

Indexed as

AdultAgedAnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsCardiotoxicityDeoxycytidineFemaleGemcitabineHeart NeoplasmsHumansIndazolesMaleMiddle AgedPrognosisProgression-Free SurvivalProto-Oncogene Proteins c-mdm2AnthracyclinesDeoxycytidineGemcitabineIndazolesMDM2 protein, humanpazopanibProto-Oncogene Proteins c-mdm2PyrimidinesSulfonamidesanthracyclinegemcitabineintimal sarcomaMDM2pazopanibsystemic therapies

Identifiers

PMID31536651
PMCPMC9187112
OpenAlexW2974521191

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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.