Evidence map›Paper›PMID 31620878›Full record

ArticleWiener klinische Wochenschrift2021

Olaratumab plus anthracyline in advanced/metastatic soft tissue sarcoma : Data of real-world utilization in Austria.

Andreas Seeber, Lukas Weiss, Franz Romeder, Joanna Szkandera, Thomas Kuehr, Susanne Kostner, Petra Pichler, Thomas Jaeger, Florian Kocher, Richard Greil and 1 more

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Article in Wiener klinische Wochenschrift, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

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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

11 authors.

Andreas SeeberDepartment of Internal Medicine V: Hematology and Oncology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria. andreas.seeber@tirol-kliniken.at.ORCID http://orcid.org/0000-0001-8529-7824
Lukas WeissIIIrd Medical Department of Hematology, Medical Oncology, Hemostaseology, Rheumatology and Infectious Disease, Salzburg Cancer Research Institute, Paracelsus Medical University, Salzburg, Austria.
Franz RomederInternal Medicine I: Department of Medical Oncology, Haematology and Gastroenterology, Hospital Barmherzige Schwestern Linz, Linz, Austria.
Joanna SzkanderaDivision of Clinical Oncology, Medical University of Graz, Graz, Austria.
Thomas KuehrDepartment of Internal Medicine IV, Hospital Wels-Grieskirchen, Wels, Austria.
Susanne KostnerDepartment of Internal Medicine, Hospital of Schwaz, Schwaz, Austria.
Petra PichlerDepartment of Internal Medicine I, Hospital of St. Poelten, St. Poelten, Austria.
Thomas JaegerInternal Medicine II: Medical Oncology, Hematology, Gastroenterology and Rheumatology, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Florian KocherDepartment of Internal Medicine V: Hematology and Oncology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
Richard GreilIIIrd Medical Department of Hematology, Medical Oncology, Hemostaseology, Rheumatology and Infectious Disease, Salzburg Cancer Research Institute, Paracelsus Medical University, Salzburg, Austria.
Thomas BrodowiczDepartment of Internal Medicine I/Clinical Division of Medical Oncology, Medical University Vienna-General Hospital, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlaratumab is a humanized monoclonal antiplatelet-derived growth factor receptor alpha antibody that has been approved in combination with doxorubicin for the treatment of patients with metastatic soft tissue sarcoma (STS). The purpose of this retrospective study was to assess the clinical efficacy in STS patients treated with olaratumab in a real-world setting in Austria.

methodsRetrospectively collected longitudinal data from patients treated between November 2016 and September 2018 at 9 Austrian centers were obtained from the respective medical charts. All patients who received at least one dose of olaratumab were eligible. Parameters of most interest were response rates, progression-free survival (PFS) and overall survival (OS).

resultsAltogether 55 patients were included in the analysis. The median age was 58 years. In total, 65.5% (n = 36), 21.8% (n = 12) and 12.7% (n = 7) received olaratumab as first, second or ≥third line treatment, respectively. Olaratumab was administered either in combination with doxorubicin (81.8%, n = 45) or liposomal doxorubicin (16.4%, n = 9); one patient received olaratumab as upfront monotherapy. The median PFS and OS were 2.6 and 11.4 months, respectively. The objective response rate was 11.4% and the disease control rate was 40.9%.

conclusionIn this real-world analysis the outcome was less pronounced compared to the results of both the phase Ib/II approval trial and the confirmatory phase III trial. The latter failed to show an improvement in OS and PFS for the doxorubicin/olaratumab combination. As such, olaratumab should not be used anymore in patients with STS.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsSarcomaAntibodies, MonoclonalAustriaHumansMiddle AgedRetrospective StudiesTreatment OutcomeAntibodies, MonoclonalolaratumabDoxorubicinOlaratumabPlatelet-derived growth factor receptorReal-world analysisSarcoma

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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.