Evidence map›Paper›PMID 31977567›Full record

Trial reportAnti-cancer drugs2020

Prognostic value of the neutrophil/lymphocyte ratio in enteropancreatic neuroendocrine tumors.

Tal Grenader, Marianne E Pavel, Philippe B Ruszniewski, Jarosław B Ćwikła, Alexandria T Phan, Markus Raderer, Eva Sedláčková, Guillaume Cadiot, Edward M Wolin, Jaume Capdevila and 5 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Anti-cancer drugs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00353496 (Phase III, Randomised, Double-blind, Stratified Comparative, Placebo Controlled, Parallel Group, Multi-centre Study to Assess the Effect of Deep Subcutaneous Injections of Lanreotide Autogel 120mg Administered Every 28 Days on Tumour Progression Free Survival in Patients With Non-functioning Entero-pancreatic Endocrine Tumour), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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.

NCT00353496 phase3completednot on this map

Phase III, Randomised, Double-blind, Stratified Comparative, Placebo Controlled, Parallel Group, Multi-centre Study to Assess the Effect of Deep Subcutaneous Injections of Lanreotide Autogel 120mg Administered Every 28 Days on Tumour Progression Free Survival in Patients With Non-functioning Entero-pancreatic Endocrine Tumour

TypeinterventionalSponsorIpsenRan2006 to 2013Enrolled264ConditionsEndocrine TumorsArmslanreotide (Autogel formulation), Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

15 authors at 13 institutions in 9 countries.

Tal GrenaderOncology Institute, Leumit Health Services, Jerusalem, Israel.
Marianne E PavelMedizinische Klinik m. S. Hepatologie und Gastroenterologie, Charité University Medicine Berlin, Berlin, Germany.
Philippe B RuszniewskiDepartment of Gastroenterology-Pancreatology, Beaujon Hospital, Clichy, France.
Jarosław B ĆwikłaDepartment of Radiology, University of Varmia and Masuria, Olsztyn, Poland.
Alexandria T PhanHematology, Oncology & Radiation Oncology, University of Texas Health Science Center at Tyler, Tyler, Texas, USA.
Markus RadererDepartment of Oncology, University Hospital, Vienna, Austria.
Eva SedláčkováDepartment of Oncology, First Faculty of Medicine and General Teaching Hospital, Prague, Czech Republic.
Guillaume CadiotHepato-Gastroenterology & Digestive Cancerology, Robert-Debré Hospital, Reims, France.
Edward M WolinMedicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Jaume CapdevilaDepartment of Medical Oncology, Vall d'Hebron University Hospital and Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Lucy WallEdinburgh Cancer Centre, Western General Hospital, Edinburgh, UK.
Guido RindiPathological Anatomy, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Xuan-Mai Truong ThanhMedical Affairs, Ipsen, Boulogne-Billancourt, France.
Martyn E CaplinGastroenterology and Neuroendocrine Tumours, Royal Free Hospital, London, UK.
CLARINET Study Group
Charité - Universitätsmedizin Berlin · DEEdinburgh Cancer Research · GBGeneral University Hospital in Prague · CZGTx (United States) · USHôpital Beaujon · FRHôpital Robert-Debré · FRIcahn School of Medicine at Mount Sinai · USIpsen (France) · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITThe Royal Free Hospital · GBThe University of Texas Health Science Center at Tyler · USVall d'Hebron Institute of OncologyVienna General Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accessible prognostic tools are needed to individualize treatment of neuroendocrine tumors (NETs). Data suggest neutrophil/lymphocyte ratios (NLRs) have prognostic value in some solid tumors, including NETs. In the randomized double-blind CLARINET study (NCT00353496; EudraCT 2005-004904-35), the somatostatin analog lanreotide autogel/depot increased progression-free survival (PFS) compared with placebo in patients with inoperable or metastatic intestinal and pancreatic NETs (grades 1-2, Ki-67 < 10%). The exploratory post-hoc analyses presented here evaluated the prognostic value of NLR in the CLARINET study cohort, in the context of and independently from treatment. Kaplan-Meier PFS plots were generated for patients with available NLR data, in subgroups based on NLR values, and 24-month survival rates were calculated. P values and hazard ratios for prognostic effects were generated using Cox models. 31216222 Baseline characteristics were balanced between lanreotide autogel/depot 120 mg (n = 100) and placebo (n = 101) arms. Irrespective of treatment, raw 24-month PFS rates were comparable across subgroups based on NLR tertiles [37.3% (low), 38.8% (middle), 38.8% (high); n = 67 per group] and NLR cutoff of 4 [38.1% (NLR ≤ 4; n = 176), 40.0% (NLR > 4; n = 25)]. Furthermore, NLRs were not prognostic in Cox models, irrespective of subgroups used. The therapeutic effect of lanreotide autogel/depot 120 mg was independent of NLRs (P > 0.1). These exploratory post-hoc analyses in patients with advanced intestinal and pancreatic NETs contrast with previous data suggesting NLR has prognostic potential in NETs. This may reflect the inclusion of patients with lower-grade tumors or use of higher NLR cutoff values in the current analysis.

Indexed as

LymphocytesNeutrophilsAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedNeuroendocrine TumorsPancreatic NeoplasmsPrognosisProportional Hazards Models

Identifiers

PMID31977567
PMCPMC7028287
OpenAlexW3000977339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.