Evidence map›Paper›PMID 32068962›Full record

Trial reportThoracic cancer2020

Different administration routes of recombinant human endostatin combined with concurrent chemoradiotherapy might lead to different efficacy and safety profile in unresectable stage III non-small cell lung cancer: Updated follow-up results from two phase II trials.

Ma Honglian, Hui Zhouguang, Peng Fang, Zhao Lujun, Li Dongming, Xu Yujin, Bao Yong, Xu Liming, Zhai Yirui, Hu Xiao and 4 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Tumor angiogenesis at baseline identified byJournal of translational medicine · 2022
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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

14 authors at 6 institutions in 1 country.

Ma HonglianDepartment of Radiation Oncology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Hui ZhouguangDepartment of Radiation Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-7189-4692
Peng FangDepartment of Radiation Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Zhao LujunDepartment of Radiation Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Li DongmingDepartment of Radiation Oncology, Beijing Cancer Hospital, Beijing, China.
Xu YujinDepartment of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.
Bao YongDepartment of Radiation Oncology, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.
Xu LimingDepartment of Radiation Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Zhai YiruiDepartment of Radiation Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Hu XiaoDepartment of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.
Wang JinDepartment of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.
Kong YueDepartment of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.
Wang LvhuaDepartment of Radiation Oncology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Chen MingDepartment of Radiation Oncology, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China.
Zhejiang Cancer Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNSun Yat-sen University · CNTianjin Medical University Cancer Institute and Hospital · CNPeking University · CNSoochow University · CN

Funding

Co-cultivation project of National Health Commission of the People's Republic of China and Zhejiang province 2014PYA003
6 · The paper itself

Abstract

backgroundThere are two main choices of administration route of recombinant human endostatin (Endostar) available and the treatment options of concurrent chemoradiotherapy (CCRT) have changed over time. The aim of this study was to observe the long-term efficacy and safety of different administration routes of Endostar combined with CCRT.

methodsPatients with unresectable stage III non-small cell lung cancer (NSCLC) from two phase II trials were included as two cohorts. Both were treated with Endostar combined with CCRT. Endostar was administrated by intravenous injection (7.5 mg/m

resultsA total of 48 patients were included in the IV arm and 67 patients in the CIV arm. The median progression-free survival (PFS), overall survival (OS), local recurrence-free survival (LRFS) and distant metastasis-free survival (DMFS) in the IV arm and CIV arm were 9.9 months versus 15.4 months (HR = 0.751, 95% CI 0.487-1.160, P = 0.200), 24.0 months versus 38.5 months (HR = 0.746, 95% CI 0.473-1.178, P = 0.209), 32.3 months versus 27.1 months (HR = 1.193, 95% CI 0.673-2.115, P = 0.546), 20.1 months versus 49.7 months (HR = 0.603, 95% CI 0.351-1.036, P = 0.067). The one, three, five-year PFS in the IV arm and CIV arm was 45.8% versus 52.9%, 18.3% versus 31.4%, and 18.3% versus 27.7% and the one, three, five-year OS was 81.2% versus 82.1%, 31.1% versus 50.3%, and 31.1% versus 41%, respectively. Incidence of hematological adverse reactions were numerically lower in the CIV arm than the IV arm.

conclusionsEndostar delivered by CIV with CCRT may be a better option than IV in terms of potential survival and safety for unresectable stage III NSCLC. KEY POINTS: Significant findings of the study Endostar delivered by continuous intravenous pumping might achieve more favorable survival over intravenous injection and reduce adverse hematological reactions in patients with unresectable stage III NSCLC treated with Endostar combined with CCRT.What this study adds The administration route of recombinant human endostatin is also one key factor for survival and safety to consider when treating patients with unresectable stage III NSCLC.

Indexed as

Adenocarcinoma of LungAdministration, IntravenousCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellChemoradiotherapyEndostatinsFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPatient SafetyPrognosisSurvival RateEndostatinsConcurrent chemoradiotherapycontinuous intravenous pumpingintravenous injectionnon-small cell lung cancerrecombinant human endostatin

Identifiers

PMID32068962
PMCPMC7113061
OpenAlexW3007502709

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.