Evidence map›Paper›PMID 32368355›Full record

ArticleJournal of advanced research2020

A randomized phase II trial of best supportive care with or without hyperthermia and vitamin C for heavily pretreated, advanced, refractory non-small-cell lung cancer.

Junwen Ou, Xinyu Zhu, Pengfei Chen, Yanping Du, Yimin Lu, Xiufan Peng, Shuang Bao, Junhua Wang, Xinting Zhang, Tao Zhang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of advanced research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Effect of vitamins C and E on cancer survival; a systematic review.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2022
    Pooled it
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  5. Review
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  7. High-dose vitamin C as a metabolic treatment of cancer: a new dimension in the era of adjuvant and intensive therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  8. Review
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  12. The Involvement of Ascorbic Acid in Cancer Treatment.Molecules (Basel, Switzerland) · 2024
    Review
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  14. 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

11 authors at 1 institution in 1 country.

Junwen OuCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Xinyu ZhuCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Pengfei ChenCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Yanping DuCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Yimin LuHyperthermia Center, Clifford Hospital, Jinan University, PR China.
Xiufan PengCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Shuang BaoCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Junhua WangHyperthermia Center, Clifford Hospital, Jinan University, PR China.
Xinting ZhangCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Tao ZhangCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Clifford L K PangCancer Center, Clifford Hospital, Jinan University, Guangzhou, PR China.
Jinan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our previous study indicated that intravenous vitamin C (IVC) treatment concurrent with modulated electrohyperthermia (mEHT) was safe and improved the quality of life (QoL) of non-small-cell lung cancer (NSCLC) patients. The aim of this trial was to further verify the efficacy of the above combination therapy in previously treated patients with refractory advanced (stage IIIb or IV) NSCLC. A total of 97 patients were randomized to receive IVC and mEHT plus best supportive care (BSC) (n = 49 in the active arm, receiving 1 g/kg * d IVC concurrently with mEHT, three times a week for 25 treatments in total) or BSC alone (n = 48 in the control arm). After a median follow-up of 24 months, progression-free survival (PFS) and overall survival (OS) were significantly prolonged by combination therapy compared to BSC alone (PFS: 3 months vs 1.85 months, P < 0.05; OS: 9.4 months vs 5.6 months, P < 0.05). QoL was significantly increased in the active arm despite the advanced stage of disease. The 3-month disease control rate after treatment was 42.9% in the active arm and 16.7% in the control arm (P < 0.05). Overall, IVC and mEHT may have the ability to improve the prognosis of patients with advanced NSCLC.

Indexed as

AUC, area under the curveBSC, best supportive careCA15-3, carbohydrate antigen 15-3CEA, carcinoembryonic antigenCI, confidence intervalCR, complete responseCRP, C-reactive proteinCT, computed tomographyCYFRA21-1, cytokeratin-19 fragmentsDCR, disease control rateECOG, Eastern Cooperative Oncology GroupEGFR, epidermal growth factor receptorG6PD, glucose 6-phosphate dehydrogenaseHT, hyperthermiaIL-6, interleukin- 6IVC, intravenous vitamin CmEHT, modulated electrohyperthermiaModulated electrohyperthermiaNon-small-cell lung cancerNSCLC, non-small-cell lung cancerOS, overall survivalOverall survivalPD, progressive diseasePFS, progression-free survivalPR, partial responseQLQ-C30, Quality of Life QuestionnaireQoL, quality of lifeQuality of lifeRECIST, Response Evaluation Criteria in Solid TumorsRemission rateSCC, squamous cell carcinoma antigenSD, stable diseaseTKIs, tyrosine kinase inhibitorsTNF-α, Tumor Necrosis Factor-αVitamin C

Identifiers

PMID32368355
PMCPMC7190757
OpenAlexW3011219143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.