Evidence map›Paper›PMID 32391141›Full record

ArticleClinical sarcoma research2020

Real-world experience with doxorubicin and olaratumab in soft tissue sarcomas in England and Northern Ireland.

Spyridon Gennatas, Florence Chamberlain, Thomas Carter, Susanna Slater, Elena Cojocaru, Beth Lambourn, Anna Stansfeld, Radha Todd, Mark Verrill, Nasim Ali and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical sarcoma research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Regorafenib for the Treatment of Sarcoma.Current treatment options in oncology · 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

18 authors at 7 institutions in 1 country.

Spyridon Gennatas *1Sarcoma Unit, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ UK.ORCID 0000-0002-5635-7696
Florence Chamberlain *1Sarcoma Unit, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ UK.
Thomas Carter2University College Hospital London, 235 Euston Rd, London, NW1 2BU UK.
Susanna Slater3Hammersmith Hospital, 150 Du Cane Rd, White City, London, W12 0HS UK.
Elena Cojocaru1Sarcoma Unit, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ UK.
Beth Lambourn4Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Anna Stansfeld4Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Radha Todd4Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Mark Verrill4Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Nasim Ali5The Clatterbridge Cancer Centre NHS Foundation Trust, Birkenhead, UK.
Robin L Jones1Sarcoma Unit, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ UK.
Peter Simmonds7University Hospital Southampton, Tremona Rd, Southampton, SO16 6YD UK.
Nicola Keay7University Hospital Southampton, Tremona Rd, Southampton, SO16 6YD UK.
Heather McCarty8Belfast Health and Social Care Trust, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB UK.
Sandra Strauss2University College Hospital London, 235 Euston Rd, London, NW1 2BU UK.
Vassilios Karavasilis2University College Hospital London, 235 Euston Rd, London, NW1 2BU UK.
Palma Dileo2University College Hospital London, 235 Euston Rd, London, NW1 2BU UK.
Charlotte Benson1Sarcoma Unit, Royal Marsden Hospital, Fulham Road, London, SW3 6JJ UK.
Royal Marsden NHS Foundation Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity College Hospital · GBSouthampton General Hospital · GBBelfast Health and Social Care Trust · GBClatterbridge Cancer Centre NHS Foundation Trust · GBHammersmith Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA randomised phase II trial demonstrated that the addition of olaratumab to doxorubicin significantly increased overall survival (OS) in patients with advanced soft tissue sarcomas (STS) compared to doxorubicin alone. The recently presented phase III study of doxorubicin and olaratumab in advanced soft tissue sarcoma was discordant with this finding.

methodsWe performed a retrospective analysis of adult patients with advanced-/metastatic STS treated with at least two cycles of doxorubicin and olaratumab at eight sarcoma units across England and Northern Ireland between May 2017 and March 2019.

results172 patients were evaluable and 40 patients (23.3%) had died at the time of analysis. Median ECOG performance status (PS) was 1. Median progression free survival (PFS) was 6.8 months (95% CI 5.9-7.7 months). Leiomyosarcoma was the most common histological subtype (75 patients, 43.6%), followed by liposarcomas (19, 11.0%). The mean number of cycles was 5 (doxorubicin range 2-6; olaratumab range 2-23). Two patients (1.2%) had a complete response and 34 (19.8%) had a partial response. 79 (45.9%) had stable and 58 (33.7%) progressive disease. 57 patients (33.1%) experienced grade ≥ 3 neutropenia and 7 patients (4.1%) grade ≥ 3 febrile neutropenia. Grade ≥ 3 anaemia was seen in 21 patients (12.2%). Grade ≥ 3 non-haematological toxicities were seen in 35 patients (20.3%). A clinically significant drop in left ventricular ejection fraction was seen in 6 patients (3.5%). 48 patients (27.9%) required a dose reduction. Overall survival (OS) is pending.

conclusionsOur results are in keeping with the phase III study findings: response rate, PFS and OS were similar to those reported in the phase III ANNOUNCE trial.

Indexed as

ChemotherapyDoxorubicinOlaratumabSoft tissue sarcomas

Identifiers

PMID32391141
PMCPMC7203838
OpenAlexW3022008903

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.