Evidence map›Paper›PMID 32433669›Full record

ArticlePloS one2020

Long term term follow-up of tyrosine kinase inhibitors treatments in inoperable or relapsing diffuse type tenosynovial giant cell tumors (dTGCT).

Mehdi Brahmi, Philippe Cassier, Armelle Dufresne, Sylvie Chabaud, Marie Karanian, Alexandra Meurgey, Amine Bouhamama, Francois Gouin, Gualter Vaz, Jerome Garret and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
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

17 authors at 3 institutions in 1 country.

Mehdi BrahmiDepartment of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.ORCID 0000-0001-9904-166X
Philippe CassierDepartment of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.ORCID 0000-0003-3857-1688
Armelle DufresneDepartment of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.
Sylvie ChabaudDepartment of Statistics, Léon Bérard Cancer Center, Lyon, France.
Marie KaranianDepartment of Biopathology, Léon Bérard Cancer Center, Lyon, France.
Alexandra MeurgeyDepartment of Biopathology, Léon Bérard Cancer Center, Lyon, France.
Amine BouhamamaDepartment of Radiology, Léon Bérard Cancer Center, Lyon, France.ORCID 0000-0003-0655-6678
Francois GouinDepartment of Surgery, Léon Bérard Cancer Center, Lyon, France.
Gualter VazDepartment of Surgery, Léon Bérard Cancer Center, Lyon, France.
Jerome GarretDepartment of Surgery, Léon Bérard Cancer Center, Lyon, France.
Marie-Pierre SunyachDepartment of Radiotherapy, Léon Bérard Cancer Center, Lyon, France.
Aurélien DupréDepartment of Surgery, Léon Bérard Cancer Center, Lyon, France.ORCID 0000-0002-5216-538X
Perrine Marec-BerardInstitut d'Hematology Oncologie Pediatrique, Centre Leon Berard, Lyon, France.
Nadège CorradiniInstitut d'Hematology Oncologie Pediatrique, Centre Leon Berard, Lyon, France.
David PerolDepartment of Statistics, Léon Bérard Cancer Center, Lyon, France.
Isabelle Ray-CoquardDepartment of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.
Jean-Yves BlayDepartment of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.ORCID 0000-0001-7190-120X
Centre de Recherche en Cancérologie de Lyon · FRInstitut d’Hématologie et d’Oncologie Pédiatrique · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleCSF1R tyrosine kinase inhibitors (TKI) and antibodies yield response rates and tumor control in patients with diffuse type tenosynovial giant cell tumors (dTGCT). The long term management of patients with dTGCT treated with TKI is however not known. PATIENTS AND

methodsWe conducted a retrospective single center study on the 39 patients with advanced and/or inoperable dTGCT referred to the Centre Leon Berard for a medical treatment. The clinical characteristics and treatments of patients who had received at least one line of CSF1R TKI or Ab was collected from the electronic patient records and analyzed, after this study was approved by the Institutional Review Board of the Centre Leon Berard. Statistics were conducted using SPSS 23.0.

resultsThirty-nine patients received at least one line of TKI among the 101 patients with histologically confirmed dTGCT refered to this center. Imatinib, nilotinib, pexidartinib, emactuzumab were the most frequently used agents. First line treatment was given for a median duration of 7 months. With a median follow-up from the initiation of TKI of 30 months, the progression-free rate at 30 months is 56% for the 39 patients. 15 patients had recurrent disease after first line CSF1R inhibitor: 12 (80%) received a 2nd line treatment for a median duration of 6 months and a median time to progression (TTP) of 12 months. Six patients had afterwards a recurrent disease and 5 (83%) received a 3rd line treatment for a median duration of 5 months and a median TTP of 9 months. Progression-free rate at 30 months was observed in 3 of 12 (25%) after line 2 and 1 of 5 (20%) after line 3. None of the patients refered died with a median follow-up of 67 months.

conclusionsCSF1R TKI or Ab provide prolonged tumor control and symptom relief for a majority of patients with inoperable or relapsing dTGCT, in first and subsequent lines. Multiple lines are required for close to 50% of patients with relapsing dTGCT.

Indexed as

AdolescentAdultAntineoplastic Agents, ImmunologicalFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm Recurrence, LocalProtein Kinase InhibitorsRetrospective StudiesSurvival AnalysisSynovitis, Pigmented VillonodularTreatment OutcomeYoung AdultAntineoplastic Agents, ImmunologicalProtein Kinase Inhibitors

Identifiers

PMID32433669
PMCPMC7239463
OpenAlexW3026133856

What OpenQuestion holds

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LicenceCC BY
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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.