Evidence map›Paper›PMID 32441892›Full record

ArticleCancer medicine2020

Effectiveness and safety of low-dose apatinib in advanced gastric cancer: A real-world study.

Yingying Du, Qisheng Cao, Congqiao Jiang, Hui Liang, Zhongliang Ning, Chushu Ji, Jinguo Wang, Chaoping Zhou, Zonghui Jiang, Changjun Yu and 17 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333967 (The Real World Study of Apatinib for Gastric Cancer Treatment in Anhui Province), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.8field-weighted citation impact, top 7% 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.

NCT03333967 unknown statusnot on this map

The Real World Study of Apatinib for Gastric Cancer Treatment in Anhui Province

TypeobservationalSponsorThe First Affiliated Hospital of Anhui Medical UniversityRan2017 to 2020Enrolled1,000ConditionsGastric Cancer
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 24 citations in OpenAlex.

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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

27 authors at 19 institutions in 1 country.

Yingying DuDepartment of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID 0000-0002-5149-4632
Qisheng CaoDepartment of Interventional Oncology, People's Hospital of Ma'anshan, Ma'anshan, China.
Congqiao JiangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China.
Hui LiangDepartment of Tumor Radiotherapy, Lu'an Hospital of Traditional Chinese Medicine, Lu'an, China.
Zhongliang NingDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Cancer Hospital), Hefei, China.
Chushu JiDepartment of Oncology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Jinguo WangDepartment of Gastrointestinal Surgery, Yijishan Hospital of WanNan Medical College, Wuhu, China.
Chaoping ZhouDepartment of Surgical Oncology, Anqing Municipal Hospital, Anqing, China.
Zonghui JiangDepartment of Oncology, The First People's Hospital of Chuzhou City, Chuzhou, China.
Changjun YuDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Lei LiDepartment of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China.
Yong ZhaoDepartment of Oncology, Lu'an Hospital of Traditional Chinese Medicine, Lu'an, China.
Yuemei XuDepartment of Oncology, Jinzhai Country Hospital of Traditional Chinese Medicine, Lu'an, China.
Tengyun XuDepartment of Oncology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.
Wenjun HuDepartment of Oncology, People's Hospital of Fuyang City, Fuyang, China.
Daoqin WangDepartment of Gastrointestinal Surgery, Wanbei Coal-Electricity Group General Hospital, Suzhou, China.
Huaidong ChengDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Guihe WangDepartment of Gastrointestinal Surgery, People's Hospital of Tongling City, Tongling, China.
Jinhua ZhouDepartment of Oncology, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China.
Song WangDepartment of Oncology, People's Hospital of Fuyang City, Fuyang, China.
Yanshun ZhangDepartment of Oncology, Huainan First People's Hospital, Huainan, China.
Zhiqiang HuDepartment of Oncology, Huaibei Miners General Hospital, Huaibei, China.
Xinzhong LiDepartment of Oncology, The People's Hospital of Huaibei, Huaibei, China.
Donghui LuDepartment of Oncology, The 901 Hospital of the Joint Logistic Support Force of the People's Liberation Army of China, Hefei, China.
Jun ZhangDepartment of Oncology, The Second People's Hospital of Wuhu, Wuhu, China.
Hua XieDepartment of Oncology, The People's Hospital of Xuancheng City, Xuancheng, China.
Guoping SunDepartment of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID 0000-0002-4325-900X
Anhui Medical University · CNUniversity of Science and Technology of China · CNFuyang City People's Hospital · CNLu'an First People's Hospital · CNAnhui University of Traditional Chinese Medicine · CNAnqing City Hospital · CNAnshan Hospital · CNBengbu Medical College · CNChina Coal Technology and Engineering Group Corp (China) · CNChuzhou University · CNFirst Affiliated Hospital of Bengbu Medical College · CNHuaian First People’s Hospital · CNHuaibei Mining (China) · CNHuaibei Normal University · CNJining Traditional Chinese Medicine Hospital · CNPeople's Liberation Army 401 Hospital · CNThe People's Hospital Tongling · CNWannan Medical College · CNWuhu Fourth People Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Apatinib has been demonstrated to be effective and safe among patients with gastric cancer failing after at least two lines chemotherapy. This study aimed to evaluate its effectiveness and safety of low-dose apatinib for the treatment of gastric cancer in real-world practice. We performed a prospective, multicenter observation study in a real-world setting. Patients with advanced gastric cancer more than 18 years old were eligible and received low-dose apatinib (500 mg or 250mg per day) therapy. The median progression-free survival (PFS), median overall survival (OS), objective response rate (ORR), disease control rate (DCR), and safety were assessed. Between September 2017 and April 2019, a total of 747 patients were enrolled. The mPFS was 5.56 months (95% CI 4.47-6.28), and mOS was 7.5 months (95% CI 6.74-8.88). Four patients achieved complete response, 47 achieved partial response, and 374 patients achieved stable disease. The ORR was 6.83% and DCR was 56.89%. In addition, multivariate Cox regression analysis indicated that hand-foot syndrome was one independent predictor for PFS and OS. The most common adverse events (AEs) at any grade were hypertension (36.55%), proteinuria (10.26%), hand-foot syndrome (33.53%), fatigue (24.9%), anemia (57.35%), leukopenia (44.49%), thrombocytopenia (34.21%), and neutropenia (53.33%). Grade 3-4 AEs with incidences of 5% or greater were anemia (13.97%), thrombocytopenia (7.14%), and neutropenia (6.67%). No treatment-related death was observed during the treatment of apatinib. The prospective study suggested that low-dose apatinib was an effective regimen for the treatment of advanced gastric cancer with tolerable or controlled toxicity in real world. Trial registration: NCT03333967.

Indexed as

FemaleHumansMaleMiddle AgedProgression-Free SurvivalProspective StudiesPyridinesStomach NeoplasmsapatinibPyridinesadvanced gastric cancerapatinibreal-world

Identifiers

PMID32441892
PMCPMC7367613
OpenAlexW3026634362

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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.