Evidence map›Paper›PMID 32753954›Full record

ArticleCancer management and research2020

Regorafenib for Metastatic Colorectal Cancer: An Analysis of a Registry-Based Cohort of 555 Patients.

Alena Novakova-Jiresova, Katerina Kopeckova, Ludmila Boublikova, Renata Chloupkova, Bohuslav Melichar, Lubos Petruzelka, Jindrich Finek, Ondrej Fiala, Peter Grell, Stanislav Batko and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancer management and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

15 citing papers in PubMed, 16 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

14 authors at 4 institutions in 1 country.

Alena Novakova-JiresovaDepartment of Oncology, First Faculty of Medicine and Thomayer Hospital, Charles University, Prague, Czech Republic.ORCID 0000-0003-1912-3388
Katerina KopeckovaDepartment of Oncology, University Hospital in Motol, Charles University, Prague, Czech Republic.
Ludmila BoublikovaDepartment of Oncology, First Faculty of Medicine and Thomayer Hospital, Charles University, Prague, Czech Republic.
Renata ChloupkovaInstitute of Biostatistics and Analysis, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Bohuslav MelicharDepartment of Oncology, Palacky University Medical and Teaching Hospital, Olomouc, Czech Republic.
Lubos PetruzelkaDepartment of Oncology, General Faculty Hospital, Charles University, Prague, Czech Republic.
Jindrich FinekDepartment of Oncology and Radiotherapy, Medical School and University Hospital in Pilsen, Charles University, Pilsen, Czech Republic.
Ondrej FialaDepartment of Oncology and Radiotherapy, Medical School and University Hospital in Pilsen, Charles University, Pilsen, Czech Republic.
Peter GrellDepartment of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Stanislav BatkoDepartment of Oncology, University Hospital in Motol, Charles University, Prague, Czech Republic.
Zdenek LinkeDepartment of Oncology, University Hospital in Motol, Charles University, Prague, Czech Republic.
Igor KissDepartment of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Jana PrausovaDepartment of Oncology, University Hospital in Motol, Charles University, Prague, Czech Republic.
Tomas BuchlerDepartment of Oncology, First Faculty of Medicine and Thomayer Hospital, Charles University, Prague, Czech Republic.ORCID 0000-0001-6667-994X
Charles University · CZMasaryk Memorial Cancer Institute · CZMasaryk University · CZPalacký University Olomouc · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRegorafenib is an oral multikinase inhibitor approved for the therapy of previously treated metastatic colorectal carcinoma (mCRC). The aim of the present study was to analyze the outcomes of treatment with regorafenib in real-world clinical practice based on data from a national registry.

methodsThe CORECT registry, the Czech non-interventional database of patients with mCRC treated with targeted agents, searched for patients with metastatic CRC treated with regorafenib. In total, 555 evaluable patients were identified.

resultsThe median age at diagnosis was 61.7 years. All patients had disease progression on or after previous systemic treatment. Most patients were treated with an initial dose of 160 mg daily (n = 463; 83.6%). The median duration of treatment was 2.7 months (range 0.0-23.4 months). By the data cut-off date, 472 patients (85%) had completed treatment with regorafenib and were evaluable for treatment response evaluation. Partial response was reported in 13 patients (2.8%) and disease stabilization in 130 patients (27.5%). Median progression-free survival (PFS) and overall survival (OS) were 3.5 months (95% confidence interval [CI] 3.2-3.7 months) and 9.3 months (95% CI 8.3-10.3 months), respectively. The 6-month OS rate was 67.7% (95% CI 63.4-72.1%). Multivariable analysis showed that female gender, longer interval from diagnosis of metastatic disease, M0 stage at diagnosis, and Eastern Cooperative Oncology Group performance status (ECOG PS) 0 were associated with longer PFS, while higher body-mass index (BMI), longer interval from diagnosis of metastatic disease, and ECOG PS of 0 were associated with longer OS.

conclusionOS of patients treated with regorafenib in the real-world clinical practice in this cohort exceeded that reported in randomized trials. Regorafenib is a safe and active treatment option for a subgroup of patients with mCRC who are progressing after other systemic therapies and maintain good performance status.

Indexed as

colorectal canceroutcome analysisregistryregorafenibsurvival

Identifiers

PMID32753954
PMCPMC7342462
OpenAlexW3038502924

What OpenQuestion holds

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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.