Evidence map›Paper›PMID 33052757›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

ARTSCAN III: A Randomized Phase III Study Comparing Chemoradiotherapy With Cisplatin Versus Cetuximab in Patients With Locoregionally Advanced Head and Neck Squamous Cell Cancer.

Maria Gebre-Medhin, Eva Brun, Per Engström, Hedda Haugen Cange, Lalle Hammarstedt-Nordenvall, Johan Reizenstein, Jan Nyman, Edvard Abel, Signe Friesland, Helena Sjödin and 5 more

Open access · hybridAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 8 pooled it
17.0field-weighted citation impact, top 1% 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

99 citing papers in PubMed, 8 syntheses or guidelines pooled it, 163 citations in OpenAlex.

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  8. The relevance of ototoxicity induced by radiotherapy.Radiation oncology (London, England) · 2023
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  9. Randomized Phase II Study of Physiologic MRI-Directed Adaptive Radiation Boost in Poor Prognosis Head and Neck Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Maria Gebre-MedhinDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.ORCID 0000-0003-4480-357X
Eva BrunDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.
Per EngströmDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.
Hedda Haugen CangeDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Lalle Hammarstedt-NordenvallDivision of Ear, Nose, and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0003-1660-9737
Johan ReizensteinDepartment of Oncology, Örebro University Hospital, Örebro, Sweden.
Jan NymanDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID 0000-0002-2314-5902
Edvard AbelDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.ORCID 0000-0002-0482-2015
Signe FrieslandTheme Cancer, Karolinska University Hospital, Stockholm, Sweden.
Helena SjödinTheme Cancer, Karolinska University Hospital, Stockholm, Sweden.
Henrik CarlssonDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.
Karin SöderkvistDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.ORCID 0000-0002-3683-3763
Marcus ThomassonDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Björn ZackrissonDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.ORCID 0000-0002-5219-4682
Per NilssonDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.ORCID 0000-0002-7983-9778
Lund University · SEKarolinska University Hospital · SESahlgrenska University Hospital · SEUmeå University · SEÖrebro University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe performed an open-label randomized controlled phase III study comparing treatment outcome and toxicity between radiotherapy (RT) with concomitant cisplatin versus concomitant cetuximab in patients with locoregionally advanced head and neck squamous cell carcinoma (HNSCC; stage III-IV according to the Union for International Cancer Control TNM classification, 7th edition). MATERIALS AND

methodsEligible patients were randomly assigned 1:1 to receive either intravenous cetuximab 400 mg/m

resultsStudy inclusion was prematurely closed after an unplanned interim analysis when 298 patients had been randomly assigned. At 3 years, OS was 88% (95% CI, 83% to 94%) and 78% (95% CI, 71% to 85%) in the cisplatin and cetuximab groups, respectively (adjusted hazard ratio, 1.63; 95% CI, 0.93 to 2.86;

conclusionCetuximab is inferior to cisplatin regarding locoregional control for concomitant treatment with RT in patients with locoregionally advanced HNSCC. Additional studies are needed to identify possible subgroups that still may benefit from concomitant cetuximab treatment.

Indexed as

ChemoradiotherapyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCetuximabCisplatinCombined Modality TherapyFemaleHumansMaleMiddle AgedNeoplasm StagingRadiotherapy DosageSquamous Cell Carcinoma of Head and NeckSwedenCetuximabCisplatin

Identifiers

PMID33052757
PMCPMC7771720
OpenAlexW3093328027

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.