Evidence map›Paper›PMID 33116830›Full record

ArticleCancer management and research2020

Survival and Clinical Outcomes with Telotristat Ethyl in Patients with Carcinoid Syndrome.

David C Metz, Eric Liu, Vijay N Joish, Lynn Huynh, Todor I Totev, Mei Sheng Duh, Kiernan Seth, Susan Giacalone, Pablo Lapuerta, Michael A Morse

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 5 institutions in 1 country.

David C MetzNeuroendocrine Tumor Program at Penn Medicine, Philadelphia, PA 19104, USA.
Eric LiuThe Neuroendocrine Institute at Rocky Mountain Cancer Centers, Denver, CO 80218, USA.
Vijay N JoishLexicon Pharmaceuticals, Inc, The Woodlands, TX 77831, USA.ORCID 0000-0002-7422-6809
Lynn HuynhAnalysis Group, Boston, MA 02199, USA.
Todor I TotevAnalysis Group, Boston, MA 02199, USA.ORCID 0000-0003-0253-325X
Mei Sheng DuhAnalysis Group, Boston, MA 02199, USA.ORCID 0000-0001-5035-6687
Kiernan SethLexicon Pharmaceuticals, Inc, The Woodlands, TX 77831, USA.
Susan GiacaloneLexicon Pharmaceuticals, Inc, The Woodlands, TX 77831, USA.ORCID 0000-0002-3982-0300
Pablo LapuertaLexicon Pharmaceuticals, Inc, The Woodlands, TX 77831, USA.ORCID 0000-0003-0704-0251
Michael A MorseDuke Cancer Institute, School of Medicine, Duke University, Durham, NC 27710, USA.
Lexicon Pharmaceuticals (United States) · USAnalysis Group (United States) · USDuke University · USPenn Center for AIDS Research · USRocky Mountain Cancer Centers · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe TELEACE study showed reductions in tumor size in patients with neuroendocrine tumors, receiving telotristat ethyl in US clinical practice. Here, we report progression-free survival, time to tumor progression, changes in carcinoid syndrome symptoms, and indictors of overall health. PATIENTS AND

methodsThis was a retrospective, single arm, pre-post medical chart review of patients with locally advanced or metastatic neuroendocrine tumors and documented carcinoid syndrome receiving telotristat ethyl for at least 6 months. Patients with poorly differentiated tumors, mixed tumor types or conflicting clinical trial enrollment were excluded. Descriptive statistics, Kaplan-Meier and chi-square tests were used to evaluate PFS, tumor progression, changes in symptoms, body weight and ECOG performance status before and after telotristat ethyl initiation. Subgroup analyses were conducted in patients with the same pre- and post-telotristat ethyl background treatment.

resultsAnonymized data for 200 patients were provided by 114 physicians; patients received telotristat ethyl for a median of 9 months. Median time to tumor progression was 39.8 months (IQR, 18.7-39.8); most had no tumor progression at 6 (92%) and 12 months (87%). Median progression-free survival was 23.7 months (17.8-39.8); most had progression-free survival at 6 (90%) and 12 months (80%). Results were consistent in the subgroup of 65 patients with the same pre/post background treatment. Nearly all patients had improved carcinoid syndrome symptoms, stable or improved weight and ECOG performance status.

conclusionPatients showed improvements in clinical outcomes and indicators of overall health following treatment with telotristat ethyl in this exploratory pilot study, consistent with previously observed reductions in tumor size.

Indexed as

carcinoid syndromeneuroendocrine tumorssurvivaltelotristat ethyl

Identifiers

PMID33116830
PMCPMC7548219
OpenAlexW3092636111

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.