Evidence map›Paper›PMID 33611805›Full record

Trial reportThe oncologist2021

Anlotinib, Vincristine, and Irinotecan for Advanced Ewing Sarcoma After Failure of Standard Multimodal Therapy: A Two-Cohort, Phase Ib/II Trial.

Jie Xu, Lu Xie, Xin Sun, Kuisheng Liu, Xiaodong Tang, Taiqiang Yan, Rongli Yang, Wei Guo, Jin Gu

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Targeted and molecular therapies in Ewing sarcoma: a comprehensive review of preclinical and clinical advances.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

9 authors at 2 institutions in 1 country.

Jie XuMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.ORCID 0000-0003-1957-8438
Lu XieMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Xin SunMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Kuisheng LiuMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Xiaodong TangMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Taiqiang YanMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Rongli YangMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Wei GuoMusculoskeletal Tumor Center, Peking University People's Hospital, Beijing, People's Republic of China.
Jin GuDepartment of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing, People's Republic of China.
Peking University · CNPeking University Shougang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth protracted irinotecan and antiangiogenesis therapy have shown promising efficacy against Ewing sarcoma (EWS).

methodsPatients diagnosed with recurrent or refractory EWS were enrolled and further categorized into cohort A (≥16 years) or cohort B (<16 years). In the dose-defining phase Ib portion, anlotinib was given daily at a fixed dose, while a 3+3 design with dose de-escalation was used to determine the dose of irinotecan. The next dose-expanding phase II portion employed a conventional two-stage study design model. The primary endpoint was objective response rate at 12 weeks (ORR

resultsA total of 41 patients finally received the treatment regimen, including 29 in cohort A and 12 in cohort B. For cohort A, the first five patients were treated at the initial level of 20 mg/m

conclusionThe combination of vincristine, irinotecan, and anlotinib demonstrated an acceptable toxicity profile and promising clinical efficacy in patients with advanced EWS. IMPLICATIONS FOR PRACTICE: This is the first trial to evaluate an irinotecan-based regimen in combination with antiangiogenesis tyrosine kinase inhibitors in Ewing sarcoma (EWS). A 3+3 design with dose de-escalation was used to determine the most appropriate dose of irinotecan in each cohort. The next dose-expanding phase II portion employed a conventional two-stage study design model. The objective response rate was 62.5% for adults and 83.3% for children. Median overall survival was not matured. This study shows that the combination of vincristine, irinotecan, and anlotinib demonstrates an acceptable toxicity profile and promising clinical efficacy in patients with advanced EWS.

Indexed as

Sarcoma, EwingAdultAntineoplastic Combined Chemotherapy ProtocolsCamptothecinChildHumansIndolesIrinotecanQuinolinesVincristineanlotinibCamptothecinIndolesIrinotecanQuinolinesVincristineAnlotinibEwing sarcomaIrinotecan

Identifiers

PMID33611805
PMCPMC8265337
OpenAlexW3132817859

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.