Evidence map›Paper›PMID 33955301›Full record

ArticleTechnology in cancer research & treatment

Continuous Low-Dose Apatinib Combined With WBRT Significantly Reduces Peritumoral Edema and Enhances the Efficacy of Symptomatic Multiple Brain Metastases in NSCLC.

Yue Ren, Shan-Bing Wang, Lin Zhou, Si-Qiao Liu, Lei-Ya Du, Ting Li, Mao-Qiong Jiang, Kai-Jian Lei, Bang-Xian Tan, Yu-Ming Jia

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Article in Technology in cancer research & treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

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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

4 citing papers in PubMed, 8 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

10 authors at 4 institutions in 1 country.

Yue Ren74655North Sichuan Medical College, Nanchong, Sichuan, China.
Shan-Bing WangDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Lin ZhouWest China Hospital, 34753Sichuan University, Cheng du, China.
Si-Qiao Liu12599University of Electronic Science and Technology of China, Sichuan, China.
Lei-Ya DuDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Ting LiDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Mao-Qiong JiangDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Kai-Jian LeiDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.
Bang-Xian Tan74655North Sichuan Medical College, Nanchong, Sichuan, China.
Yu-Ming JiaDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan, China.ORCID 0000-0002-3934-9133
Second People’s Hospital of Yibin · CNNorth Sichuan Medical University · CNSichuan University · CNUniversity of Electronic Science and Technology of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptomatic multiple brain metastases with peritumoral brain edema (PTBE) occur in non-small cell lung cancer patients (NSCLC) who are without driver mutations or are resistant to epidermal growth factor tyrosine kinase (EGFR-TKI) are often associated with an unfavorable prognosis. Whole brain radiation therapy (WBRT) which comes with many complications and unsatisfactory effects, is the only option for the treatment. Previous studies have shown that bevacizumab can reduce the volume of PTBE and improve efficiency of radiotherapy. This study evaluated the effects and safety of apatinib combined with WBRT in NSCLC patients with symptomatic multiple brain metastases and PTBE.

methodsWe performed a retrospective review of 34 patients with symptomatic multiple brain metastases from NSCLC (number >4, and at least 1 measurable brain metastasis lesion with cerebral edema). Intracranial objective response rate (IORR), peritumoral edema and intracranial tumor volumetric measurement, Karnofsky performance status (KPS) and adverse events (AEs) were evaluated. Median intracranial progression-free survival (mIPFS) and median overall survival (mOS) were also analyzed.

resultsThirteen cases received apatinib (125 mg or 250 mg, QD, oral) combined with WBRT and 21 cases received chemotherapy combined with WBRT were inclued. Apatinib combination group can better reduce the volume of intracranial tumors and PTBE and total steroid dosage used. It was associated with a better IORR (84.6% vs 47.6%,

conclusionApatinib plus WBRT is well tolerated and may be a potential choice for relapsed or drug-resistant advanced NSCLC patients with symptomatic multiple brain metastases and PTBE.

Indexed as

AgedBrain NeoplasmsCarcinoma, Non-Small-Cell LungChemoradiotherapyCranial IrradiationDose-Response Relationship, DrugEdemaFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPrognosisProtein Kinase InhibitorsPyridinesapatinibProtein Kinase InhibitorsPyridinesapatinibbrain metastasesnon-small cell lung cancerperitumoral brain edemaradiation therapywhole brain radiotherapy

Identifiers

PMID33955301
PMCPMC8111549
OpenAlexW3159844049

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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.