Evidence map›Paper›PMID 34325109›Full record

Trial reportESMO open2021

A single-arm multicentre phase II trial of doxorubicin in combination with trabectedin in the first-line treatment for leiomyosarcoma with long-term follow-up and impact of cytoreductive surgery.

P Pautier, A Floquet, C Chevreau, N Penel, C Guillemet, C Delcambre, D Cupissol, F Selle, N Isambert, S Piperno-Neumann and 12 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in ESMO open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT02131480 phase2completednot on this map

A Multicentric Phase II Trial Studying Efficacy of Doxorubicin Associated With Trabectedin (Yondelis) in First Line Treatment on Patients With Metastatic Leiomyosarcoma (Uterus or Soft Tissue) and/or Inoperable Relapse

TypeinterventionalSponsorGustave Roussy, Cancer Campus, Grand ParisRan2010 to 2016Enrolled110ConditionsUterus Leiomyosarcoma, Soft Tissue LeiomyosarcomaArmsDoxorubicin, Trabectedin
NCT02997358 phase3completednot on this map

Randomised Phase III Multicentric Study Comparing Efficacy of Doxorubicin With Trabectedin Followed by Trabectedin in Non-progressive Patients Versus Doxorubicine Alone as First-line Therapy in Patients With Metastatic or Unresectable Leiomyosarcoma (Uterine or Soft Tissue)

TypeinterventionalSponsorGustave Roussy, Cancer Campus, Grand ParisRan2017 to 2021Enrolled150ConditionsUterine or Soft Tissue LeiomyosarcomaArmsDoxorubicin, Trabectedin
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Radiosensitizing Effect of Trabectedin on Human Soft Tissue Sarcoma Cells.International journal of molecular sciences · 2022
    Article
  11. Review
  12. The Role of Trabectedin in Soft Tissue Sarcoma.Frontiers in pharmacology · 2022
    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

22 authors at 18 institutions in 1 country.

P PautierDepartment of Medical Oncology, Institut Gustave-Roussy, Villejuif, France. Electronic address: patricia.pautier@gustaveroussy.fr.
A FloquetDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France.
C ChevreauDepartment of Medical Oncology, IUCT-Oncopole, Toulouse, France.
N PenelLille University and Department of Medical Oncology, Centre Oscar-Lambret, Lille, France.
C GuillemetDepartment of Medical Oncology, Centre Henri-Becquerel, Rouen, France.
C DelcambreDepartment of Medical Oncology, Centre François Baclesse, Caen, France.
D CupissolDepartment of Medical Oncology, Centre Val D'Aurelle, Montpellier, France.
F SelleDepartment of Medical Oncology, Groupe Hospitalier Diaconesses Croix Saint-Simon, Paris, France.
N IsambertDepartment of Medical Oncology, Centre Georges-François-Leclerc, Dijon, France.
S Piperno-NeumannDepartment of Medical Oncology, Institut Curie, Paris, France.
E Saada-BouzidDepartment of Medical Oncology, Centre Antoine Lacassagne, Nice, France.
F BertucciDepartment of Medical Oncology, Institut Paoli-Calmettes, Marseille, France.
E BompasDepartment of Medical Oncology, Institut de Cancérologie de l'Ouest, Angers-Nantes, France.
J AlexandreDepartment of Medical Oncology, Hôpital Cochin, Paris, France.
O CollardDepartment of Medical Oncology, Institut de Cancérologie de la Loire, Saint Priest en Jarez, France.
V Lebrun-LyDepartment of Medical Oncology, Centre Hospitalo-Universitaire Dupuytren, Limoges, France.
P SoulierDepartment of Medical Oncology, Centre Paul Papin, Angers, France.
M ToulmondeDepartment of Medical Oncology, Institut Bergonié, Bordeaux, France.
A Le CesneDepartment of Medical Oncology, Institut Gustave-Roussy, Villejuif, France.
B LacasDepartment of Biostatistics, Institut Gustave-Roussy, Villejuif, France.
F DuffaudDepartment of Medical Oncology, La Timone University Hospital, Marseille, France.
French Sarcoma Group
Institut Gustave Roussy · FRInstitut Bergonié · FRCEA Valduc · FRCentre Antoine Lacassagne · FRCentre François Baclesse · FRCentre Georges François Leclerc · FRCentre Oscar Lambret · FRCentre Virchow-Villermé · FRGroupe Hospitalier Diaconesses Croix Saint-Simon · FRHôpital Cochin · FRHôpital de la Timone · FRHôpital Universitaire Dupuytren · FRInstitut Curie · FRInstitut de Cancérologie de l'Ouest · FRInstitute Cancer De La Loire Lucien Neuwirth · FRInstitut Pprime · FRInstitut universitaire du cancer de Toulouse Oncopole · FRPaul Pascal Research Center · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine leiomyosarcomas (U-LMSs) and soft tissue leiomyosarcomas (ST-LMSs) are rare tumours with poor prognosis when locally advanced or metastatic, and with moderate chemosensitivity. In 2015 we reported very encouraging results of the LMS-02 study (NCT02131480) with manageable toxicity. Herein, we report the updated and long-term results of progression-free survival (PFS) and overall survival (OS). PATIENTS AND

methodsPatients received 60 mg/m

resultsOne-hundred and eight patients were enrolled, mainly with metastatic disease (85%), and 20 patients (18.5%) had surgical resection of metastases after chemotherapy. With a median follow-up of 7.2 years [95% confidence interval (CI) 6.9-8.2 years], the median PFS was 10.1 months (95% CI 8.5-12.6 months) in the whole population, and 8.3 months (95% CI 7.4-10.3 months) and 12.9 months (95% CI 9.2-14.1 months) for U-LMSs and ST-LMSs, respectively. The median OS was 34.4 months (95% CI 26.9-42.7 months), 27.5 months (95% CI 17.9-38.2 months), and 38.7 months (95% CI 31.0-52.9 months) for the whole population, U-LMSs, and ST-LMSs, respectively. The median OS of the patients with resected metastases was not reached versus 31.6 months in the overall population without surgery (95% CI 23.9-35.4 months).

conclusionsThese updated results confirm the impressive efficiency of the doxorubicin plus trabectedin combination given in first-line therapy for patients with locally advanced/metastatic LMS in terms of PFS and OS. Results of the LMS04 trial (NCT02997358), a randomized phase III study comparing the doxorubicin plus trabectedin combination versus doxorubicin alone in first-line therapy in metastatic LMSs, are pending.

Indexed as

LeiomyosarcomaAntineoplastic Combined Chemotherapy ProtocolsCytoreduction Surgical ProceduresDoxorubicinFemaleFollow-Up StudiesHumansTrabectedinDoxorubicinTrabectedindoxorubicin plus trabectedinfirst-line chemotherapyleiomyosarcoma

Identifiers

PMID34325109
PMCPMC8446791
OpenAlexW3186650968

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.