Evidence map›Paper›PMID 34405547›Full record

Trial reportCancer medicine2021

Trilaciclib prior to chemotherapy reduces the usage of supportive care interventions for chemotherapy-induced myelosuppression in patients with small cell lung cancer: Pooled analysis of three randomized phase 2 trials.

Renata Ferrarotto, Ian Anderson, Balazs Medgyasszay, Maria Rosario García-Campelo, William Edenfield, Trevor M Feinstein, Jennifer M Johnson, Sujith Kalmadi, Philip E Lammers, Alfredo Sanchez-Hernandez and 4 more

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

Trial report in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 5% 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.

NCT02499770 phase1 / phase2completednot on this map

Phase 1b/2a Safety and Pharmacokinetic Study of G1T28 in Patients With Extensive Stage Small Cell Lung Cancer (SCLC) Receiving Etoposide and Carboplatin

TypeinterventionalSponsorG1 Therapeutics, Inc.Ran2015 to 2019Enrolled122ConditionsSmall Cell Lung CancerArmsCarboplatin, Placebo, Trilaciclib, Etoposide
NCT02514447 phase1 / phase2completednot on this map

Phase 1b/2a Safety and Pharmacokinetic Study of G1T28 in Patients With Previously Treated Extensive Stage Small Cell Lung Cancer (SCLC) Receiving Topotecan Chemotherapy

TypeinterventionalSponsorG1 Therapeutics, Inc.Ran2015 to 2021Enrolled123ConditionsSmall Cell Lung CancerArmsTrilaciclib, Placebo, Topotecan
NCT03041311 phase2completednot on this map

Phase 2 Study of Carboplatin, Etoposide, and Atezolizumab With or Without Trilaciclib in Patients With Untreated Extensive-Stage Small Cell Lung Cancer (SCLC)

TypeinterventionalSponsorG1 Therapeutics, Inc.Ran2017 to 2020Enrolled107ConditionsSmall Cell Lung CancerArmsTrilaciclib, Placebo, Carboplatin, Etoposide, Atezolizumab
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Efficacy and safety of trilaciclib to prevent chemotherapy-induced myelosuppression in advanced solid tumors: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Small Cell Lung Cancer, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Guideline
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  6. Review
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  11. Review
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  15. Trilaciclib use in extensive-stage small cell lung cancer (ES-SCLC): are clinical benefits seen in the real-world setting?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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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

14 authors at 11 institutions in 3 countries.

Renata FerrarottoUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-3561-215X
Ian AndersonSt Joseph Heritage Healthcare, Santa Rosa, CA, USA.
Balazs MedgyasszayVeszprém County Lung Medicine Institute, Veszprém, Hungary.
Maria Rosario García-CampeloUniversity Hospital A Coruña, A Coruña, Spain.
William EdenfieldPrisma Health Cancer Institute, Greenville, SC, USA.
Trevor M FeinsteinPiedmont Cancer Institute, Atlanta, GA, USA.
Jennifer M JohnsonThomas Jefferson University Hospital, Philadelphia, PA, USA.
Sujith KalmadiIronwood Cancer & Research Center, Chandler, AZ, USA.
Philip E LammersBaptist Cancer Center, Memphis, TN, USA.
Alfredo Sanchez-HernandezHospital Provincial de Castellon, Castelló, Spain.
Yili PritchettG1 Therapeutics, Inc., Research Triangle Park, NC, USA.
Shannon R MorrisG1 Therapeutics, Inc., Research Triangle Park, NC, USA.
Rajesh K MalikG1 Therapeutics, Inc., Research Triangle Park, NC, USA.
Tibor CsősziHetenyi Geza Korhaz, Szolnok, Hungary.
Triangle · USBaptist Cancer Center · USFundación Hospital Provincial de Castellón · ESIronwood Pharmaceuticals (United States) · USNational Széchényi Library · HUPiedmont Cancer Institute · USPrisma Health · USSt. Joseph Heritage Medical Group · USThe University of Texas MD Anderson Cancer Center · USThomas Jefferson University Hospital · USUniversidade da Coruña · ES

Funding

G1 Therapeutics, Inc.
6 · The paper itself

Abstract

backgroundSupportive care interventions used to manage chemotherapy-induced myelosuppression (CIM), including granulocyte colony-stimulating factors (G-CSFs), erythropoiesis-stimulating agents (ESAs), and red blood cell (RBC) transfusions, are burdensome to patients and associated with greater costs to health care systems. We evaluated the utilization of supportive care interventions and their relationship with the myeloprotective agent, trilaciclib.

methodsData were pooled from three independent randomized phase 2 clinical trials of trilaciclib or placebo administered prior to chemotherapy in patients with extensive-stage small cell lung cancer (ES-SCLC). The impact of supportive care on the duration of severe neutropenia (DSN), occurrence of severe neutropenia (SN), and occurrence of RBC transfusions on/after week 5 was analyzed across cycles 1-4. Concordance and association between grade 3/4 anemia, RBC transfusions on/after week 5, and ESA administration was also evaluated.

resultsThe use of G-CSFs, ESAs, or RBC transfusions on/after week 5 was significantly lower among patients receiving trilaciclib versus placebo (28.5% vs. 56.3%, p < 0.0001; 3.3% vs. 11.8%, p = 0.0254; and 14.6% vs. 26.1%, p = 0.0252, respectively). Compared with placebo, trilaciclib significantly reduced DSN and SN, irrespective of G-CSF administration. RBC transfusions and ESAs were most often administered in patients with grade 3/4 anemia; however, patients typically received RBC transfusions over ESA administration.

conclusionsBy improving CIM and reducing the need for associated supportive care, trilaciclib has the potential to reduce the burden of myelosuppression on patients receiving myelosuppressive chemotherapy for the treatment of ES-SCLC.

trial registrationClinicalTrials.gov (NCT02499770; NCT03041311; NCT02514447).

Indexed as

Antineoplastic AgentsDouble-Blind MethodFemaleHumansLung NeoplasmsMaleNeutropeniaPyrimidinesPyrrolesRandomized Controlled Trials as TopicRetrospective StudiesSmall Cell Lung CarcinomaAntineoplastic AgentsPyrimidinesPyrrolestrilaciclibanemiaerythropoiesis-stimulating agentgranulocyte colony-stimulating factorneutropeniared blood cell transfusiontrilaciclib

Identifiers

PMID34405547
PMCPMC8419768
OpenAlexW3193881530

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.