Evidence map›Paper›PMID 34408440›Full record

ArticleOncoTargets and therapy2021

Subgroup Analysis by Liver Metastasis in the FRESCO Trial Comparing Fruquintinib versus Placebo Plus Best Supportive Care in Chinese Patients with Metastatic Colorectal Cancer.

Shukui Qin, Rui-Hua Xu, Lin Shen, Jianming Xu, Yuxian Bai, Lei Yang, Yanhong Deng, Zhen-Dong Chen, Haijun Zhong, Hongming Pan and 24 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02314819 (A Randomized, Double-blind and Placebo-controlled Phase III Trial Comparing Fruquintinib Efficacy and Safety vs Best Support Care), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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.

NCT02314819 phase3completednot on this map

A Randomized, Double-blind and Placebo-controlled Phase III Trial Comparing Fruquintinib Efficacy and Safety vs Best Support Care (BSC) in Advanced Colorectal Cancer Patients Who Have Failed at Least Second Lines of Chemotherapies

TypeinterventionalSponsorHutchison Medipharma LimitedRan2014 to 2017Enrolled416ConditionsColorectal CancerArmsfruquintinib, placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

34 authors at 20 institutions in 1 country.

Shukui QinCancer Center, Jinling Hospital, Nanjing, People's Republic of China.ORCID 0000-0003-2289-1521
Rui-Hua XuDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangzhou, People's Republic of China.
Lin ShenDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing, People's Republic of China.ORCID 0000-0002-8798-4756
Jianming XuDepartment of Medical Oncology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, People's Republic of China.
Yuxian BaiDepartment of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, People's Republic of China.
Lei YangDepartment of Medical Oncology, Nantong Cancer Hospital, Nantong, People's Republic of China.ORCID 0000-0002-3724-3407
Yanhong DengDepartment of Medical Oncology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Zhen-Dong ChenDepartment of Medical Oncology, The Second Hospital of Anhui Medical University, Hefei, People's Republic of China.
Haijun ZhongDepartment of Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, People's Republic of China.
Hongming PanDepartment of Medical Oncology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
Weijian GuoDepartment of Medical Oncology, Shanghai Medical College, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China.
Yongqian ShuDepartment of Medical Oncology, Jiangsu Provincial Hospital, Nanjing, People's Republic of China.
Ying YuanDepartment of Medical Oncology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Jianfeng ZhouDepartment of Medical Oncology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Nong XuDepartment of Medical Oncology, The First Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, People's Republic of China.
Tianshu LiuDepartment of Medical Oncology, Fudan University Zhongshan Hospital, Shanghai Medical College, Shanghai, People's Republic of China.ORCID 0000-0002-8604-6311
Dong MaDepartment of Medical Oncology, Guangdong Provincial People's Hospital, Guangzhou, People's Republic of China.
Changping WuDepartment of Medical Oncology, The First People's Hospital of Changzhou, Changzhou, People's Republic of China.
Ying ChengDepartment of Medical Oncology, Jilin Province Cancer Hospital, Changchun, People's Republic of China.
Donghui ChenDepartment of Medical Oncology, Shanghai Jiaotong University Affiliated First People's Hospital, Shanghai, People's Republic of China.
Wei LiDepartment of Medical Oncology, The First Hospital of Jilin University, Changchun, People's Republic of China.
Sanyuan SunDepartment of Medical Oncology, Xuzhou Central Hospital, Xuzhou, People's Republic of China.ORCID 0000-0002-7477-7491
Zhuang YuDepartment of Medical Oncology, The Affiliated Hospital of Medical College Qingdao University, Qingdao, People's Republic of China.
Peiguo CaoDepartment of Medical Oncology, The Third Xiangya Hospital of Central South University, Changsha, People's Republic of China.ORCID 0000-0002-8828-9755
Haihui ChenDepartment of Medical Oncology, Liuzhou Worker's Hospital, Liuzhou, People's Republic of China.
Jiejun WangDepartment of Medical Oncology, Shanghai Changzheng Hospital, The Second Military Medical University, Shanghai, People's Republic of China.
Shubin WangDepartment of Medical Oncology, Peking University Shenzhen Hospital, Beijing University, Shenzhen, People's Republic of China.
Hongbing WangDepartment of Medical Oncology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou Medical College, Xuzhou, People's Republic of China.
Ning WangEli Lilly and Company, Shanghai, People's Republic of China.
Bin ZhangEli Lilly and Company, Shanghai, People's Republic of China.
Qiang ZhangEli Lilly and Company, Shanghai, People's Republic of China.
Weiguo SuHutchison MediPharma Limited, Shanghai, People's Republic of China.
Xiaojun GuoHutchison MediPharma Limited, Shanghai, People's Republic of China.
Jin LiDepartment of Medical Oncology, Tongji University Shanghai East Hospital, Shanghai, People's Republic of China.
Lilly (China) · CNCK Hutchison (China) · CNSun Yat-sen University · CNAnhui Medical University · CNCentral South University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese PLA General Hospital · CNFourth Affiliated Hospital of Guangxi Medical University · CNFudan University Shanghai Cancer Center · CNGuangdong Provincial People's Hospital · CNHarbin Medical University · CNJiangsu Provincial Hospital of Traditional Chinese Medicine · CNJilin Province Tumor Hospital · CNJilin University · CNNanjing General Hospital of Nanjing Military Command · CNNantong Tumor Hospital · CNPeking University · CNPeking University Shenzhen Hospital · CNQingdao University · CNSecond Affiliated Hospital of Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the present subgroup analysis of the FRESCO trial is to determine the efficacy and hepatotoxicity of fruquintinib in Chinese patients with metastatic CRC with liver metastasis (CRLM) who were receiving third-line or posterior-line therapy.

methodsOverall survival (OS) and progression-free survival (PFS) were evaluated by Kaplan-Meier method. Hazard ratio (HR) was estimated through Cox proportional hazards model. Hepatotoxicity was coded using the standardized MedDRA queries of hepatic failure, fibrosis, cirrhosis, and other liver injury-related conditions and graded using the Common Terminology Criteria Adverse Events grades. The efficacy of fruquintinib in patients with CRLM was evaluated in various subgroups.

resultsA total of 287 (69.0%) patients with metastatic CRC had liver metastasis (LM, fruquintinib: 185 and placebo: 102). Median OS in patients with CRLM was significantly prolonged with fruquintinib compared with placebo (8.61 months vs 5.98 months; HR=0.59, 95% CI, 0.45-0.77, P<0.001). In patients with CRLM, the incremental median PFS for patients in the fruquintinib-treated group was significantly higher than in the placebo group (median PFS: 3.71 vs.1.84 months; HR=0.22, 95% CI: 0.17-0.30; P<0.001). Compared with placebo, significant improvements in OS were observed with fruquintinib in LM patients regardless of lung metastasis, prior target therapy, and K-RAS status. In patients with CRLM, treatment-emergent hepatotoxicities of any grade occurred in 7 (3.8%) patients in the fruquintinib group vs 2 (2.0%) in the placebo group.

conclusionFruquintinib demonstrated a statistically significant increase in OS and PFS as compared with placebo in Chinese patients with CRLM. The hepatotoxicity of fruquintinib was less reported, and comparable with placebo in patients with CRLM. CLINICALTRIALSGOV IDENTIFIER: NCT02314819.

Indexed as

colorectal cancerFRESCO trialfruquintinibliver metastasis

Identifiers

PMID34408440
PMCPMC8364970
OpenAlexW3193283989

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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.