Evidence map›Paper›PMID 34503145›Full record

ArticleCancers2021

Centralised RECIST Assessment and Clinical Outcomes with Lenvatinib Monotherapy in Recurrent and Metastatic Adenoid Cystic Carcinoma.

Laura Feeney, Yatin Jain, Matthew Beasley, Oliver Donnelly, Anthony Kong, Rafael Moleron, Chandran Nallathambi, Martin Rolles, Paul Sanghera, Aung Tin and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. A Phase II Trial of Rivoceranib, an Oral Vascular Endothelial Growth Factor Receptor 2 Inhibitor, for Recurrent or Metastatic Adenoid Cystic Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
  3. Article
  4. Article
  5. Article
  6. Adenoid cystic carcinoma of the salivary glands: a pilot study of potential therapeutic targets and characterization of the immunological tumor environment and angiogenesis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  7. Review
  8. Article
  9. The Therapeutic Landscape of Salivary Gland Malignancies-Where Are We Now?International journal of molecular sciences · 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

14 authors at 10 institutions in 1 country.

Laura FeeneyDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Yatin JainDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Matthew BeasleyDepartment of Oncology, University Hospitals Bristol NHS Foundation Trust, Bristol BS1 3NU, UK.
Oliver DonnellyDepartment of Oncology, Portsmouth Hospitals University NHS Trust, Portsmouth PO6 3LY, UK.ORCID 0000-0001-8613-6686
Anthony KongDepartment of Oncology, Guys' Campus, King's College London, London SE5 9RS, UK.ORCID 0000-0002-3989-3948
Rafael MoleronDepartment of Oncology, Aberdeen Royal Infirmary NHS Grampian, Aberdeen AB25 5ZN, UK.ORCID 0000-0003-0634-611X
Chandran NallathambiDepartment of Oncology, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK.
Martin RollesDepartment of Oncology, Swansea Bay University Health Board, Port Talbot SA12 7BR, UK.
Paul SangheraDepartment of Oncology, University Hospital Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Aung TinDepartment of Oncology, The James Cook Cancer Institute, The James Cook University Hospital, Middlesbrough TS4 3BW, UK.
Danny UlahannanDepartment of Oncology, Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK.
Harriet S WalterDepartment of Oncology, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK.
Richard WebsterDepartment of Oncology, Velindre University NHS Trust, Cardiff CF15 7QZ, UK.
Robert MetcalfDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
The Christie NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBAberdeen Royal Infirmary · GBJames Cook University Hospital · GBPortsmouth Hospitals NHS Trust · GBSwansea Bay University Health Board · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GBVelindre NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adenoid cystic carcinoma (ACC) is a rare cancer of secretory glands. Recurrent or metastatic (R/M) ACC is generally considered resistant to cytotoxic chemotherapy. Recent phase II studies have reported improved objective response rates (ORR) with the use of the multi-kinase inhibitor lenvatinib. We sought to evaluate real-world experience of R/M ACC patients treated with lenvatinib monotherapy within the UK National Health Service (NHS) to determine the response rates by Response Evaluation Criteria of Solid Tumour (RECIST) and clinical outcomes. Twenty-three R/M ACC patients from eleven cancer centres were included. All treatment assessments for clinical decision making related to drug therapy were undertaken at the local oncology centre. Central radiology review was performed by an independent clinical trial radiologist and blinded to the clinical decision making. In contrast to previously reported ORR of 12-15%, complete or partial response was not observed in any patients. Eleven patients (52.4%) had stable disease and 5 patients (23.8%) had progression of disease as the best overall response. The median time on treatment was 4 months and the median survival from discontinuation was 1 month. The median PFS and OS from treatment initiation were 4.5 months and 12 months respectively. Multicentre collaborative studies such as this are required to evaluate rare cancers with no recommended standard of care therapy and variable disease courses.

Indexed as

adenoid cystic carcinomalenvatinibsalivary gland cancer

Identifiers

PMID34503145
PMCPMC8431195
OpenAlexW3197325007

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.