Evidence map›Paper›PMID 34563169›Full record

ArticleBMC cancer2021

CABOCOL-01 trial: a single-arm phase II study assessing safety and efficacy of Cabozantinib for advanced or metastatic cervical carcinoma after platinum treatment failure.

Elodie Coquan, Pierre-Emmanuel Brachet, Idlir Licaj, Alexandra Leconte, Marie Castera, Justine Lequesne, Emeline Meriaux, Isabelle Bonnet, Anais Lelaidier, Bénédicte Clarisse and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04205799 (A Phase II Study Assessing Safety and Efficacy of Cabozantinib for Advanced or Metastatic Cervical Carcinoma After Platinum Treatment Failure), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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.

NCT04205799 phase2completednot on this map

A Phase II Study Assessing Safety and Efficacy of Cabozantinib for Advanced or Metastatic Cervical Carcinoma After Platinum Treatment Failure

TypeinterventionalSponsorCentre Francois BaclesseRan2020 to 2023Enrolled57ConditionsAdvanced/Metastatic Cervical CancerArmsCabozantinib
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

11 authors at 4 institutions in 2 countries.

Elodie CoquanMedical Oncology Department, Centre François Baclesse, F-14000, Caen, France. COQUE@baclesse.unicancer.fr.ORCID http://orcid.org/0000-0002-9497-0424
Pierre-Emmanuel BrachetMedical Oncology Department, Centre François Baclesse, F-14000, Caen, France.
Idlir LicajClinical Research Department, Centre François Baclesse, F-14000, Caen, France.
Alexandra LeconteClinical Research Department, Centre François Baclesse, F-14000, Caen, France.
Marie CasteraClinical Research Department, Centre François Baclesse, F-14000, Caen, France.
Justine LequesneClinical Research Department, Centre François Baclesse, F-14000, Caen, France.
Emeline MeriauxMedical Oncology Department, Centre François Baclesse, F-14000, Caen, France.
Isabelle BonnetMedical Oncology Department, Centre François Baclesse, F-14000, Caen, France.
Anais LelaidierData Processing Center of the North-West Canceropole (Centre de Traitement des Données du Cancéropôle Nord-Ouest), Centre François Baclesse, F-14000, Caen, France.
Bénédicte ClarisseClinical Research Department, Centre François Baclesse, F-14000, Caen, France.
Florence JolyMedical Oncology Department, Centre François Baclesse, F-14000, Caen, France.
Centre François Baclesse · FRCancéropôle Nord-Ouest · FRCentre François Baclesse · LUNormandie Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer is the tenth diagnosed cancer in the world. Early-stage and locally recurrent disease may be cured with radical surgery or chemo-radiotherapy. However, if disease persists or recurs, options are limited and the prognosis is poor. In addition to chemotherapy, bevacizumab, an antiangiogenic agent, has recently demonstrated its efficacy in this setting. Cabozantinib is an oral small molecule tyrosine kinase inhibitor that exhibits potent inhibitory activity against several receptor tyrosine kinases that are known to influence tumor growth, metastasis, and angiogenesis. The main targets of Cabozantinib are VEGFR2, MET and AXL. It is currently approved for the treatment of metastatic renal cell carcinoma, hepatocellular carcinoma and medullary thyroid carcinoma. Given its angiogenic properties associated with growth factor receptors inhibition, Cabozantinib represents a potential active treatment in cervical carcinoma. In this context, we propose to assess the efficacy and safety of cabozantinib monotherapy in advanced/metastatic cervical carcinoma (CC) after failure to platinum-based regimen treatment.

methodsThis study is a single-arm two-stage multicenter phase II aiming to simultaneously assess efficacy and safety of Cabozantinib among advanced/metastatic cervical carcinoma (CC) after failure to platinum-based regimen treatment. The main criterion will be based on both safety and clinical efficacy by conducting a Bryant-and-Day design. Safety endpoint is the proportion of patients with clinical gastro-intestinal (GI) perforation/fistula, GI-vaginal fistula and genito-urinary (GU) fistula events grade ≥ 2 (NCI CTCAE V.5.0) occurring up to one month after the end of treatment. Efficacy endpoint is the proportion of patients with disease control rate 3 months after Cabozantinib initiation. A patients' self-reported quality of life evaluation is also planned, as well as the investigation of nutritional outcomes. Cabozantinib will be administered at the daily dose of 60 mg given orally, without interruption until disease progression or discontinuation for any cause. DISCUSSION: Cabozantinib is a promising drug for patients with advanced/metastatic cervical cancer where few therapeutics options are available after failure to platinum-based regimen metastatic CC. It appears challenging to assess the interest of Cabozantinib in this indication, taking into account the potential toxicity of the drug.

trial registrationNCT04205799 , registered "2019 12 19". PROTOCOL VERSION: Version 3.1 dated from 2020 08 31.

Indexed as

AnilidesProtein Kinase InhibitorsPyridinesUterine Cervical NeoplasmsAdultAxl Receptor Tyrosine KinaseClinical Trials, Phase II as TopicFemaleHumansMulticenter Studies as TopicPlatinum CompoundsProto-Oncogene ProteinsProto-Oncogene Proteins c-metReceptor Protein-Tyrosine KinasesTreatment FailureVascular Endothelial Growth Factor Receptor-2AnilidesAXL protein, humanAxl Receptor Tyrosine KinasecabozantinibMET protein, humanPlatinum CompoundsProtein Kinase InhibitorsProto-Oncogene ProteinsProto-Oncogene Proteins c-metPyridinesReceptor Protein-Tyrosine KinasesVascular Endothelial Growth Factor Receptor-2Anti angiogenic treatmentCabozantinibMetastatic cervical carcinomaQuality of life

Identifiers

PMID34563169
PMCPMC8465776
OpenAlexW3203184504

What OpenQuestion holds

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LicenceCC BY
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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.