Evidence map›Paper›PMID 34596367›Full record

Trial reportThoracic cancer2021

Effectiveness of anlotinib in patients with small-cell lung cancer and pleural effusion: Subgroup analysis from a randomized, multicenter, phase II study.

Ying Liu, Ying Cheng, Qiming Wang, Kai Li, Jianhua Shi, Lin Wu, Baohui Han, Gongyan Chen, Jianxing He, Jie Wang and 2 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–field-weighted citation impact
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

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

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

12 authors.

Ying LiuDepartment of Thoracic Medical Oncology, Jilin Cancer Hospital, Changchun, China.
Ying ChengDepartment of Thoracic Medical Oncology, Jilin Cancer Hospital, Changchun, China.ORCID 0000-0001-9908-597X
Qiming WangDepartment of Internal Medicine, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
Kai LiDepartment of Pulmonary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Jianhua ShiDepartment of Medical Oncology, Shandong Linyi Tumor Hospital, Linyi, China.
Lin WuDepartment of Thoracic Medical Oncology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University (Hunan Cancer Hospital), Changsha, China.
Baohui HanDepartment of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai, China.
Gongyan ChenDepartment of Respiratory Medicine, Harbin Medical University Cancer Hospital, Harbin, China.
Jianxing HeDepartment of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jie WangDepartment of Thoracic Medical Oncology, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China.ORCID 0000-0002-5602-0487
Haifeng QinDepartment of Pulmonary Oncology, The Fifth Medical Centre of Chinese PLA General Hospital, Beijing, China.
Xiaoling LiDepartment of Medical Oncology, Liaoning Cancer Hospital, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of pleural effusion is an independent predictor for poor survival in patients with small-cell lung cancer (SCLC). The aim of this study was to assess the efficacy and safety of anlotinib in patients with SCLC and pleural effusion.

methodsThis was a randomized, double-blind, multicenter, phase II trial. Patients histologically diagnosed with SCLC and pleural effusion and had received at least two lines of chemotherapy were enrolled into the study. The patients received anlotinib 12 mg/day or a placebo.

resultsThe overall response rate (ORR) was 3.7% for anlotinib (n = 27) and 0% in the placebo group (n = 15) (p = 1.000). The disease control rate (DCR) of the anlotinib group (63.0%) was higher than that of the placebo group (0%, p < 0.0001). The median progression-free survival (PFS) increased in the anlotinib group (2.8 months) compared to the placebo group (0.7 months, HR = 0.10, 95% CI: 0.03-0.28, p < 0.001). The median overall survival of the anlotinib group (6.5 months) was higher than that of the placebo group (2.8 months, HR = 0.52, 95% CI: 0.22-1.23, p = 0.1285). The incidence of any grade adverse events was 100% in both groups. The percentage of grade 3-4 adverse events in the anlotinib group was 44.4% (12/27) compared to 40.0% (6/15) in the placebo group. Hypertension (37.0%), fatigue (29.6%), and loss of appetite (29.6%) typically appeared in the anlotinib group.

conclusionsIn this post hoc analysis, anlotinib was associated with improved PFS in patients with SCLC and baseline pleural effusion. However, additional studies with a large sample size are necessary to substantiate the current findings.

Indexed as

AdultAgedDouble-Blind MethodFemaleHumansIndolesLung NeoplasmsMaleMiddle AgedPleural EffusionProgression-Free SurvivalProtein Kinase InhibitorsQuinolinesSmall Cell Lung CarcinomaanlotinibIndolesProtein Kinase InhibitorsQuinolinesanlotinibobjective responsepleural effusionsmall-cell lung cancersurvival

Identifiers

PMID34596367
PMCPMC8590889

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Registered trials

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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.