Evidence map›Paper›PMID 34621673›Full record

ArticleFrontiers in oncology2021

Irinotecan Plus Doxorubicin Hydrochloride Liposomes for Relapsed or Refractory Wilms Tumor.

Juan Wang, Lian Zhang, Lanying Guo, Yi Que, Yu Zhang, Feifei Sun, Jia Zhu, Suying Lu, Junting Huang, Liuhong Wu and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 1 institution in 1 country.

Juan WangDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Lian ZhangDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Lanying GuoDepartment of Pediatric Oncology, The Fifth Affiliated Hospital of Guangzhou Medical Guangzhou, Guangzhou, China.
Yi QueDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yu ZhangDepartment of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Feifei SunDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Jia ZhuDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Suying LuDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Junting HuangDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Liuhong WuDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Ruiqing CaiDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zijun ZhenDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Sihui ZengDepartment of Medical Imaging, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yizhuo ZhangDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Xiaofei SunDepartment of Pediatric Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China.
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prognosis of relapsed or refractory pediatric Wilms tumor (WT) is dismal, and new salvage therapies are needed. This study aimed to evaluate the efficacy of the combination of irinotecan and a doxorubicin hydrochloride liposome regimen for relapsed or refractory pediatric WT. PATIENTS AND

methodsThe present study enrolled relapsed or refractory pediatric WT patients who were treated with the AI regimen (doxorubicin hydrochloride liposomes 40 mg/m

resultsA total of 16 patients (male:female, 8:8) with a median age of 4.2 years (0.5-11 years) with relapsed or refractory disease were enrolled in this study, including 14 patients with relapsed disease and two patients with refractory disease. These patients received 1-8 courses (median, 3 courses) of the AI regimen. Fourteen patients were assessable for response: two with complete response (CR), five with partial response (PR), two with stable disease (SD), and five with progressive disease (PD). The objective response rate was 50% (two CR, five PR), and the disease control rate was 64% (two CR, five PR, and two SD). Seven out of 14 patients (50%) were alive at the last follow-up, ranging from 2.6 to 32.4 months. The median progression-free survival and median overall survival were 3.5 months (range 0.5-12 months) and 8 months (range 1-28 months), respectively. Sixteen patients were assessable for toxicity, with the most common grade 3 or 4 adverse events being alopecia (62%), leukopenia (40%), abdominal pain (38%), diarrhea (23%), and mucositis (16%), etc. No fatal adverse events have been observed, and modest adverse effects can be administered.

conclusionIrinotecan and doxorubicin hydrochloride liposome regimens have positive efficacy on relapsed or refractory pediatric WT with well-tolerated toxicity. A prospective clinical trial is warranted.

Indexed as

doxorubicin hydrocloride liposomeirinotecanpediatric tumorsalvage regimenWilms tumor

Identifiers

PMID34621673
PMCPMC8490759
OpenAlexW3162512376

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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.