Evidence map›Paper›PMID 34671131›Full record

Trial reportBritish journal of cancer2022

VinCaP: a phase II trial of vinflunine in locally advanced and metastatic squamous carcinoma of the penis.

Steve Nicholson, Holly Tovey, Tony Elliott, Stephanie M Burnett, Clare Cruickshank, Amit Bahl, Peter Kirkbride, Anita V Mitra, Alastair H Thomson, Naveen Vasudev and 7 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02057913 (A Phase II Trial of Vinflunine Chemotherapy in Locally-advanced and Metastatic Carcinoma of the Penis), 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
1.5field-weighted citation impact, top 18% 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.

NCT02057913 phase2completednot on this map

A Phase II Trial of Vinflunine Chemotherapy in Locally-advanced and Metastatic Carcinoma of the Penis

TypeinterventionalSponsorInstitute of Cancer Research, United KingdomRan2014 to 2018Enrolled22ConditionsLocally-advanced or Metastatic Penile NeoplasmsArmsVinflunine
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Review
  5. Review
  6. Emerging Therapies in Penile Cancer.Frontiers in oncology · 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

17 authors at 11 institutions in 1 country.

Steve Nicholson *Mid & South Essex NHS Foundation Trust, Essex, UK. wondersn@doctors.org.uk.ORCID http://orcid.org/0000-0003-2900-1245
Holly ToveyClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Tony ElliottThe Christie Hospital NHS Foundation Trust, Manchester, UK.
Stephanie M BurnettClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Clare CruickshankClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Amit BahlUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Peter KirkbrideClatterbridge Cancer Centre, Wirral, Merseyside, UK.
Anita V MitraUniversity College London Hospitals NHS Foundation Trust, London, UK.
Alastair H ThomsonRoyal Cornwall Hospital, Truro, UK.
Naveen VasudevSt. James's University Hospital, Leeds, UK.
Balaji VenugopalBeatson West of Scotland Cancer Centre, Glasgow, UK.
Rachel SladeClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Lucy TregellasClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Bruno MorganUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Alison HassallClatterbridge Cancer Centre, Wirral, Merseyside, UK.
Emma Hall *Clinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.ORCID http://orcid.org/0000-0001-5999-5020
Lisa M Pickering *St. Georges University Hospitals Foundation Trust and The Royal Marsden Foundation Trust, London, UK.
Institute of Cancer Research · GBClatterbridge Cancer Centre NHS Foundation Trust · GBBeatson West of Scotland Cancer Centre · GBRoyal Cornwall Hospital · GBSouth Essex Partnership University Foundation NHS Trust · GBSt George’s University Hospitals NHS Foundation Trust · GBSt James's University Hospital · GBThe Christie Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GB

Funding

Cancer Research UK 14509
6 · The paper itself

Abstract

backgroundWe investigated the first-line activity of vinflunine in patients with penis cancer. Cisplatin-based combinations are commonly used, but survival is not prolonged; many patients are unfit for such treatment or experience toxicity that outweighs clinical benefit.

methodsTwenty-five patients with inoperable squamous carcinoma of the penis were recruited to a single-arm, Fleming-A'Hern exact phase II trial. Treatment comprised 4 cycles of vinflunine 320 mg/m

resultsTwenty-two participants were evaluable. Ten objective responses or disease stabilisations were confirmed. CBR was 45.5%, meeting the primary endpoint; partial response rate was 27.3%. Seven patients received >4 cycles of vinflunine. Dose reduction or treatment delay was required for 20% of cycles. In all, 68% of patients experienced at least one grade 3 adverse event. Two deaths on treatment were not caused by disease progression.

conclusionsPre-specified clinical activity threshold was exceeded. Toxicity was in keeping with experience in other tumours. Vinflunine merits further study in this disease.

trial registrationNCT02057913.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Squamous CellHumansMaleMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalPatient SafetyPenile NeoplasmsSurvival RateTreatment OutcomeTubulin ModulatorsVinblastineTubulin ModulatorsVinblastinevinflunine

Identifiers

PMID34671131
PMCPMC8727613
OpenAlexW3207730270

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.