Evidence map›Paper›PMID 34939373›Full record

Trial reportCancer medicine2022

Anlotinib for patients with small cell lung cancer and baseline liver metastases: A post hoc analysis of the ALTER 1202 trial.

Ying Cheng, Qiming Wang, Kai Li, Jianhua Shi, Lin Wu, Baohui Han, Gongyan Chen, Jianxing He, Jie Wang, Haifeng Qin and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 16% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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 11 institutions in 1 country.

Ying ChengDepartment of Thoracic Medical Oncology, Jilin Cancer Hospital, Changchun, China.ORCID 0000-0002-1517-501X
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.ORCID 0000-0003-1737-8192
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.
Central South University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese PLA General Hospital · CNFirst Affiliated Hospital of Guangzhou Medical University · CNHarbin Medical University · CNJilin Province Tumor Hospital · CNLiaoning Cancer Hospital & Institute · CNLinyi People's Hospital · CNShanghai Chest Hospital · CNTianjin Medical University Cancer Institute and Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver metastasis is common in advanced small cell lung cancer (SCLC). There is no evidence-proven treatment beyond the second line in patients with SCLC and liver metastasis. This study aimed to investigate survival in patients with SCLC and liver metastasis treated with anlotinib compared with placebo. This study was a post hoc analysis of the phase II ALTER 1202 trial, including patients who had liver metastasis at baseline. The participants were randomized 2:1 to receive either 12 mg/day anlotinib (anlotinib group) or placebo (placebo group). Tumor response, progression-free survival (PFS), and overall survival (OS) were compared. In the original trial, there were 39 participants with liver metastasis at baseline, including 27 and 12 in the anlotinib and placebo groups, respectively. The objective response rate was 3.7% and 0% in the anlotinib and placebo groups, respectively (p = 0.9999). An elevated disease control rate was found in the anlotinib group (44.4%) compared with the placebo group (8.3%, p = 0.0173). The median PFS was 1.51 vs. 0.71 months in favor of anlotinib (hazard ratio [HR] = 0.365, 95% confidence interval [CI]: 0.17-0.78; p = 0.0064), with no marked difference in median OS (3.29 vs. 1.91 months; HR = 0.51, 95% CI: 0.22-1.16; p = 0.0996). The most common AEs in the anlotinib group were hypertension (40.7%), fatigue (29.6%), loss of appetite (22.2%), and weight loss (22.2%). There were no grade 5 AE. In conclusion, anlotinib increased PFS compared with placebo in patients with SCLC and liver metastasis.

Indexed as

Liver NeoplasmsLung NeoplasmsSmall Cell Lung CarcinomaHumansIndolesQuinolinesTreatment OutcomeanlotinibIndolesQuinolinesadverse eventsanlotinibliver metastasissmall cell lung cancersurvival

Identifiers

PMID34939373
PMCPMC8855912
OpenAlexW4200334310

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.