Evidence map›Paper›PMID 35079406›Full record

ArticleVeterinary record open2022

Toceranib phosphate in the management of canine insulinoma: A retrospective multicentre study of 30 cases (2009-2019).

Sabina Sheppard-Olivares, Nora M Bello, Chad M Johannes, Samuel E Hocker, Barbara Biller, Brian Husbands, Elizabeth Snyder, Mattison McMillan, Talon McKee, Raelene M Wouda

Open access · goldAbstract read
In one paragraph

Article in Veterinary record open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 24 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

10 authors at 8 institutions in 2 countries.

Sabina Sheppard-OlivaresDepartment of Clinical Sciences College of Veterinary Medicine Kansas State University Manhattan Kansas USA.ORCID https://orcid.org/0000-0001-8560-8995
Nora M BelloDepartment of Statistics College of Arts and Sciences Kansas State University Manhattan Kansas USA.
Chad M JohannesDepartment of Clinical Sciences College of Veterinary Medicine Iowa State University Ames Iowa USA.ORCID https://orcid.org/0000-0003-1855-6966
Samuel E HockerOntario Veterinary College University of Guelph Guelph Ontario Canada.
Barbara BillerFlint Animal Cancer Center College of Veterinary Medicine and Biomedical Sciences Colorado State University Fort Collins Colorado USA.
Brian HusbandsVeterinary Clinical Sciences Department College of Veterinary Medicine University of Minnesota St. Paul Minnesota USA.
Elizabeth SnyderDepartment of Medical Sciences School of Veterinary Medicine University of Wisconsin-Madison Madison Wisconsin USA.
Mattison McMillanLas Vegas Veterinary Specialty Center Las Vegas Nevada USA.
Talon McKeeClinical Studies Department VCA Inc. Los Angeles California USA.
Raelene M WoudaDepartment of Clinical Sciences College of Veterinary Medicine Kansas State University Manhattan Kansas USA.ORCID https://orcid.org/0000-0001-5765-6500
Kansas State University · USColorado State University · USFertility Center of Las Vegas · USIowa State University · USMuseum of Contemporary Art, Los Angeles · USUniversity of Guelph · CAUniversity of Minnesota · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsulinomas are the most common tumour of the endocrine pancreas in dogs. These malignant tumours have a high metastatic rate and limited chemotherapeutic options. The multi-receptor tyrosine kinase inhibitor sunitinib malate has benefit in the treatment of metastatic insulinoma in people. Toceranib phosphate, an analogous veterinary agent, may provide benefit for dogs.

methodsA retrospective study describing the extent and duration of clinical outcomes and adverse events (AEs) in dogs diagnosed with insulinoma and receiving toceranib.

resultsRecords for 30 dogs diagnosed with insulinoma and having received toceranib were identified from a medical record search of five university and eight referral hospitals. The median progression-free interval and overall survival time were 561 days (95% confidence interval (CI): [246, 727 days]) and 656 days (95% CI: [310, 1045 days]), respectively. Of the dogs for which the canine Response evaluation criteria for solid tumours tool could be applied, the majority (66.7%) showed either a complete response, partial response or stable disease. Time to clinical progression was associated with prior intervention and type of veterinary practice. Larger dogs were at increased risk for disease progression and death. No novel AEs were reported.

conclusionsMost dogs diagnosed with insulinoma and receiving toceranib appeared to have a clinical benefit. Randomised, prospective studies are needed to better elucidate and objectively quantify the potential effect and survival benefit of toceranib therapy for management of insulinoma in dogs.

Identifiers

PMID35079406
PMCPMC8776903
OpenAlexW4206555269

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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.