Evidence map›Paper›PMID 35178869›Full record

ReviewCancer medicine2022

Systemic treatments and outcomes in CIC-rearranged Sarcoma: A national multi-centre clinicopathological series and literature review.

Elizabeth A Connolly, Vivek A Bhadri, Johnathon Wake, Katrina M Ingley, Jeremy Lewin, Susie Bae, Daniel D Wong, Anne P Long, David Pryor, Stephen R Thompson and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 55 citations in OpenAlex.

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  12. Diagnostics (Basel, Switzerland) · 2025
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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

16 authors at 10 institutions in 1 country.

Elizabeth A ConnollyChris O'Brien Lifehouse, Sydney, New South Wales, Australia.ORCID 0000-0002-5579-3728
Vivek A BhadriChris O'Brien Lifehouse, Sydney, New South Wales, Australia.
Johnathon WakeCrown Princess Mary Cancer Centre, Westmead, Sydney, New South Wales, Australia.
Katrina M IngleyPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Jeremy LewinPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Susie BaePeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Daniel D WongAnatomical Pathology, PathWest, QEII Medical Centre, Perth, Western Australia, Australia.
Anne P LongSir Charles Gardiner Hospital, Perth, Western Australia, Australia.
David PryorPrincess Alexandra Hospital, Brisbane, Australia.
Stephen R ThompsonPrince of Wales Hospital, Sydney, New South Wales, Australia.
Madeleine C StrachChris O'Brien Lifehouse, Sydney, New South Wales, Australia.
Peter S GrimisonChris O'Brien Lifehouse, Sydney, New South Wales, Australia.
Annabelle MaharNSW Health Pathology, Sydney, New South Wales, Australia.
Fiona BonarAnatomical Pathology, Douglass Hanly Moir Pathology, Sonic Healthcare, Macquarie Park, New South Wales, Australia.
Fiona MacleanAnatomical Pathology, Douglass Hanly Moir Pathology, Sonic Healthcare, Macquarie Park, New South Wales, Australia.
Angela HongChris O'Brien Lifehouse, Sydney, New South Wales, Australia.
The University of Sydney · AUDouglass Hanly Moir Pathology · AUThe University of Melbourne · AUCancer Australia · AUNew South Wales Department of Health · AUPeter MacCallum Cancer Centre · AUPrincess Alexandra Hospital · AUQueen Elizabeth II Medical Centre · AUSir Charles Gairdner Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CIC-rearranged sarcoma is a recently established, ultra-rare, molecularly defined sarcoma subtype. We aimed to further characterise clinical features of CIC-rearranged sarcomas and explore clinical management including systemic treatments and outcomes.

methodsA multi-centre retrospective cohort study of patients diagnosed between 2014-2019.

resultsEighteen patients were identified. The median age was 27 years (range 13-56), 10 patients were male (56%), 11 patients (61%) had localised disease and 7 patients had advanced (metastatic or unresectable) disease at diagnosis. Of 11 patients with localised disease at diagnosis, median overall survival (OS) was 40.6 months and the 1-, 2- and 5-year OS estimates were 82%, 64% and 34% respectively. Nine patients (82%) underwent surgery (all had R0 resections), 8 (73%) patients received radiotherapy to the primary site (median dose 57Gy in 28 fractions), and 8 (73%) patients received chemotherapy (predominantly Ewing-based regimens). Metastases developed in 55% with a median time to recurrence of 10.5 months. In patients with advanced disease at diagnosis, median OS was 12.6 months (95% CI 5.1-20.1), 1-year OS was 57%. Median progression-free survival was 5.8 months (95% CI 4.5-7.2). Durable systemic therapy responses occurred infrequently with a median duration of systemic treatment response of 2.1 months. One durable complete response of metastatic disease to VDC/IE chemotherapy was seen. Responses to pazopanib (n = 1) and pembrolizumab (n = 1) were not seen.

conclusionIn this series, CIC-rearranged sarcomas affected young adults and had a high incidence of presenting with, or developing, metastatic disease. The prognosis overall was poor. In advanced disease, durable systemic therapy responses were infrequent.

Indexed as

SarcomaSarcoma, Small CellSoft Tissue NeoplasmsAdolescentAdultFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesYoung AdultCICDUX4ewing-like sarcomarearrangementround cell sarcomaultra-rare sarcoma

Identifiers

PMID35178869
PMCPMC9041083
OpenAlexW4212767974

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.