Evidence map›Paper›PMID 35402763›Full record

ArticleJournal of the Endocrine Society2022

Lenvatinib as a Therapeutic Option in Unresectable Metastatic Pheochromocytoma and Paragangliomas.

Lauren Hassan Nelson, Harry Fuentes-Bayne, Jun Yin, Erik Asmus, Mabel Ryder, John C Morris, Crystal R Hilger, Keith C Bible, Ashish V Chintakuntlawar, Sarika N Rao

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Cabozantinib plus Atezolizumab in Advanced, Progressive Endocrine Malignancies: A Multicohort, Basket, Phase II Trial (CABATEN/GETNE-T1914).Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. Approach to the Patient With Metastatic Pheochromocytoma and Paraganglioma.The Journal of clinical endocrinology and metabolism · 2025
    Article
  3. Article
  4. Review
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  9. Targeted Therapies in Pheochromocytoma and Paraganglioma.The Journal of clinical endocrinology and metabolism · 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

10 authors at 3 institutions in 1 country.

Lauren Hassan NelsonDivision of Endocrinology, Mayo Clinic, Jacksonville, FL 32224, USA.
Harry Fuentes-BayneDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Jun YinDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.ORCID https://orcid.org/0000-0003-3242-9664
Erik AsmusDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.
Mabel RyderDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
John C MorrisDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Crystal R HilgerDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Keith C BibleDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Ashish V ChintakuntlawarDivision of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Sarika N RaoDivision of Endocrinology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID https://orcid.org/0000-0003-2141-1696
Mayo Clinic in Arizona · USMayo Clinic · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Metastatic pheochromocytomas and paragangliomas (mPPGL) are rare vascular neuroendocrine tumors that highly express vascular growth factors. Systemic treatment options in cases of unresectable multisite disease are limited. Multikinase inhibitors that inhibit angiogenesis, such as lenvatinib, have proven effective in several other malignancies, and may be a viable option for mPPGL. Objective: We aimed to evaluate the efficacy of lenvatinib as salvage therapy in mPPGLs. Methods: This was a retrospective analysis of mPPGL patients ≥ 18 years of age who received lenvatinib from 2015 to 2020 at a tertiary referral center. Patients were started on lenvatinib 20 mg daily and dose was adjusted according to tolerance or disease progression. Results: Eleven patients were included. Median treatment duration was 14.7 months (95% CI, 2.3-NE). Treatment was discontinued due to disease progression, adverse events, or death. Overall survival at 12 months was 80.8% (95% CI, 42.3-94.9%) but its median was not reached. Median progression-free survival was 14.7 months (95% CI, 1.7-NE). Among the 8 patients with measurable disease, overall response rate was 63%, as 5/8 experienced a partial response and 3/8 had stable disease. Worsening hypertension and anemia were the most common adverse events. Conclusion: Lenvatinib may be a viable treatment option for mPPGL, although at the potential risk of worsening hypertension. Larger, multicenter studies are needed to better characterize treatment efficacy.

Indexed as

cancermultikinase inhibitorparagangliomapheochromocytoma

Identifiers

PMID35402763
PMCPMC8989149
OpenAlexW4220742403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.