Evidence map›Paper›PMID 35696702›Full record

Trial reportAmerican journal of clinical oncology2022

An Exploratory Study of Neoadjuvant Cetuximab Followed by Cetuximab and Chemoradiotherapy in Women With Newly Diagnosed Locally Advanced Cervical Cancer.

Paula M Fracasso, Linda R Duska, Premal H Thaker, Feng Gao, Imran Zoberi, Farrokh Dehdashti, Barry A Siegel, Livnat Uliel, Christine O Menias, Patrice K Rehm and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00292955 (An Exploratory Pharmacogenomic Study of Neoadjuvant Cetuximab Followed by Cisplatin, Radiotherapy, and Cetuximab in Women With Newly Diagnosed Locally Advanced or Metastatic Cervical Carcinoma), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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.

NCT00292955 phase2unknown statusnot on this map

An Exploratory Pharmacogenomic Study of Neoadjuvant Cetuximab Followed by Cisplatin, Radiotherapy, and Cetuximab in Women With Newly Diagnosed Locally Advanced or Metastatic Cervical Carcinoma

TypeinterventionalSponsorUniversity of VirginiaRan2006Enrolled30ConditionsCancer of the CervixArmsCetuximab
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
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

14 authors at 8 institutions in 4 countries.

Paula M FracassoUVA Cancer Center.
Linda R DuskaUVA Cancer Center.
Premal H ThakerAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Feng GaoAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Imran ZoberiAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Farrokh DehdashtiAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Barry A SiegelAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Livnat UlielDivision of Nuclear Medicine.
Christine O MeniasDivision of Diagnostic Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
Patrice K RehmDivision of Nuclear Medicine, University of Virginia, Charlottesville, VA.
Sherry A GoodnerUVA Cancer Center.
Allison N CreekmoreAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Heather L LothamerObstetrics and Gynecology.
Janet S RaderAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Barnes-Jewish Hospital · USBeijing Obstetrics and Gynecology Hospital · CNLaniado Hospital · ILMayo Clinic in Arizona · USUniversity of Virginia Cancer CenterActive Medicine (United Kingdom) · GBRadiation Oncology Associates · USUniversity of Virginia · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jay William FOX · 1987 to 2026
$72.1M
NCI NIH HHS P30 CA044579NCI NIH HHS P30 CA091842
6 · The paper itself

Abstract

objectivesThis study explored the feasibility of cetuximab with chemoradiation in women with cervical carcinoma and evaluated fluorine-18 fluorodeoxyglucose-positron emission tomography/computed tomography (18F-FDG-PET/CT) to assess early response to cetuximab (NCT00292955). PATIENTS AND

methodsEligible patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB-IVB invasive carcinoma of the uterine cervix were treated on 1 of 3 dose levels (DL). DL1 consisted of neoadjuvant cetuximab, then concurrent radiotherapy with cetuximab 250 mg/m2/cisplatin 40 mg/m2, followed by weekly cetuximab. DL2 consisted of radiotherapy with cetuximab 200 mg/m2 and cisplatin 30 mg/m2. DL3 consisted of radiotherapy with cetuximab 250 mg/m2 and cisplatin 30 mg/m2. Patients underwent 18F-FDG-PET/CT before treatment, after neoadjuvant cetuximab, and at the end of treatment.

resultsOf the 21 patients enrolled, 9, 3, and 9 were treated in DL1, DL2, and DL3, respectively. DL1 required dose reductions due to gastrointestinal toxicities. DL2 and 3 were tolerated with 1 dose-limiting toxicity (grade 4 renal failure) at DL3. Following 3 weekly treatments of neoadjuvant cetuximab in DL1, 7 patients had maximum standardized uptake value changes on 18F-FDG-PET/CT consistent with response to cetuximab. Of the 12 patients with locally advanced disease, eleven evaluable patients had no evidence of disease on 18F-FDG-PET/CT at treatment end. Five-year progression-free survival and overall survival rates for all patients were 57.5% and 58.5%, respectively.

conclusionsCetuximab with cisplatin 30 mg/m2 and radiotherapy was tolerated. 18F-FDG-PET/CT demonstrated early evidence of response to neoadjuvant cetuximab. With advances in precision oncology and the recent approval of pembrolizumab in metastatic cervical cancer, dual-target inhibition with an epidermal growth factor receptor inhibitor may be a promising treatment in the future.

Indexed as

Uterine Cervical NeoplasmsCetuximabChemoradiotherapyCisplatinFemaleFluorodeoxyglucose F18HumansNeoadjuvant TherapyPositron Emission Tomography Computed TomographyPrecision MedicineRadiopharmaceuticalsCetuximabCisplatinFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID35696702
PMCPMC9233135
OpenAlexW4282834332

What OpenQuestion holds

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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.