Evidence map›Paper›PMID 35835612›Full record

ArticleGynecologic oncology2022

What proportion of patients with stage 3 ovarian cancer are potentially cured following intraperitoneal chemotherapy? Analysis of the long term (≥10 years) survivors in NRG/GOG randomized clinical trials of intraperitoneal and intravenous chemotherapy in stage III ovarian cancer.

Omali Pitiyarachchi, Michael Friedlander, James J Java, John K Chan, Deborah K Armstrong, Maurie Markman, Thomas J Herzog, Bradley J Monk, Floor Backes, Angeles Alvarez Secord and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Gynecologic oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 12 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

17 authors at 17 institutions in 2 countries.

Omali PitiyarachchiDepartment of Medical Oncology, Prince of Wales Hospital and Prince of Wales Clinical School, UNSW, Sydney, New South Wales, Australia. Electronic address: Omali.Pitiyarachchi@unsw.edu.au.
Michael FriedlanderDepartment of Medical Oncology, Prince of Wales Hospital and Prince of Wales Clinical School, UNSW, Sydney, New South Wales, Australia. Electronic address: Michael.Friedlander@health.nsw.gov.au.
James J JavaGenomic Research Center, University of Rochester Medical Center, Rochester, NY 14642, United States of America. Electronic address: james_java@urmc.rochester.edu.
John K ChanOb/Gyn, Reproductive Sciences University of California, San Francisco, San Francisco, CA 94115, United States of America. Electronic address: chanjohn@sutterhealth.org.
Deborah K ArmstrongJohns Hopkins University School of Medicine, Baltimore, MD 21205, United States of America. Electronic address: armstde@jhmi.edu.
Maurie MarkmanCancer Treatment Centers of America, Philadelphia, PA 19124, United States of America. Electronic address: Maurie.Markman@ctca-hope.com.
Thomas J HerzogUniversity of Cincinnati, University of Cincinnati Cancer Center, Cincinnati, OH 45219, United States of America. Electronic address: herzogtj@ucmail.uc.edu.
Bradley J MonkHonorHealth Research Institute, University of Arizona, Creighton University, Phoenix, AZ 85016, United States of America. Electronic address: bmonk@gog.org.
Floor BackesThe Ohio State University, Department of Obstetrics and Gynecology, Hilliard, OH 43026, United States of America. Electronic address: Floor.Backes@osumc.edu.
Angeles Alvarez SecordObstetrics and Gynecology, Division of Gynecology Oncology, Duke Cancer Center, Durham, NC 27710, United States of America. Electronic address: angeles.secord@duke.edu.
Albert BonebrakeCancer Research for the Ozarks, Springfield, MO 65807, United States of America. Electronic address: albert.bonebrake@coxhealth.com.
Peter G RoseGynecologic Oncology, Cleveland Clinic, Cleveland, OH 44195, United States of America. Electronic address: rosep@ccf.org.
Krishnansu S TewariGynecologic Oncology, University of California at Irvine, Orange, CA 92868, United States of America. Electronic address: ktewari@uci.edu.
Samuel S LentzWake Forest University Baptist Medical Center, Winston-Salem, NC 27157, United States of America. Electronic address: slentz@wfubmc.edu.
Melissa A GellerUniversity of Minnesota School of Medicine, Minneapolis, MN, United States of America. Electronic address: gelle005@umn.edu.
Larry J CopelandThe Ohio State University, James Cancer Hospital, Columbus, OH 43210, United States of America. Electronic address: Larry.Copeland@osumc.edu.
Robert S MannelObstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OH 73104, United States of America. Electronic address: Robert-mannel@ouhsc.edu.
Atrium Health Wake Forest Baptist · USCancer Research for the Ozarks · USCancer Treatment Centers of America · USCleveland Clinic · USDuke Medical Center · USHonorHealth · USJohns Hopkins University · USPrince of Wales Hospital · AUThe Ohio State University · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of California, Irvine · USUniversity of California, San Francisco · USUniversity of Cincinnati · USUniversity of Minnesota · USUniversity of Oklahoma Health Sciences Center · USUniversity of Rochester Medical Center · USUNSW Sydney · AU

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
A Lead Academic Participating Site in Oklahoma for the Design and Conduct of NCTN Clinical TrialsUG1CA233193 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Muhammad Furqan · 2019 to 2026
$13.7M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
OSU as Network Lead Academic Participating Site for the NCI NCTNU10CA180850 · NCI · OHIO STATE UNIVERSITY · PI BLUM, KRISTIE A, CHAKRAVARTI, ARNAB · 2014 to 2018
$6.8M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180850NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233331
6 · The paper itself

Abstract

objectivePatients with advanced epithelial ovarian cancer (EOC) alive without progression at a landmark time-point of 10 years from diagnosis are likely cured. We report the proportion of patients with Stage III EOC who were long-term disease-free survivors (LTDFS≥10 years) following either intraperitoneal (IP) or intravenous (IV) chemotherapy as well as the predictors of LTDFS.

methodsData from 3 mature NRG/GOG trials (104, 114, 172) were analyzed and included demographics, clinicopathologic details, route of administration, and survival outcomes of patients living ≥10 years assessed according to the Kaplan-Meier method. Cox regression survival analysis was performed to evaluate independent prognostic predictors of LTDFS.

resultsOf 1174 patients randomized, 10-year overall survival (OS) was 26% (95% CI, 23-28%) and LTDFS ≥10 years was 18% (95% CI, 16-20%). Patients with LTDFS ≥10 years had a median age of 54.6 years (p < 0.001). Younger age (p < 0.001) was the only independent prognostic factor for LTDFS≥10 years on multivariate Cox analysis.

conclusionsApproximately 18% of patients were LTDFS ≥10 years. They form the tail end of the survival curve and are likely cured. Our results provide a comparative benchmark to evaluate the impact of PARP inhibitors in 1st line maintenance trials on survival outcomes.

Indexed as

Carcinoma, Ovarian EpithelialOvarian NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCancer SurvivorsDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm StagingRandomized Controlled Trials as Topic10-year survivalAdvanced ovarian cancerChemotherapy

Identifiers

PMID35835612
PMCPMC9718158
OpenAlexW4285034856

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.