Evidence map›Paper›PMID 36042046›Full record

ArticleJournal of cancer research and clinical oncology2023

Does HER2 status influence in the benefit of ramucirumab and paclitaxel as second line treatment of advanced gastro-esophageal adenocarcinoma? Data from the AGAMENON-SEOM registry.

Sena Valcarcel, Javier Gallego, Paula Jimenez-Fonseca, Marc Diez, Eva Martínez de Castro, Raquel Hernandez, Virginia Arrazubi, Ana Custodio, Juana María Cano, Ana Fernández Montes and 19 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  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

29 authors at 20 institutions in 1 country.

Sena ValcarcelMedical Oncology Department, Hospital Universitario Central de Asturias, ISPA, Avenida Roma Sn., CP 33011, Oviedo, Spain. senavg@gmail.com.
Javier GallegoMedical Oncology Department, Hospital General Universitario de Elche, Elche, Spain.
Paula Jimenez-FonsecaMedical Oncology Department, Hospital Universitario Central de Asturias, ISPA, Oviedo, Spain.
Marc DiezMedical Oncology Department, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Eva Martínez de CastroMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.
Raquel HernandezMedical Oncology Department, Hospital Universitario de Canarias, Tenerife, Spain.
Virginia ArrazubiMedical Oncology Department, Hospital Universitario de Navarra, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
Ana CustodioMedical Oncology Department, Hospital Universitario La Paz, CIBERONC CB16/12/00398, Madrid, Spain.
Juana María CanoMedical Oncology Department, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.
Ana Fernández MontesMedical Oncology Department, Complejo Hospitalario Universitario de Ourense, Orense, Spain.
Ismael MaciasMedical Oncology Department, Hospital Universitario Parc Tauli, Sabadell, Spain.
Laura VisaMedical Oncology Department, Hospital Universitario El Mar, Barcelona, Spain.
Aitana CalvoMedical Oncology Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Rosario Vidal TocinoMedical Oncology Department, Complejo Asistencial Universitario de Salamanca - IBSAL, Salamanca, Spain.
Nieves Martínez LagoMedical Oncology Department, Complejo Hospitalario Universitario de A Coruña, Coruña, Spain.
María Luisa LimónMedical Oncology Department, Hospital Universitario Virgen del Rocío, Seville, Spain.
Mónica GranjaMedical Oncology Department, Hospital Universitario Clínico San Carlos Madrid, Madrid, Spain.
Mireia GilMedical Oncology Department, Hospital General Universitario de Valencia, Ciberonc CB16/12/0035, Valencia, Spain.
Paola PimentelMedical Oncology Department, Hospital Santa Lucía, Cartagena, Spain.
Lola Macia-RivasPharmacy Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
Carolina Hernández PérezMedical Oncology Department, Hospital Universitario Nuestra Señora de La Candelaria, Tenerife, Spain.
Montserrat MangasMedical Oncology Department, Hospital Galdakao-Usansolo, Galdakao-Usansolo, Spain.
Alfonso Martín CarniceroMedical Oncology Department, Hospital San Pedro, Logroño, Spain.
Paula CerdàMedical Oncology Department, Hospital Santa Creu I Sant Pau, Barcelona, Spain.
Lucía Gomez GonzalezMedical Oncology Department, Hospital General Universitario de Alicante, Alicante, Spain.
Francisco Garcia NavalonMedical Oncology Department, Hospital Universitario Son Llatzer, Mallorca, Spain.
Mª Dolores Mediano RamblaMedical Oncology Department, Hospital Universitario Virgen de La Macarena, Seville, Spain.
Marta Martin RichardMedical Oncology Department, Catalan Institute of Oncology (ICO), L'Hospitalet, Spain.
Alberto Carmona-BayonasHematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, University of Murcia, IMIB, CP13/00126, PI17/0050 (ISCIII& FEDER), Murcia, Spain.
Hospital Universitario Central de Asturias · ESCentro de Investigación Biomédica en Red de Cáncer · ESComplejo Hospitalario de Ourense · ESComplexo Hospitalario Universitario A Coruña · ESHospital Clínico San Carlos · ESHospital de Galdakao · ESHospital Del Mar · ESHospital de Sant Pau · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital General Universitario de Ciudad Real · ESHospital General Universitario de Elche · ESHospital General Universitario De Valencia · ESHospital General Universitario Gregorio Marañón · ESHospital San Pedro · ESHospital Son Llatzer · ESHospital Universitario de Canarias · ESHospital Universitario Nuestra Señora de Candelaria · ESHospital Universitario Virgen del Rocío · ESHospital Universitario Virgen Macarena · ESInstitut Català d'Oncologia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare ramucirumab-paclitaxel versus chemotherapy in second-line (2L) advanced gastroesophageal cancer (aGEC) based on HER2 status and analyze prognostic factors.

methodsThe study includes patients from the AGAMENON-SEOM registry with aGEC and known HER2 status who received 2L between 2016 and 2021. The Kaplan-Meier method was used to calculate progression-free survival (PFS) and overall survival (OS) and multivariable Cox regression analysis was done to adjust for confounding variables.

resultsOf the 552 patients who met the selection criteria, 149 (26.9%) had HER2-positive aGEC, 89 were treated with chemotherapy, and 60 with ramucirumab-paclitaxel, and 403 had an HER2-negative aGEC, 259 were treated with chemotherapy, and 144 with ramucirumab-paclitaxel. In the whole sample, 2L PFS was 3.0 months (95% CI 2.8-3.2), 2L OS, 5.7 months (5.2-6.3), and ramucirumab-paclitaxel versus chemotherapy was associated with increased PFS (HR 0.64, 95% CI 0.53-0.78, p < 0.0001) and OS (HR 0.68, 0.55-0.83, p = 0.0002). Median PFS of ramucirumab- paclitaxel versus chemotherapy was 3.5 vs 2.8 months (HR 0.67, 0.54-0.83, p = 0.0004) in HER2-negative, and 4.7 vs 2.7 months (HR 0.57, 0.40-0.82, p = 0.0031) in HER2-positive aGEC, respectively. Median OS for ramucirumab-paclitaxel versus chemotherapy was 6.6 vs 5 months (HR 0.67, 0.53-0.85, p = 0.0007) in HER2-negative, and 7.4 vs 5.6 months (HR 0.70, 0.53-1.04, p = 0.083) in HER2-positive aGEC, respectively. ECOG-PS, tumor burden, Lauren subtype, and neutrophil-lymphocyte ratio were prognostic factors.

conclusionsIn patients with an aGEC from the AGAMENON-SEOM registry, 2L treatment with ramucirumab-paclitaxel was superior to chemotherapy in PFS, OS and response rate, independent of HER2 status.

Indexed as

AdenocarcinomaStomach NeoplasmsAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsEsophageal NeoplasmsHumansPaclitaxelRamucirumabRegistriesAntibodies, MonoclonalPaclitaxelRamucirumabGastroesophageal adenocarcinomaHER2PrognosisRamucirumabSurvival

Identifiers

PMID36042046
PMCPMC11796900
OpenAlexW4293696032

What OpenQuestion holds

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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.