Evidence map›Paper›PMID 36463530›Full record

ArticleJournal of cancer research and clinical oncology2023

Epirubicin, cisplatin plus ifosfamide versus standard chemotherapeutic regimens for advanced/unresectable primary thoracic sarcomas.

Jeronimo Rafael Rodriguez-Cid, Juan Jose Juarez-Vignon Whaley, Gisela Sánchez-Domínguez, Jordi Guzmán-Casta, Sonia Carrasco-CaraChards, Jorge Guzmán-Huesca, Rodrigo Riera-Sala, Carla Paola Sánchez-Ríos, Mayte Cruz-Zermeño, Alec Seidman-Sorsby and 8 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 74% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

18 authors at 8 institutions in 2 countries.

Jeronimo Rafael Rodriguez-CidDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico. cidjeronimo@yahoo.com.mx.ORCID http://orcid.org/0000-0001-8518-9065
Juan Jose Juarez-Vignon WhaleyDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.ORCID http://orcid.org/0000-0001-5570-2147
Gisela Sánchez-DomínguezDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Jordi Guzmán-CastaDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Sonia Carrasco-CaraChardsHospital General de México Dr. Eduardo Liceaga, Dr. Balmis 148, Doctores, Cuauhtémoc, 06720, Mexico City, Mexico.
Jorge Guzmán-HuescaDepartment of Internal Medicine, Bonita Community Health Center, 3501 Health Center Blvd, Bonita Springs, Florida, 34135, USA.
Rodrigo Riera-SalaDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Carla Paola Sánchez-RíosDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Mayte Cruz-ZermeñoFaculty of Medicine, Universidad Panamericana, Augusto Rodin No. 498, Insurgentes Mixcoac, Benito Juárez, 03920, Mexico City, Mexico.
Alec Seidman-SorsbyFaculty of Medicine, Universidad Panamericana, Augusto Rodin No. 498, Insurgentes Mixcoac, Benito Juárez, 03920, Mexico City, Mexico.
Ivan de Jesús Rodríguez-ZeaFaculty of Medicine, Universidad Nacional Autónoma de México, Escolar 411A, Copilco Universidad, 04360, Mexico City, Mexico.
Jorge Arturo Alatorre-AlexanderDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Luis Manuel Martínez-BarreraDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Patricio Javier Santillán-DohertyDepartment of Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Dr. Ismael Cosío Villegas, Calz. de Tlalpan 4502, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico.
Aminadab Godina-FloresFaculty of Medicine, Instituto Tecnológico y de Estudios Superiores de Monterrey, C. Puente 222, Coapa, Arboledas del Sur, Tlalpan, 14380, Mexico City, Mexico.
Victoria Imaz-OlguinDepartment of Oncology, Hospital Angeles del Pedregal, Camino Sta. Teresa 1055-S, Heroes de Padierna, Héroes de Padierna, La Magdalena Contreras, 10700, Mexico City, Mexico.
Ricardo Sosa-SánchezMedica Sur Cancer Center Director, Medica Sur, Puente de Piedra 150, Toriello Guerra, Tlalpan, 14050, Mexico City, Mexico.
Dan Green-RennerDepartment of Oncology, Hospital Angeles del Pedregal, Camino Sta. Teresa 1055-S, Heroes de Padierna, Héroes de Padierna, La Magdalena Contreras, 10700, Mexico City, Mexico.
Instituto Nacional de Enfermedades Respiratorias · MXHospital Angeles Pedregal · MXUniversidad Panamericana · MXCommunity Health Center · USHospital General de México · MXHospital Médica Sur · MXTecnológico de Monterrey · MXUniversidad Nacional Autónoma de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThoracic sarcomas are rare malignancies, with limited data for unresectable/advanced scenarios. Our goal is to provide insights of a three-drug chemotherapy regimen improving patient survival compared to standard regimens.

methodsRetrospective cohort analysis of patients diagnosed with unresectable/advanced primary thoracic sarcoma divided between primary pulmonary sarcomas (PPS) and chest wall sarcomas (CWS) comparing chemotherapeutical regimens efficacy. Not true soft tissue sarcomas (STS) for PPS were excluded from the analysis. Univariate and multivariate analysis performed via Cox-regression model. Progression-free survival (PFS) and overall survival (OS) analysis via Kaplan-Meier with hazard ratio (HR) obtained via Mantel-Haenszel or log rank.

results157 total cases were included, from which 50 cases were PPS and 107 cases CWS. For PPS, 4 cases were excluded from the analysis as they were not true STS. The most common histology was undifferentiated sarcomas, 63% of cases were treated with E/C/I and 37% with another regimen. The E/C/I regimen demonstrated a benefit for both OS (p = 0.020) and PFS (p = 0.010) when compared to any other regimen as well as when compared to non-platinum regimens (p = 0.016 and p = 0.001). Regarding CWS, the most common histology was synovial and undifferentiated sarcomas, 55.1% were treated with E/C/I and 44.9% treated with another regimen. The E/C/I regimen did not demonstrate a benefit for OS or PFS compared to any other regimen, neither when compared to other non-platinum regimens. However, a benefit was observed in favor of E/C/I when compared to other platinum regimens in both OS (p = 0.049) and PFS (0.015). Both analyses for PPS and CWS demonstrated a benefit in favor of cisplatin therapies compared to carboplatin in both OS and PFS.

conclusionThis study demonstrates that platinum therapy alone does not work, and that cisplatin must be the agent of choice and it's used in combination could increase treatment response. The E/C/I regimen demonstrated a in PPS but not for CWS, this is due do their rarity of PPS and that no standard treatment is established yet. The regimen proposed here could represent a possible new standard of treatment for PPS as long as it is validated in a prospective study.

Indexed as

SarcomaSoft Tissue NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCisplatinEpirubicinHumansIfosfamideProspective StudiesRetrospective StudiesCisplatinEpirubicinIfosfamideAntineoplastic combined chemotherapyChest wall sarcomasCisplatinEpirubicinIfosfamidePrimary pulmonary sarcomasSurvival analysis

Identifiers

PMID36463530
PMCPMC11797319
OpenAlexW4310668408

What OpenQuestion holds

Textmetadata
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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.