Evidence map›Paper›PMID 36881786›Full record

Trial reportJCO oncology practice2023

Evaluating the Time Toxicity of Cancer Treatment in the CCTG CO.17 Trial.

Arjun Gupta, Christopher J O'Callaghan, Liting Zhu, Derek J Jonker, Ralph P W Wong, Bruce Colwell, Malcolm J Moore, Christos S Karapetis, Niall C Tebbutt, Jeremy D Shapiro and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00079066 (A Phase III Randomized Study of Cetuximab), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
–field-weighted citation impact
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.

NCT00079066 phase3completednot on this map

A Phase III Randomized Study of Cetuximab (Erbitux™, C225) and Best Supportive Care Versus Best Supportive Care in Patients With Pretreated Metastatic Epidermal Growth Factor Receptor (EGFR)-Positive Colorectal Carcinoma

TypeinterventionalSponsorNCIC Clinical Trials GroupRan2003 to 2009Enrolled572ConditionsColorectal Cancer, Quality of LifeArmscetuximab, quality-of-life assessment
3 · Its place in the literature

Who cites it

51 citing papers in PubMed.

  1. Trial
  2. Time toxicity among patients with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Review
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  11. Review
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  15. Review
  16. Observational
  17. Review
  18. Article
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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

12 authors.

Arjun GuptaUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0003-0875-4731
Christopher J O'CallaghanCanadian Cancer Trials Group, Kingston, ON, Canada.
Liting ZhuCanadian Cancer Trials Group, Kingston, ON, Canada.
Derek J JonkerThe Ottawa Hospital Cancer Centre, ON, Canada.
Ralph P W WongCancerCare Manitoba, Winnipeg, MB, Canada.
Bruce ColwellDalhousie University, Halifax, NS, Canada.
Malcolm J MoorePrincess Margaret Cancer Centre, Toronto, ON, Canada.
Christos S KarapetisFlinders University, Adelaide, SA, Australia.
Niall C TebbuttAustin Health, Melbourne, VIC, Australia.
Jeremy D ShapiroCabrini Health, Malvern, VIC, Australia.
Dongsheng TuCanadian Cancer Trials Group, Kingston, ON, Canada.ORCID 0000-0003-4842-2184
Christopher M BoothDepartment of Oncology, Queen's University, Kingston, ON, Canada.ORCID 0000-0002-1353-3653

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe time spent in pursuing treatments for advanced cancer can be substantial. We have previously proposed a pragmatic and patient-centered metric of these time costs-which we term time toxicity-as any day with physical health care system contact. This includes outpatient visits (eg, bloodwork, scans, etc), emergency department visits, and overnight stays in a health care facility. Herein, we sought to assess time toxicity in a completed randomized controlled trial (RCT).

methodsWe conducted a secondary analysis of the Canadian Cancer Trials Group CO.17 RCT that evaluated weekly cetuximab infusions versus supportive care alone in 572 patients with advanced colorectal cancer. Initial results reported a 6-week improvement in median overall survival (OS) with cetuximab (6.1

resultsIn the overall population, median time toxic days were higher in the cetuximab arm (28

conclusionThis proof-of-concept feasibility study demonstrates that measures of time toxicity can be extracted through secondary analyses of RCTs. In CO.17, despite an overall OS benefit with cetuximab, home days were statistically similar across arms. Such data can supplement traditional survival end points in RCTs. Further work should refine and validate the measure prospectively.[Media: see text].

Indexed as

Antibodies, Monoclonal, HumanizedColorectal NeoplasmsCanadaCetuximabHumansAntibodies, Monoclonal, HumanizedCetuximab

Identifiers

PMID36881786
PMCPMC10337749

What OpenQuestion holds

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LicenceCC BY
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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.