Evidence map›Paper›PMID 37046711›Full record

ArticleCancers2023

Pediatric Patients with Stage IV Rhabdomyosarcoma Significantly Benefit from Long-Term Maintenance Therapy: Results of the CWS-IV 2002 and the CWS DOK IV 2004-Trials.

Lars Tramsen, Konrad Bochennek, Monika Sparber-Sauer, Emilia Salzmann-Manrique, Monika Scheer, Tobias Dantonello, Arndt Borkhardt, Uta Dirksen, Anne Thorwarth, Jeanette Greiner and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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  8. Journal for immunotherapy of cancer · 2025
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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

18 authors at 11 institutions in 5 countries.

Lars TramsenDepartment of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.
Konrad BochennekDepartment for Children and Adolescents, University Hospital, Goethe-University, 60590 Frankfurt, Germany.ORCID 0000-0002-6881-6511
Monika Sparber-SauerCenter for Pediatric, Adolescent and Women's Medicine, Pediatric 5 (Oncology, Hematology, Immunology), Hospital of the State Capital Stuttgart, Olgahospital, Stuttgart Cancer Center, 70174 Stuttgart, Germany.ORCID 0000-0001-9551-2399
Emilia Salzmann-ManriqueDepartment for Children and Adolescents, University Hospital, Goethe-University, 60590 Frankfurt, Germany.
Monika ScheerDepartment of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Tobias DantonelloDepartment of Pediatrics, Division of Pediatric Hematology and Oncology, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
Arndt BorkhardtDepartment of Pediatric Oncology, Hematology and Clinical Immunology, Medical Faculty, Heinrich Heine University, 40225 Duesseldorf, Germany.
Uta DirksenPediatrics III, University Hospital Essen, West German Cancer Center, 45147 Essen, Germany.ORCID 0000-0002-5435-7860
Anne ThorwarthDepartment of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Jeanette GreinerPediatric Oncology and Hematology, Children's Hospital, Kantonsspital Aarau AG, CH-5001 Aarau, Switzerland.ORCID 0009-0003-5608-3765
Martin EbingerDepartment of General Pediatrics and Pediatric Oncology and Hematology, University Children's Hospital, 72076 Tuebingen, Germany.ORCID 0000-0002-4229-8058
Jadwiga Weclawek-TompolDepartment of Bone Marrow Transplantation, Pediatric Oncology and Haematology, University of Medicine Wroclaw, 50556 Wroclaw, Poland.ORCID 0000-0001-8972-9516
Ruth LadensteinSt. Anna-Kinderspital, Children's Cancer Research Institute (CCRI), 1090 Vienna, Austria.
Gustaf LjungmanDepartment of Women's and Children's Health, Pediatric Oncology, Uppsala University, 75185 Uppsala, Sweden.ORCID 0000-0002-4949-2494
Erika HallmenCenter for Pediatric, Adolescent and Women's Medicine, Pediatric 5 (Oncology, Hematology, Immunology), Hospital of the State Capital Stuttgart, Olgahospital, Stuttgart Cancer Center, 70174 Stuttgart, Germany.
Thomas LehrnbecherDepartment for Children and Adolescents, University Hospital, Goethe-University, 60590 Frankfurt, Germany.ORCID 0000-0002-6022-3439
Ewa KoscielniakCenter for Pediatric, Adolescent and Women's Medicine, Pediatric 5 (Oncology, Hematology, Immunology), Hospital of the State Capital Stuttgart, Olgahospital, Stuttgart Cancer Center, 70174 Stuttgart, Germany.
Thomas KlingebielDepartment for Children and Adolescents, University Hospital, Goethe-University, 60590 Frankfurt, Germany.ORCID 0000-0001-5726-9092
Goethe University Frankfurt · DEOlgahospital · DECharité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEKantonsspital Aarau · CHNational Center for Tumor Diseases · DESt Anna Children's Hospital · ATUniversity Children's Hospital Tübingen · DEUniversity of Bern · CHUppsala University · SEWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma (STS) in childhood. Whereas more than 90% of patients with localized low-risk RMS can be cured, metastatic RMS have a dismal outcome, with survival rates of less than 30%. The HD CWS-96 trial showed an improved outcome for patients receiving maintenance therapy after completing intensive chemotherapy. Consequently, the international clinical trials CWS-IV 2002 and CWS DOK IV 2004 on metastatic disease of STS of the Cooperative Weichteilsarkom Studiengruppe (CWS) were designed in addition to the CWS-2002P trial for localized RMS disease. All patients received a multimodal intensive treatment regimen. To maintain remission, three options were compared: long-term maintenance therapy (LTMT) versus allogeneic hematopoietic stem cell transplantation (alloHSCT) versus high-dose chemotherapy (HDCT). A total of 176 pediatric patients with a histologically confirmed diagnosis of metastatic RMS or RMS-like tumor were included. A total of 89 patients receiving LTML showed a significantly better outcome, with an event-free survival (EFS) of 41% and an overall survival (OS) of 53%, than alloHSCT (

Indexed as

childrenlong-term maintenance therapymetastaticoutcomerhabdomyosarcomasoft tissue sarcoma

Identifiers

PMID37046711
PMCPMC10093505
OpenAlexW4361267502

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.