Evidence map›Paper›PMID 37366896›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Treatment Settings and Outcomes with Regorafenib and Trifluridine/Tipiracil at Third-Line Treatment and beyond in Metastatic Colorectal Cancer: A Real-World Multicenter Retrospective Study.

Carlo Signorelli, Maria Alessandra Calegari, Michele Basso, Annunziato Anghelone, Jessica Lucchetti, Alessandro Minelli, Lorenzo Angotti, Ina Valeria Zurlo, Marta Schirripa, Mario Giovanni Chilelli and 14 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Current oncology (Toronto, Ont.), 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
2.3field-weighted citation impact, top 11% 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, 10 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

24 authors at 10 institutions in 1 country.

Carlo SignorelliMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.ORCID 0000-0001-9710-4962
Maria Alessandra CalegariUnit of Medical Oncology, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy.
Michele BassoUnit of Medical Oncology, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy.ORCID 0000-0002-9167-7724
Annunziato AngheloneUnit of Medical Oncology, Comprehensive Cancer Center, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy.
Jessica LucchettiDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0002-0262-535X
Alessandro MinelliDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Lorenzo AngottiDivision of Medical Oncology, Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Ina Valeria ZurloMedical Oncology, "Vito Fazzi" Hospital, 73100 Lecce, Italy.
Marta SchirripaMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.
Mario Giovanni ChilelliMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.
Cristina MorelliMedical Oncology Unit, Department of Systems Medicine, Tor Vergata University Hospital, 00133 Rome, Italy.
Emanuela Dell'AquilaMedical Oncology 1, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Antonella CosimatiMedical Oncology 1, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Donatello GemmaMedical Oncology Unit, ASL Frosinone, 03039 Sora (FR), Italy.
Marta RibelliMedical Oncology Unit, Ospedale San Giovanni Calibita Fatebenefratelli, Isola Tiberina, Gemelli Isola, 00186 Rome, Italy.
Alessandra EmilianiMedical Oncology Unit, Ospedale San Giovanni Calibita Fatebenefratelli, Isola Tiberina, Gemelli Isola, 00186 Rome, Italy.
Domenico Cristiano CorsiMedical Oncology Unit, Ospedale San Giovanni Calibita Fatebenefratelli, Isola Tiberina, Gemelli Isola, 00186 Rome, Italy.ORCID 0000-0002-5017-6704
Giulia ArriviDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Oncology Unit, Sant' Andrea Hospital, 00189 Rome, Italy.
Federica MazzucaDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Oncology Unit, Sant' Andrea Hospital, 00189 Rome, Italy.
Federica ZorattoMedical Oncology Unit, ASL Latina, 04100 Latina, Italy.
Maria Grazia MorandiMedical Oncology Unit, San Camillo de Lellis Hospital, ASL Rieti, 02100 Rieti, Italy.
Fiorenza SantamariaDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-1214-9342
Rosa SaltarelliUOC Oncology, San Giovanni Evangelista Hospital, ASL RM5, 00019 Tivoli (RM), Italy.
Enzo Maria RuggeriMedical Oncology Unit, Belcolle Hospital, ASL Viterbo, 01100 Viterbo, Italy.
Ospedale di Belcolle · ITAgostino Gemelli University Polyclinic · ITCampus Bio Medico University Hospital · ITFatebenefratelli Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSapienza University of Rome · ITAccademia di Belle Arti di Frosinone · ITOspedale Vito Fazzi · ITPoliclinico Umberto I · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with refractory mCRC rarely undergo third-line or subsequent treatment. This strategy could negatively impact their survival. In this setting, regorafenib (R) and trifluridine/tipiracil (T) are two key new treatment options with statistically significant improvements in overall survival (OS), progression-free survival (PFS), and disease control with different tolerance profiles. This study aimed to retrospectively evaluate the efficacy and safety profiles of these agents in real-world practice. MATERIALS AND

methodsIn 2012-2022, 866 patients diagnosed with mCRC who received sequential R and T (T/R, n = 146; R/T, n = 116]) or T (n = 325]) or R (n = 279) only were retrospectively recruited from 13 Italian cancer institutes.

resultsThe median OS is significantly longer in the R/T group (15.9 months) than in the T/R group (13.9 months) (

conclusionsThe R/T sequence resulted in a significantly longer OS and PFS and improved disease control compared with the reverse sequence. R and T given not sequentially have similar impacts on survival. More data are needed to define the best sequence and to explore the efficacy of sequential (T/R or R/T) treatment combined with molecular-targeted drugs.

Indexed as

Colonic NeoplasmsColorectal NeoplasmsRectal NeoplasmsHumansPhenylurea CompoundsPyridinesPyrrolidinesRetrospective StudiesThymineTrifluridineUracilPhenylurea CompoundsPyridinesPyrrolidinesregorafenibThyminetipiracilTrifluridineUracilmetastatic colorectal cancerreal-world studyregorafenibthird-line therapytrifluridine/tipiracil

Identifiers

PMID37366896
PMCPMC10296859
OpenAlexW4379473222

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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.