Evidence map›Paper›PMID 37594724›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2023

Anlotinib in Locally Advanced or Metastatic Radioiodine-Refractory Differentiated Thyroid Carcinoma: A Randomized, Double-Blind, Multicenter Phase II Trial.

Yihebali Chi, Xiangqian Zheng, Yuan Zhang, Feng Shi, Ying Cheng, Zhuming Guo, Minghua Ge, Jianwu Qin, Jiewu Zhang, Zhendong Li and 9 more

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  16. BRAFThyroid research · 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

19 authors at 16 institutions in 2 countries.

Yihebali Chi *Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-8381-3554
Xiangqian Zheng *Department of Thyroid and Neck Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0000-0001-5545-119X
Yuan ZhangDepartment of Head and Neck Surgery, Jiangsu Cancer Hospital (Jiangsu Institute of Cancer Research, Nanjing Medical University Affiliated Cancer Hospital), Nanjing, China.ORCID 0009-0009-7507-3590
Feng ShiThyroid Tumour Internal Medicine Department/Nuclear Medicine Center, Hunan Cancer Hospital, Changsha, China.ORCID 0009-0002-3600-3126
Ying ChengDepartment of Medical Oncology, Jilin Cancer Hospital, Changchun, China.ORCID 0000-0001-9908-597X
Zhuming GuoHead and Neck Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID 0009-0007-0586-6099
Minghua GeHead and Neck Surgery, Institute of Cancer and Basic Medicine (ICBM), Chinese Academy of Sciences; Cancer Hospital of the University of Chinese Academy of Sciences; Zhejiang Cancer Hospital, Hangzhou, China.ORCID 0000-0001-6726-6418
Jianwu QinThyroid & Head and Neck Surgery, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.ORCID 0009-0000-3566-0349
Jiewu ZhangDepartment of Head and Neck Surgery, Harbin Medical University Cancer Hospital, Harbin, China.ORCID 0009-0008-0088-8683
Zhendong LiDepartment of Head & Neck Surgery, Liaoning Tumor Hospital, Shenyang, China.ORCID 0000-0002-3930-2888
Xiaohong ZhouHead and Neck Cancer Center, Chongqing University Cancer Hospital, Chongqing Cancer Hospital, Chongqing, China.ORCID 0009-0001-2489-4171
Rui HuangNuclear Medicine, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0003-3191-0528
Xiaohong ChenDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University / Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology, Beijing, China.ORCID 0000-0002-3825-2647
Hui LiuHead and Neck Surgery, Fujian Cancer Hospital, Fuzhou, China.ORCID 0009-0003-1713-4363
Ruochuan ChengDepartment of Thyroid Surgery, First Affiliated Hospital of Kunming Medical University, Kunming, China.ORCID 0000-0003-1292-4780
Zhengang XuHead and Neck Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0009-0003-6644-4659
Dapeng LiDepartment of Thyroid and Neck Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0000-0003-2861-3899
Pingzhang TangDepartment for VIP, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0009-0009-8612-3928
Ming GaoDepartment of Thyroid and Neck Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin, China.ORCID 0000-0002-0118-541X
Chinese Academy of Medical Sciences & Peking Union Medical College · CNTianjin Medical University Cancer Institute and Hospital · CNBeijing Tongren Hospital · CNCancer Hospital of Chinese Academy of Medical Sciences · CNChongqing Cancer Hospital · CNFujian Provincial Cancer Hospital · CNHarbin Medical University · CNHunan Cancer Hospital · CNJiangsu Cancer Hospital · CNJilin Province Tumor Hospital · CNKunming Medical University · CNLiaoning Cancer Hospital & Institute · CNSichuan University · CNSun Yat-sen University · CNUnion Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlhough antiangiogenic agents are the bedrock of treatment for radioiodine-refractory differentiated thyroid carcinoma (RAIR-DTC), novel antiangiogenic agents with optimized features like greater target-binding affinities and more favorable pharmacokinetics profile are needed. This phase II randomized, double-blind, placebo-controlled trial investigated the efficacy and safety of anlotinib, a multikinase inhibitor, for RAIR-DTC. PATIENTS AND

methodsPatients (ages between 18 and 70 years) with pathologically confirmed locally advanced or metastatic RAIR-DTC were enrolled and randomly received 12 mg anlotinib once daily or placebo on day 1 to 14 every 3 weeks. Patients on placebo were allowed to receive open-label anlotinib after disease progression. The primary endpoint was progression-free survival (PFS). The secondary endpoints included overall survival (OS) and safety.

resultsBetween September 2015 and August 2018, 76 and 37 patients randomly received anlotinib and placebo, respectively. Patients receiving anlotinib had a significantly longer median PFS [40.5 months, 95% confidence interval (CI), 28.3-not estimable (NE) versus placebo 8.4 months, 95% CI, 5.6-13.8; HR = 0.21, 95% CI, 0.12-0.37, P < 0.001], meeting the primary endpoint. OS was still immature, with a trend of benefit with anlotinib (HR = 0.57, 95% CI, 0.29-1.12). All patients in the anlotinib group experienced adverse events (AE); 8 (10.5%) discontinued treatment due to AEs.

conclusionsAnlotinib demonstrated promising efficacy and favorable tolerance in the treatment of locally advanced or metastatic RAIR-DTC, supporting further research to establish its role in the treatment of this serious disease.

Indexed as

IndolesQuinolinesThyroid NeoplasmsAdolescentAdultAgedDouble-Blind MethodFemaleHumansIodine RadioisotopesMaleMiddle AgedNeoplasm MetastasisProtein Kinase InhibitorsTreatment OutcomeYoung AdultanlotinibIndolesIodine RadioisotopesProtein Kinase InhibitorsQuinolines

Identifiers

PMID37594724
PMCPMC10570678
OpenAlexW4385969405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.