Evidence map›Paper›PMID 37777684›Full record

Trial reportAnnals of surgical oncology2023

Initial Active Surveillance Strategy for Patients with Peripheral Sporadic Primary Desmoid-Type Fibromatosis: A Multicentric Phase II Observational Trial.

Sylvie Bonvalot, Nathalie Cozic, Axel Le Cesne, Jean Yves Blay, Nicolas Penel, Magali Fau, Christine Chevreau, Philippe Anract, Denis Waast, Valérie Laurence and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01801176 (Peripheral Primitive Fibromatosis. Study Evaluating a Simple Initial Monitoring With Search of Scalability Predictive Factors and Registration of Treatments in Case of Progression), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.0field-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.

NCT01801176 nacompletednot on this map

Peripheral Primitive Fibromatosis. Study Evaluating a Simple Initial Monitoring With Search of Scalability Predictive Factors and Registration of Treatments in Case of Progression

TypeinterventionalSponsorGustave Roussy, Cancer Campus, Grand ParisRan2012 to 2020Enrolled100ConditionsPeripheral Primitive FibromatosisArmsMRI
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Percutaneous Management of Desmoid Tumors.Current oncology reports · 2026
    Review
  4. Reply to: In DeFi-ance of "More Is Better": Questioning Long-Term Nirogacestat Use in Desmoid Tumors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  5. Article
  6. Article
  7. Management of Desmoid Tumors.Current oncology reports · 2025
    Review
  8. Review
  9. Review
  10. Active Surveillance in Patients with Extra-abdominal Desmoid-Type Fibromatosis: A Pooled Analysis of Three Prospective Observational Studies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Observational
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 1 country.

Sylvie BonvalotDepartment of Surgery, Institute Curie, Paris, France. sylvie.bonvalot@curie.fr.
Nathalie CozicDepartment of Biostatistics and Epidemiology, Gustave Roussy, Villejuif, France.
Axel Le CesneDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Jean Yves BlayDepartment of Medical Oncology, Centre Léon Bérard, Lyon, France.
Nicolas PenelDepartment of Medical Oncology, Centre Oscar Lambret, Lille, France.
Magali FauDepartment of Surgery, Institut Bergonié, Bordeaux, France.
Christine ChevreauDepartment of Medical Oncology, Oncopole, Toulouse, France.
Philippe AnractDepartment of Orthopedics, CHU Cochin, Paris, France.
Denis WaastDepartment of Orthopedics, CHU Nantes, Nantes, France.
Valérie LaurenceDepartment of Medical Oncology, Institut Curie, Paris, France.
Sarah WatsonDepartment of Medical Oncology, Institut Curie, Paris, France.
Florence DuffaudDepartment of Medical Oncology, CHU La Timone, Marseilles, France.
François GouinDepartment of Surgery, Centre Léon Bérard, Lyon, France.
Sophie TaiebDepartment of Radiology, Centre Oscar Lambret, Lille, France.
Michèle KindDepartment of Radiology, Institut Bergonié, Bordeaux, France.
Laurent LamDepartment of Biostatistics and Epidemiology, Gustave Roussy, Villejuif, France.
Institut Gustave Roussy · FRCentre Léon Bérard · FRCentre Oscar Lambret · FRInstitut Bergonié · FRInstitut Curie · FRCentre Hospitalier Universitaire de Nantes · FRHôpital Cochin · FRHôpital de la Timone · FRInstitut universitaire du cancer de Toulouse Oncopole · FRPhysique des Cellules et Cancers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStabilization or spontaneous regressions are demonstrated in more than half of patients affected by primary desmoid-type fibromatosis (DF) in retrospective studies. The objective of this phase II study was to prospectively assess the behavior of primary sporadic DT managed by active surveillance (AS).

methodsThis prospective, multicenter, observational study (NCT01801176) included patients ≥18 years of age with primary sporadic DF located in an extremity or the abdominal/thoracic wall. At inclusion, all patients were initially placed on AS. Follow-up was based on clinical and radiological evaluation by magnetic resonance imaging (MRI) performed at 1, 3, 6, 9, and 12 months, and then every 6 months for 3 years. The primary endpoint was progression-free survival (PFS) at 3 years according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, as evaluated by a Central Review Board.

resultsBetween 2012 and 2015, 100 patients were enrolled. The female/male ratio was 8 and the median age was 34 years (interquartile range [IQR] 30.8-43.9). Median follow-up was 46.6 months (IQR 36.8-61.1) and the 3-year PFS was 53.4% (95% confidence interval 43.5-63.1%). At progression (48 patients), 23 patients received active treatment. Fifty-eight patients (58%) presented with spontaneous tumor regression (decrease > 0% compared with the initial size) during the first 3 months (n = 35, 35%) or after an initial progression (n = 23, 23%), of whom 26 (26%) had partial responses (PRs). The median time to PR was 31.7 months (25.3-not available).

conclusionsThese data support the use of AS as the primary approach to select patients with peripheral DF who require aggressive treatment.

Indexed as

Desmoid TumorsAdultFemaleHumansMaleProspective StudiesResponse Evaluation Criteria in Solid TumorsRetrospective StudiesWatchful Waiting

Identifiers

PMID37777684
OpenAlexW4387215254

What OpenQuestion holds

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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.