Evidence map›Paper›PMID 38862742›Full record

Trial reportBritish journal of cancer2024

Survival of patients with ruptured gastrointestinal stromal tumour treated with adjuvant imatinib in a randomised trial.

Heikki Joensuu, Annette Reichardt, Mikael Eriksson, Peter Hohenberger, Kjetil Boye, Silke Cameron, Lars H Lindner, Philipp J Jost, Sebastian Bauer, Jochen Schütte and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00116935 (Short), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT00116935 phase3completednot on this map

Short (12 Months) Versus Long (36 Months) Duration of Adjuvant Treatment With the Tyrosine Kinase Inhibitor Imatinib Mesylate of Operable GIST With a High Risk of Recurrence

TypeinterventionalSponsorScandinavian Sarcoma GroupRan2004 to 2010Enrolled400ConditionsSarcomaArmsimatinib mesylate, imatinib
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

16 authors.

Heikki JoensuuDepartment of Oncology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. heikki.joensuu@hus.fi.ORCID http://orcid.org/0000-0003-0281-2507
Annette ReichardtHelios Klinikum Berlin-Buch, and Berlin Medical School, Berlin, Germany.
Mikael ErikssonDepartment of Oncology, Skåne University Hospital and Lund University, Lund, Sweden.
Peter HohenbergerDivision of Surgical Oncology & Thoracic Surgery, Mannheim University Medical Center, Mannheim, Germany.ORCID http://orcid.org/0000-0001-5359-5923
Kjetil BoyeDepartment of Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-5552-6283
Silke CameronDepartment of Gastroenterology and Gastrointestinal Oncology, University Medicine Göttingen, Göttingen, Germany.ORCID http://orcid.org/0000-0003-2761-0960
Lars H LindnerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Philipp J JostMedical Department III, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-2454-0362
Sebastian BauerDepartment of Medical Oncology and Sarcoma Center, West German Cancer Center, University Duisburg-Essen, Medical School, Essen, Germany.ORCID http://orcid.org/0000-0001-5949-8120
Jochen SchütteSchwerpunktpraxis Oncology/ Hematology, Düsseldorf, Germany.
Stefan LindskogDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Raija KallioDepartment of Oncology and Radiotherapy, Oulu University Hospital, Oulu, Finland.
Panu M JaakkolaDepartment of Oncology, Turku University Hospital and University of Turku, Turku, Finland.
Dorota GoplenHaukeland University Hospital, Bergen, Norway.
Eva WardelmannGerhard-Domagk-Institute of Pathology, University of Münster, Münster, Germany.ORCID http://orcid.org/0000-0001-6788-4910
Peter ReichardtHelios Klinikum Berlin-Buch, and Berlin Medical School, Berlin, Germany.

Funding

Novartis None
6 · The paper itself

Abstract

backgroundPatients with ruptured gastrointestinal stromal tumour (GIST) have poor prognosis. Little information is available about how adjuvant imatinib influences survival.

methodsWe explored recurrence-free survival (RFS) and overall survival (OS) of patients with ruptured GIST who participated in a randomised trial (SSG XVIII/AIO), where 400 patients with high-risk GIST were allocated to adjuvant imatinib for either 1 year or 3 years after surgery. Of the 358 patients with confirmed localised GIST, 73 (20%) had rupture reported. The ruptures were classified retrospectively using the Oslo criteria.

resultsMost ruptures were major, four reported ruptures were reclassified unruptured. The 69 patients with rupture had inferior RFS and OS compared with 289 patients with unruptured GIST (10-year RFS 21% vs. 55%, OS 59% vs. 78%, respectively). Three-year adjuvant imatinib did not significantly improve RFS or OS of the patients with rupture compared with 1-year treatment, but in the largest mutational subset with KIT exon 11 deletion/indel mutation OS was higher in the 3-year group than in the 1-year group (10-year OS 94% vs. 54%).

conclusionsAbout one-fifth of ruptured GISTs treated with adjuvant imatinib did not recur during the first decade of follow-up. Relatively high OS rates were achieved despite rupture. CLINICAL

trial registrationNCT00116935.

Indexed as

Antineoplastic AgentsGastrointestinal Stromal TumorsImatinib MesylateAdultAgedAged, 80 and overChemotherapy, AdjuvantDisease-Free SurvivalFemaleGastrointestinal NeoplasmsHumansMaleMiddle AgedRupture, SpontaneousAntineoplastic AgentsImatinib Mesylate

Identifiers

PMID38862742
PMCPMC11263706

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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.