Evidence map›Paper›PMID 39044160›Full record

Trial reportBMC cancer2024

Subgroup analyses from patients with pre-treated metastatic colorectal cancer receiving trifluridine/tipiracil: results of the TALLISUR trial.

Meinolf Karthaus, Volker Heinemann, Jorge Riera-Knorrenschild, Albrecht Kretzschmar, Manfred Welslau, Ulrich Kaiser, Henning Pelz, Thomas J Ettrich, Swantje Held, Linde Kehmann and 4 more

Abstract readMulticenter StudyClinical Trial, Phase IV
In one paragraph

Trial report in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

14 authors.

Meinolf KarthausClinic for Haematology and Oncology, Klinikum Neuperlach, Oskar-Maria-Graf-Ring 51, 81737, Munich, Germany. meinolf.harthaus@muenchen-klinik.de.
Volker HeinemannMedizinische Klinik Und Poliklinik III, Klinikum Der Universität München, Marchioninistr. 15, 81377, Munich, Germany.
Jorge Riera-KnorrenschildUniversitätsklinikum, Baldingerstr. 1, 35043, Marburg, Germany.
Albrecht KretzschmarMVZ Mitte Leipzig, Johannisplatz 1, 04103, Leipzig, Germany.
Manfred WelslauPraxis Aschaffenburg, Elisenstr. 26, 63739, Aschaffenburg, Germany.
Ulrich KaiserÜBAG MVZ Dr. Vehling-Kaiser GmbH, Achdorfer Weg 5, 84036, Landshut, Germany.
Henning PelzAmbulantes Therapiezentrum Für Hämatologie Und Onkologie, Ebertplatz 12, 77654, Offenburg, Germany.
Thomas J EttrichDepartment of Internal Medicine I, Ulm University Hospital, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Swantje HeldClinAssess GmbH, Abteilung Biometrie, Werkstättenstr. 39B, 51379, Leverkusen, Germany.
Linde KehmannMedical Affairs, SERVIER Deutschland GmbH, Elsenheimerstr. 53, 80687, Munich, Germany.
Jürgen HessMedical Affairs, SERVIER Deutschland GmbH, Elsenheimerstr. 53, 80687, Munich, Germany.
Timo ReisländerMedical Affairs, SERVIER Deutschland GmbH, Elsenheimerstr. 53, 80687, Munich, Germany.
Lena WeissMedizinische Klinik Und Poliklinik III, Klinikum Der Universität München, Marchioninistr. 15, 81377, Munich, Germany.
TALLISUR study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the pivotal phase III RECOURSE trial, trifluridine/tipiracil (FTD/TPI) improved progression-free and overall survival (PFS, OS) of patients with pre-treated metastatic colorectal cancer (mCRC). Subsequently, the TALLISUR trial provided post-authorisation efficacy and safety data and patient-reported outcomes on quality of life (QoL) in a German patient cohort. The present analysis reports the final data on efficacy, safety and QoL and investigates the impact of baseline characteristics and associated prognostic subgroups on outcome.

methodsIn this prospective, multi-centre, Germany-wide, phase IV study, patients with pre-treated mCRC were given the choice to receive either FTD/TPI or best supportive care (BSC). To assess the primary endpoint, QoL, EORTC QLQ-C30 questionnaires were employed. Secondary endpoints included QoL assessed through EQ-5D-5L questionnaires, OS, PFS and safety. Additionally, 3 subgroups were defined according to a post-hoc analysis of the RECOURSE trial: best, good and poor prognostic characteristics (BPC, GPC, PPC). Patients with < 3 metastatic sites at inclusion and/or ≥ 18 months from diagnosis to inclusion were considered to have GPC. GPC patients without liver metastasis at inclusion were considered to have BPC. All remaining patients were considered to have PPC.

resultsOf 195 patients, 186 decided to receive FTD/TPI and 9 to receive BSC. The low number of patients in the BSC-arm did not allow statistically meaningful analyses. Treatment with FTD/TPI was associated with maintained QoL. For all patients, median OS was 6.9 months (95% CI 6.1 - 8.3) and for the defined subgroups (BPC n = 20 vs GPC n = 65 vs PPC n = 121) 12.2, 7.9 and 6.8 months (95% CI 6.0 - 18.2, 6.2 - 13.3, 5.4 - 8.1). The most frequent TEAEs were neutropenia (29.6%), anaemia (24.7%) and nausea (23.7%). Febrile neutropenia occurred in 1.1%.

conclusionsTreatment of patients suffering from pre-treated mCRC with FTD/TPI was associated not only with prolonged survival and delayed progression, but also with maintained QoL. Independent of other baseline characteristics such as ECOG performance status and age, low metastatic burden and indolent disease were factors associated with favourable outcome. CLINICAL

trial registrationEudraCT-Number 2017-000292-83, first registration 19/06/2017.

Indexed as

Colorectal NeoplasmsDrug CombinationsPyrrolidinesQuality of LifeThymineTrifluridineAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleGermanyHumansMaleMiddle AgedNeoplasm MetastasisDrug CombinationsPyrrolidinesThymineTrifluridinetrifluridine tipiracil drug combination

Identifiers

PMID39044160
PMCPMC11267741

What OpenQuestion holds

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LicenceCC BY
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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.