Evidence map›Paper›PMID 39123210›Full record

Trial reportMolecular cancer2024

Efficacy and safety of chiauranib in a combination therapy in platinum-resistant or refractory ovarian cancer: a multicenter, open-label, phase Ib and II study.

Jin Li, Jihong Liu, Rutie Yin, Dongling Zou, Hong Zheng, Junning Cao, Zhendong Chen, Wei Sun, Yunong Gao, Songling Zhang and 5 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter StudyClinical Trial, Phase I
In one paragraph

Trial report in Molecular cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03166891 phase1 / phase2completednot on this map

Efficacy and Safety of Chiauranib in Relapsed/Refractory Ovarian Cancer: a Single-arm, Open-label, Multi-site, Exploratory Study

TypeinterventionalSponsorChipscreen Biosciences, Ltd.Ran2017 to 2019Enrolled25ConditionsOvarian CancerArmsChiauranib
NCT03901118 phase2completednot on this map

A Multi-center, Phase Ⅱ Clinical Trial of Chiauranib Plus Chemotherapy in Relapsed/Refractory Ovarian Cancer

TypeinterventionalSponsorChipscreen Biosciences, Ltd.Ran2019 to 2020Enrolled47ConditionsOvarian CancerArmschiauranib, etoposide, paclitaxel
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

15 authors.

Jin LiDepartment of Gynecologic Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Jihong LiuGynaecology Department, Sun Yat-Sen University Cancer Center, Guangzhou, 510060, China.
Rutie YinGynecological Tumor Radiochemotherapy Department, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Dongling ZouGynecological Oncology Center, Chongqing University Cancer Hospital, Chongqing, 400000, China.
Hong ZhengGynaecological Oncology Department, Beijing Cancer Hospital, Beijing, 100142, China.
Junning CaoDepartment of Oncology, Shanghai Medical College of Fudan University, Shanghai, 200032, China.
Zhendong ChenGynaecological Oncology Department, The Second Hospital of Anhui Medical University, Hefei, 230601, China.
Wei SunGynaecological Oncology Department, Anhui Province Cancer Hospital, Hefei, 230000, China.
Yunong GaoGynaecological Oncology Department, Beijing Cancer Hospital, Beijing, 100142, China.
Songling ZhangGynaecological Oncology Department, Cancer Center of The First Hospital of Jilin University, Changchun, 130021, China.
Linjuan ZengAbdominal and Pelvic Oncology Department, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519099, China.
Ruifang AnGynaecology and Obstetrics Department, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
Xianping LuShenzhen Chipscreen Biosciences Co., Ltd., Nanshan District, 3157 Shahe West Road, Zhigu Industrial ParkShenzhen City, Guangdong Province, No. 518055, China.
Shuang YeDepartment of Gynecologic Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Xiaohua WuDepartment of Gynecologic Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China. docwuxh@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlatinum-resistant or refractory ovarian cancer is a highly lethal gynecologic disease with limited treatment options. Chiauranib is a novel small-molecule selective inhibitor, which could effectively target multiple pathways including Aurora B and CSF-1R to inhibit cell cycle process and improve anti-tumor immune function, as long as VEGF pathway for tumor extinction.

methodsA phase II study was sequentially conducted after a phase Ib monotherapy study to evaluate the efficacy of chiauranib combined with chemotherapy. Chinese patients with recurrent ovarian cancer were enrolled. Eligible patients received chiauranib combined with a maximum of six cycles of chemotherapy: etoposide (CE group) or weekly-paclitaxel (CP group). Patients, who exhibited a complete or partial response, or stable disease following combo treatment, progressed to maintenance phase to receive chiauranib monotherapy. Primary endpoint was progression-free survival (PFS) according to RECIST v1.1.

resultsFrom November 2017 to March 2019, 25 patients were enrolled in a phase 1b study and a median PFS of 3.7 months (95% CI 1.8-NE) was achieved by chiauranib monotherapy. From July 2019 to December 2020, a total of 47 patients were enrolled in the phase II study. One CP patient did not receive the study drugs, and three patients withdrew before the first tumor assessment. Thus, 43 patients (CE group: 22 patients; CP group: 21 patients) were included in the evaluation. The median PFS was 5·4 months (95% CI 2·8-5·6) and 5·6 months (95% CI 3·4-7·0), respectively.

conclusionsThis was the first study to evaluate chiauranib, a novel multi-targeted kinase inhibitor in patients with ovarian cancer. The administration of chiauranib along with etoposide or weekly-paclitaxel significantly enhanced the efficacy with manageable adverse events. This warrants further clinical studies on this novel treatment. A phase III study is promising and ongoing.

trial registrationClinicaTrials.gov identifier: NCT03901118 (phase II) and NCT03166891 (phase Ib).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDrug Resistance, NeoplasmOvarian NeoplasmsAdultAgedFemaleHumansMiddle AgedPaclitaxelTreatment OutcomePaclitaxelChiauranibClinical TrialCombo therapyKinase inhibitorOvarian cancer

Identifiers

PMID39123210
PMCPMC11312147

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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.