Evidence map›Paper›PMID 39279967›Full record

ArticleJournal of gastrointestinal oncology2024

Fruquintinib in metastatic colorectal cancer: a multicenter real-world analysis on efficacy, safety, and predictive and prognostic factors.

Yi Wang, Jianfen Xu, Mingjun Dong, Kaitai Liu, Yi Lu, Ke Chen, Yuepeng Cao, Hang Shi, Yanping Bei, Jianjiong Li and 11 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

21 authors.

Yi WangDepartment of Radiotherapy and Chemotherapy, Ningbo No. 2 Hospital, Ningbo, China.ORCID https://orcid.org/0000-0002-6878-4898
Jianfen XuDepartment of Medical Oncology, Ningbo No. 2 Hospital, Ningbo, China.
Mingjun DongDepartment of Anus & Intestine Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Kaitai LiuDepartment of Radiation Oncology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, China.
Yi LuDepartment of Radiation Oncology, Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Ke ChenDepartment of Radio Chemotherapy, The Affiliated People's Hospital of Ningbo University, Ningbo, China.
Yuepeng CaoDepartment of Colorectal and Anal Surgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Hang ShiDepartment of Oncology, Ningbo Municipal Hospital of Traditional Chinese Medicine, Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, China.
Yanping BeiDepartment of Radiation Oncology, Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Jianjiong LiDepartment of Anorectal Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Jianpei ZhaoDepartment of Colorectal Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Yisheng CaoDepartment of Colorectal Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Ning LuDepartment of Oncology, Ningbo Municipal Hospital of Traditional Chinese Medicine, Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, China.
Lu YangDepartment of Radiotherapy and Chemotherapy, Ningbo No. 2 Hospital, Ningbo, China.
Haizhong LiuHepatobiliary and Pancreatic Surgery Department, Ningbo No. 2 Hospital, Ningbo, China.
Ping CaiDepartment of Colorectal Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Kai LiDepartment of Radiotherapy and Chemotherapy, Ningbo No. 2 Hospital, Ningbo, China.
Tong YangTumor HIFU Department, Ningbo No. 2 Hospital, Ningbo, China.
Ning HeTumor HIFU Department, Ningbo No. 2 Hospital, Ningbo, China.
Jing DongDepartment of Oncology, Ningbo Municipal Hospital of Traditional Chinese Medicine, Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, China.
Chen ZhangDepartment of Radiotherapy and Chemotherapy, Ningbo No. 2 Hospital, Ningbo, China.ORCID https://orcid.org/0000-0001-9473-1629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Randomized trials have shown a survival benefit for fruquintinib over placebo in patients with metastatic colorectal cancer (mCRC) that progressed after standard therapies, but real-world prognostic analyses have been seldom reported. We evaluated survival, safety outcomes, and predictive and prognostic factors in patients treated with fruquintinib in a real-life setting. Methods: We conducted a multi-center study by collecting relevant data on patients with advanced colorectal cancer (CRC) who received fruquintinib, focusing on progression-free survival (PFS), overall survival (OS), and L3 skeletal muscle index (SMI), including safety follow-up. Results: From January 2020 to January 2022, a total of 140 patients were selected and included in this study. The cut-off date was 30 July 2022. The median follow-up time was 18.3 months (range, 6-29.3 months) and the median age of included cases was 63 years (range, 32-81 years). The median PFS and OS for the 140 patients was 6.3 and 12.6 months, respectively. The median PFS and OS for the 76 patients who were included in SMI analysis was 6.0 and 12.0 months, respectively. Multivariate analysis suggested brain metastasis {hazard ratio (HR) [95% confidence interval (CI)]: 2.779 (1.162-6.646), P=0.02}, decrease in SMI of >5% [HR (95% CI): 9.732 (2.201-43.028), P=0.003], and baseline carcinoembryonic antigen (CEA) level [HR (95% CI): 4.061 (1.391-11.858), P=0.01] as independent predictors of OS. The most common treatment-related adverse events (TRAEs) were hypertension (24, 17.1%), fatigue (21, 15%), and hand-foot syndrome (20, 14.3%); 9 (13.6%) and 15 (10.7%) patients had dose reduction and treatment discontinuation due to TRAEs respectively. Conclusions: The real-world efficacy and safety of fruquintinib in advanced CRC patients are numerically superior to that in the previous phase III studies. SMI, brain metastasis and CEA could serve as potential markers for patient selection.

Indexed as

Fruquintinibpredictive factorprognostic factorreal worldskeletal muscle index (SMI)

Identifiers

PMID39279967
PMCPMC11399836

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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.