Evidence map›Paper›PMID 40007213›Full record

ArticleCancer medicine2025

Doxorubicin Plus Dacarbazine Versus Doxorubicin Plus Ifosfamide in Combination With Regional Hyperthermia in Patients With Advanced Leiomyosarcoma: A Propensity Score-Matched Analysis.

Luc M Berclaz, Vindi Jurinovic, Anton Burkhard-Meier, Sultan Abdel-Rahman, Markus Albertsmeier, Alexander Klein, Hans Roland Dürr, Nina-Sophie Schmidt-Hegemann, Thomas Knösel, Wolfgang G Kunz and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Luc M BerclazDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-4405-138X
Vindi JurinovicDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.
Anton Burkhard-MeierDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.
Sultan Abdel-RahmanDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.
Markus AlbertsmeierDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-5028-5062
Alexander KleinOrthopaedic Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, LMU Munich, Munich, Germany.
Hans Roland DürrOrthopaedic Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-1347-1173
Nina-Sophie Schmidt-HegemannDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Thomas KnöselInstitute of Pathology, LMU Munich, Munich, Germany.
Wolfgang G KunzDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Emanuel StutzDepartment of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Michael von Bergwelt-BaildonDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.
Dorit Di GioiaDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.
Lars H LindnerDepartment of Internal Medicine III, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDacarbazine is currently considered the better combination partner for doxorubicin compared to ifosfamide for the treatment of leiomyosarcoma (LMS). Regional hyperthermia (RHT) combined with neoadjuvant chemotherapy has been shown to improve survival in patients with locally advanced high-risk STS. We sought to evaluate the role of doxorubicin and dacarbazine (AD) versus doxorubicin and ifosfamide (AI) in combination with RHT in patients with LMS.

methodsPatients with locally advanced high-grade LMS, including limited metastases, eligible for RHT and first-line treatment with either AI + RHT or AD + RHT between 2014 and 2022 were retrospectively evaluated. Endpoints were progression-free survival (PFS) and overall survival (OS). Patients were matched using propensity scores, which were estimated with a logistic regression model accounting for tumor site, presence of metastasis, surgery, and radiotherapy.

resultsA total of 105 patients were included in this study, of which 101 were included in the propensity score-matched cohort. In the matched cohort, treatment with AD + RHT was associated with a significantly improved PFS (HR 0.32, 95% CI 0.13-0.74, p = 0.0081). Multivariable analysis revealed several significant predictors of PFS, including treatment with AD + RHT (HR 0.42, 95% CI 0.19-0.92, p = 0.031).

conclusionTreatment with AD + RHT showed improved PFS and better treatment tolerability compared to AI + RHT. Our results support the use of AD instead of AI for the treatment of patients with LMS in combination with RHT.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDoxorubicinHyperthermia, InducedLeiomyosarcomaAdultAgedCombined Modality TherapyDacarbazineFemaleHumansIfosfamideMaleMiddle AgedPropensity ScoreRetrospective StudiesDacarbazineDoxorubicinIfosfamidechemotherapyleiomyosarcomaregional hyperthermiasoft tissue sarcoma

Identifiers

PMID40007213
PMCPMC11861570

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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.